AFA is pleased to present this quarter’s virtual training.

California Department of Insurance Overview:

• Fraud Division SIU Compliance
• Fraud Referrals
• Requests for Information
• and More!

This training will provide an overview of the California Department of Insurance SIU Regulations and common non-compliance findings. All regulations will be covered; however, the focus will be on properly completing suspected fraudulent claim referrals (SFC’s) and how to respond to file requests from authorized governmental agencies.

Presenters

Lisa Benford – California Department of Insurance, Insurance Compliance Officer, SIU Compliance Program

Ms. Benford has been with the California Department of Insurance, Enforcement Branch since 2017. The primary responsibility of the California Department of Insurance (CDI) Special Investigative Unit (SIU) Compliance Review Program is to examine insurers and to evaluate regulatory and statutory compliance regarding the establishment, maintenance and operation of the insurer’s anti-fraud operations.

As the Special Investigative Unit (SIU) Compliance Program Manager, her unit oversees the compliance of over 1,200 admitted insurance carriers who are subject to the Insurance Fraud Prevention Act and the California SIU Regulations. Prior to her time with the CDI, she spent more than 25 years working in the insurance industry with roles ranging from training, policy service and underwriting.

Samantha Saechao – California Department of Insurance, Associate Insurance Compliance Officer

Ms. Saechao is responsible for conducting compliance examinations of insurers’ Special Investigative Unit (SIU) and verifying compliance with the California SIU Regulations/requirements. Ms. Saechao has over 17 years of experience in the insurance industry, the last seven years being with the California Department of Insurance, Enforcement Branch.

Two hours of continuing education credit for SIU personnel and attorneys (CA MCLE) is also provided to AFA members.

As a courtesy to the industry, AFA is not limiting this valuable training to only our current members, this meeting is open to everyone.

Typically these training events are provided by the AFA for our members and the Anti-Fraud community.

We encourage you to join the Anti-Fraud Alliance

Any questions?

Please contact the AFA Executive Secretary, Ed Tavares at [email protected].