National Insurance Academy, Pune|Insurance Technical (Non-Life)
P128 | Insurance Frauds Management (Non-Life)
Academic Year 2026-2027
Duration
3Days
Scheduled Dates
29 Jun 2026 - 01 Jul 2026
05 Oct 2026 - 07 Oct 2026
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.
Learning Objectives
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
Key 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
Who Should Attend
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
