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Statements, Lies and Videotape:

A Private Investigator’s Guide to Conducting
Insurance Claim Investigations
 

COURSE DESCRIPTION:

Insurance fraud is the second costliest white-collar crime in America, after tax evasion. It is estimated that $80 billion is paid out each year in fraudulent insurance claims. It is estimated by the Coalition Against Insurance Fraud that the average American household pays over $950 a year in additional premiums to cover the cost of insurance fraud. According to industry estimates, healthcare fraud alone costs Americans $54 billion a year.  Private Investigators have traditionally always been used by the insurance industry as its “eyes and ears” in the field, independently collecting the facts surrounding insured losses.  Recently, however, we are becoming even more important to the overall health of the world’s insurers.

This course is designed to teach and develop techniques that are required in most insurance investigations, regardless if the investigator is working for the claimant or the insurer.  The course of instruction will introduce topics from interviewing methodologies, obtaining quality statements, pre-surveillance investigations, surveillance methods, to the legal aspects of surveillance and eventually preparing to give testimony at trial.     

This course is approved for 14 hours of instruction in Texas, Oklahoma, Oregon, and Iowa; 12 hours in Tennessee and Kentucky; 8 hours in Kansas, Louisiana and Georgia; 10 hours in South Carolina.  An exam will be administered upon the conclusion of the program.  If the candidate passes with a score of 75% or better, a certificate of completion will be issued in accordance with state licensing authority standards.

Insurance Investigation Training- Click Here to Order

PROGRAM OUTLINE:
 
Introduction
 
            Understanding Insurance Fraud
            Red Flags and Common Indicators of Fraud
 
Interviewing and Taking Statements
 
            The Interview Process
            Developing Rapport
            The Free Narrative
            Enhancing Recall and Eliciting Forgotten Facts
            Taking Recorded and Written Statements
            Asking Effective Questions
            Mastering Listening Skills
            Interpreting Nonverbal Behavior
 
Statement Guides
 
            Theft of Personal Property
            Vehicle Theft
            Property or Structure Fire
            Vehicle Fire
            Automobile Accident- Driver’s Statement
            Automobile Accident- Passenger’s Statement
            Automobile Accident- Witness’ Statement
            Automobile Accident- Officer’s Statement
            Workers’ Compensation- Employee’s Statement
            Workers’ Compensation- Employer’s Statement
            Workers’ Compensation- Witness’ Statement
            Slip and Fall
 
Surveillance
 
Presurveillance Investigations
Making Positive Identification of Your Subject
Pretexting
Pretext Scenarios and Examples
Managing Confrontation
Being Approached by Law Enforcement  
Surveillance
Visual Surveillance
Mobile Surveillance
Tailing Methods and Tactics
Choosing a Surveillance Vehicle
Surveillance Reports
Improving Your Surveillance Product
What’s Allowed on Surveillance Video?
Editing Surveillance Video Footage for Court
The Legal Aspects of Surveillance
Roping and Entrapment
Surveillance Case Law
 
Preparing to Take Your Stand in Court
 
Conclusion
 
Bibliography
 
Comprehensive Review
 
Final Examination

 

Workers' Compensation Claims Investigations Course- Click Here to Order

 

 

 

 

 

 
 
 
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