Insurance fraud investigation is a different ball game altogether. Outsiders pose a bigger risk of frauds to the insurance companies. This specially designed course comes with the bundle of all the useful tools for the Insurance investigation professionals
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Certified Insurance Frauds Analyst
Certified Insurance Frauds Analyst is the premier certification in India in the antifraud domain. Certified Insurance Frauds Analyst is a person who has successfully completed the examination conducted by ACFAP ( Erstwhile Association of Certified Forensic Accounting Professionals) to become an expert in the field of forensic accounting, forensic auditing, litigation support and investigative accounting with the specialisation in the Insurance domain.
Certified Insurance Frauds Analyst is a designation awarded by ACFAP . The ACFAP is a member-based organisation dedicated to providing forensic accounting and forensic auditing education and training with presence in more than 7 countries including Nigeria, Oman, Qatar, UAE, Uganda and others. Certified Insurance Frauds Analyst is the program designed to equip the Insurance professionals and the antifraud professionals to effectively fight the Insurance sector frauds. Participants will be given a broad-based introduction to the nature and purpose of forensic accounting. The scope and content of all subjects extend well beyond ‘narrow’ focus of fraud prevention and provide an opportunity to study and acquire skills in investigative techniques and the collection of data as well as the skills necessary to not only identify poor management but also unethical and fraudulent activities.
Manual on Insurance Frauds, which classifies the Insurance sector Frauds in Indian insurance companies is the key learning aspect of this program. In addition the participants also get to learn the Red flags of the various insurance fraud schemes based on the theme that frauds are committed in “Life Insurance” or “Non-life insurance”. This certification covers both these sectors of Insurance. Additionally, the study material designed for the course also discuss the methods for prevention, detection and investigation of the frauds in the Indian insurance sector.
Syllabus of CIFA
The syllabus for Certified Insurance Frauds Analyst (CIFA) covers wide number of chapters including the following topic outlines
- Insurance Fraud Risk Management
- Frauds in Life Insurance Sector
- Frauds in General Insurance Sector
- BREAK UP OF FRAUDS IN THE INSURANCE SECTOR
- Motor Fraud Investigation – Case Study
- Health Insurance Frauds – Warning Signals
- Fraud Control Units – Detailed Overview
- Fraud lies in the Data
- INTERNET INVESTIGATION TECHNIQUES
- Legal Aspects of Insurance Frauds
- Risk Management Framework
- Risk Management Framework – Structure
- Money Laundering Risk Management
Certified Insurance Frauds Analyst degree is a certification offered by ACFAP to those professionals who have scored atleast 75% in the examinations conducted by ACFAP. All the professionals completing the examination after 31.12.2012 are governed by the CPE norms. Every Certified Insurance Frauds Analyst needs to undergo the training of 20 hours to maintain the professional certification.
To Summarise, professional can be termed as Certified Insurance Frauds Analyst:
- When he successfully completes the examination
- Abides by the by-laws and code of conduct of ACFAP
- Completes 20 CPE hours every year
- Be of a high moral character