Insurance fraud reduces insurer profits, raises premiums, and is a crime against society. It can be defeated by investigators who understand fundamental insurance principles like first-party vs. third-party coverage, insurable interest, policy interpretation, and bad faith. This course provides an overview of insurance fraud, its types, and how to address it, offering insights into confronting the issue and the importance of ethical behavior in investigations.

• understand the nature, significance, and prevalence of insurance fraud;
• distinguish among various types of insurance fraud;
• recognize fundamental principles that are important when investigating insurance fraud; and
• distinguish between ethical and unethical behavior expected of various parties to the insurance transaction, especially with respect to claims handling.