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Foundations of Short-Term Insurance Crime Investigation - CICI02B

NQF level: Credits:
Module presented in
Purpose: Content: The following knowledge is embedded within the course, and will be assessed directly or indirectly through assessment of the specific outcomes in terms of the assessment criteria: Insurance law short term insurance An introduction to short-term insurance Formation of short term insurance contract Concepts of good faith, insurable interest, materiality, and misrepresentation Clauses in a short-term insurance policy Identify the types of short term insurance crimes Short term insurance processes and terminology Short term insurance processes and terminology Short term insurance terminology Underwriting and sales, various products (all risks, buildings, contents, marine, agrietc) Methods of sales (Direct vs Broker) Premium collection Claims processes Role players in the claims processes Technology used in the short term insurance claims processes Report Writing Elements of report writing Aspects of short term insurance crime Impact of short term insurance crime Types of short term insurance crime Common characteristics of opportunistic and organised short term insurance crime Prevalent insurance crimes committed amongst the various short term insurance role players (policyholders, brokers, employees, suppliers, or no relationship) Emerging insurance crime trends Identifying sources of information Management of short term insurance crime investigations Developing a repository of short term insurance crime scenarios Converting reactive short term insurance crime investigations to proactive intelligence driven investigations to proactive intelligence driven investigations through scenario testing Short term insurance crime investigation resources Investigation of short term insurance crimes