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 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
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Gain insight into fraud and its implication for various lines of business
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Understand types of frauds
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Understand sources of frauds
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Identify frauds patterns & triggers
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Better manage fraud
Contents:
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Regulations in fraud management
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Fraud and its impact on underwriting, money laundering, post-claims, etc.
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Identification of key areas and pattern of fraud
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Various stages susceptible to frauds
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Means of detection of frauds - Fraud triggers / Red flags
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Technology tools for fraud management
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Fraud Investigation
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Changes in product design / policy wording for fraud reduction
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Creating a framework for managing frauds
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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
I.
22.09.2025
- 24.09.2025
II.
10.12.2025
- 12.12.2025