This course provides a comprehensive overview of workers' compensation disability claims, designed for professionals involved in the claims process. The course content explores disability claims legal framework, specific red flag indicators, and the roles of key stakeholders in the process. Participants will gain insights on investigation strategies, including case studies, for preventing fraud in disability […]

Course Description: This course demystifies insurance surveillance, equipping adjusters to work effectively with investigative providers. Participants explore surveillance concepts, applications, and techniques while gaining practical insights to support accurate claim evaluations, informed decisions, and fraud mitigation. Learning Objectives: Understand surveillance concepts in insurance claims Explore mobile and remote surveillance methods Identify surveillance use cases across […]

Our purposes are many: To heighten the fraud Investigators’ knowledge of ongoing fraudulent activity; To provide to our members a forum for the informal exchange of information and knowledge; To […]

This webinar explores how to identify, investigate, and document material misrepresentations in insurance claims while distinguishing honest mistakes from intentional deception. Through practical examples and investigative techniques, participants will learn […]

Course Description: This course builds a foundation in investigative research, focusing on the what, when, where, who, and how of effective investigations. Participants learn to distinguish public from licensed-investigator records, […]

Overview: Vehicle fraud and auto theft are discussed in this course and the impact on Insurance Carriers and consumers. Specific focus will be on bringing attention to the emerging trends […]

Course Description: This course equips claims professionals with effective interviewing skills to gather evidence, assess credibility, and uncover key details. Participants learn how to prepare, build rapport, ask strategic questions, […]

Overview: Insurance fraud in the rideshare ecosystem doesn’t just affect individual claims—it ripples across the entire insurance marketplace, driving up costs and straining resources. To combat increasingly sophisticated schemes like […]

Presenter: Jienelle Herndon, Office of Program Operations and Local Engagement, Centers for Medicare & Medicaid Services

Overview: What if a vehicle tied to a claim, underwriting review, or investigation contains a counterfeit airbag that could harm an occupant in a crash — or a fraudulent VIN […]