Working with SIUs: Identifying Red Flags and Strengthening Investigations

Overview

Effective claims investigation is essential to determining the facts of an accident or loss, ensuring legitimate claims are handled accurately and paid promptly. To support this process, insurers rely on Special Investigative Units (SIUs) to assist in identifying and investigating potential insurance fraud. Adjusters who understand the nature of insurance fraud and the role of SIUs are better equipped to conduct thorough investigations, collaborate effectively with specialized investigators, and protect insurers from fraudulent claims while serving policyholders fairly. 

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License or Certification 

 

Regulator 

 

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Learning Objectives

  • Define insurance fraud and explain its impact on insurers, agencies, insureds, and the insurance industry as a whole
  • Identify red flags of property, casualty, and auto claims that may indicate fraud while differentiating fraud indicators from legitimate claim facts
  • Explain the role, responsibilities, and limitations of SIUs
  • Apply best practices for documenting, escalating, and referring claims to SIUs
  • Identify legal, ethical, and regulatory considerations surrounding potentially fraudulent claims


Designed For:

Designed for all insurance claims professionals at every stage of their career 


International Risk Management Institute, Inc. (IRMI) is the premier provider of risk and insurance continuing education and reference publications, and is considered the ultimate authority by leading insurance practitioners. Written by industry experts, IRMI courses provide the most up-to-date, practical and reliable information possible.

Course Information

Adding additional credit may change exam requirements.