PUNE
P128
- INSURANCE FRAUDS MANAGEMENT (NON-LIFE)
Background:
Globally
insurance frauds are a major challenge for insurers. Left unchecked it can
distort profitability of insurers and also increase insurance prices causing
significant consumer detriment. Ultimately this can adversely affect the
competitive position of players. Frauds can exist at various points of the
insurance value chain. It is also deeply linked to the operational risk profile
of insurers.
The
estimated value of insurance frauds in India for Life and General Insurance
combined is more than ₹ 20,000 crore. Health
and motor insurance frauds accounts for a major share of claims outgo, thereby
impacting the bottom line of insurance companies. It is therefore imperative for
insurers to have a robust fraud management system covering the entire insurance
value chain.
Objectives:
This
programme aims to facilitate the participants to
§
Gain insight
into fraud and its implication for various lines of business
§
Understand
types of frauds
§
Understand
sources of frauds
§
Identify
frauds patterns & triggers
§
Better
manage fraud
Contents:
§
Regulations
in fraud management
§
Fraud and
its impact on underwriting, money laundering, post-claims, etc.
§
Identification
of key areas and pattern of fraud
§
Various
stages susceptible to frauds
§
Means of
detection of frauds - Fraud triggers / Red flags
§
Technology
tools for fraud management
§
Fraud
Investigation
§
Changes in
product design / policy wording for fraud reduction
§
Creating a
framework for managing frauds
§
Fine tuning
claims strategy
Participants
Profile:
Officials handling underwriting, claims of different lines of business in
Head Office, Regional Offices, Operating Offices of Indian
and foreign public & private sector General Insurance Companies
Duration:
3 days
Dates:
I.
03.06.2024
- 05.06.2024
II.
17.12.2024
- 19.12.2024