National Insurance Academy, Pune|Insurance Technical (Life)
P687 | Programme on Insurance Fraud Detection & Prevention (Life)
Academic Year 2026-2027
Duration
2Days
Scheduled Dates
11 Jun 2026 - 12 Jun 2026
24 Aug 2026 - 25 Aug 2026
28 Jan 2027 - 29 Jan 2027
22 Feb 2027 - 23 Feb 2027
15 Mar 2027 - 16 Mar 2027
Background
The financial sector has been witnessing increasing number of frauds leading to losses to companies to the tune of thousands of crores. The nature of frauds has also undergone changes in tune with changes in the composition of the society, attitude of the people, improved technology etc. Cyber Crime has gained much ascendance in the last few years. The insurance sector is no exemption to the frauds that are taking place in the financial sector.
The frauds that have been perpetrated have raised doubts on Corporate Governance, Business Ethics, Auditor's role, Regulator's role etc. Hence every stakeholder needs to be alert and play his/her role effectively and help companies to detect such frauds.
IRDAI regulations and organisational guidelines on detecting and preventing Insurance frauds need to percolate to bottom of the pyramid so that there is an organisational fight against this organised crime.
Learning Objectives
To learn about Insurance Fraud scenario in our country
To learn about IRDAI regulations and corporate guidelines for Fraud mitigation
To learn about Fraud detection and prevention tools
Educating participants about the potential areas of frauds
Introduction to cybercrime and cyber laws
Key Contents
Fraud Scenario in Insurance sector (worldwide)
Regulatory Framework for prevention of Insurance frauds
Risk Management Systems and processes
Role of internal operating procedures in preventing frauds.
Cyber frauds threats (Role of technology and social media)
Intelligence and Investigating tools & techniques in insurance Frauds.
Preventive Vigilance
Forensic Audit
Data Mining & Analytics in Fraud Mitigation
DPDP Act 2025
Information Security (Policies & Safeguards)
Whistle blower policy & Integrity Pact
Potential areas of Fraud and Case studies
Section 45 in Insurance & Due Diligence
Who Should Attend
Officers in the cadre of A.D.M. and above to be nominated by the respective Zonal HRDs
AAO/AO from Audit and Inspection Dept.
Faculty Members of ZTCs and MDC to be nominated by respective ZO HRD and CO HRD
Trainees nominated for this programme in the last two years should not be renominated.