Continued Ed Insurance 15 Credit Bridge

Trends in Insurance – 15 Credit Continuing Education Course

$175.00

• Description
• Table of Contents
• Sample Questions

Description

Trends in Insurance (7886)

This course is a great way to see what is currently trending in the Insurance Industry.  Learn about new schemes to watch out for along with helpful information to keep you clients up to date.

• After registering you will be able to access a 15 credit self study manual containing sample questions

• When you are prepared, you can take your 50 question quiz  at your home or office.

• A 15 Credit Certificate will be digitally issued same day as the successful passing of the exam (70%)

**in case you do not pass, you will be able to retake the exam forno extra fee (no limit on re-takes).

All of our CE is bridge continuing education; credits are good for LA, LB, PC, BR, PA, C1 & C3 , LSB & TIA licenses.

All continuing education classes are subject to a $25 non-refundable registration fee which is already included in the price shown.

Course approved through 11/30/2023.

This course requires an internet connection to access the course materials and the exam. We suggest that you use an updated browser to access the exam.

Table of Contents

Trends in Insurance Fraud …………… 2
Why Fraudsters Cheat …………………. 6
Environment can shape behavior …. 6
So let us delve into this deeper: "Why do fraudsters cheat"? …. 7
Prevention: alter environment ……… 8
A simple declaration could be as follows: ……… 8
Can automation increase fraud? ……….. 9
QUIZ 1 ……………11
Blockchain Can Block Insurance Fraud……… 12
Securely share information …….. 12
Blockchain a digital register ………..13
Blockchain for combating fraud ……..14
QUIZ 2 ……………. 17
Will Low-Touch Claims Breed High-Touch Fraudsters? …….. 18
Low-touch claims emerging ……….. 19
Chances to uproot bad actors growing ……… 19
Fraudsters adapting, learning …………. 20
Rely too much on point-of-claim detecting …….. 20
Detection must be more-adaptable …… 21
QUIZ 3 ………. 23
By the numbers: fraud statistics …….. 24
Fraud costs for insurers………… 25
Insurer anti-fraud technology ……… 29
Arson ………. 29
Public outreach ………. 33
Medical identity theft ………. 34
Cyber security ………. 35
Whistleblowing …….. 39
Healthcare …………… 39
Fraud Trends ………. 43
QUIZ 4 ……………….. 47
Insurance Fraud Investigations – Fiscal Year 2019 ……..48
Goldsboro woman charged with insurance fraud ……….48
Man who torched BMW for insurance money sentenced …. 48
Former Butte businessman sentenced for fraud in Florida ……. 50
Once among the '1 percent,' executive faces $1 billion Medicare fraud trial ….2
Eight Indicted for Alleged Multi-Million-Dollar ….. 68
QUIZ 5 ………. 70
Fraud of the Month – Coalition of Insurance Fraud ……..71
Politicos sell out trust, integrity for insurance money …. 71
Disabled Kentuckians destitute when $550-million disability con busted ….. 72
Two firefighters die as burning nail salon collapses …. 74
Home arsons are fiery family affairs in West Virginia … 75
Sprinklers splash doomed pizzeria insurance arson ….. 76
Flames, floods engulf Florida homes in adjuster's $14M plot … 78
Parachutist survives 4,000-foot drop, husband disables chutes …. 79
Families torn apart by relentless pursuit of bogus whiplash claims …. 80
Samaritan scammer has himself shot to steal disability ….. 82
Turning a blind eye: Docs sticks patients with needles, lasers ….. 83
Former NFL linebacker benched for inflating injury claim …..84
High-flying airplane con crash lands and deep-sixes ….. 86
Young broker steals client premiums for mansion living……. 87
QUIZ 6 …….. 90
States Surprised with Burst of Insurance Fraud-Related Legislation in 2018 …. 91
Lawmakers Debated More Than 100 Fraud-Related Bills and Passed 33 into Law ….. 91
Airbag Danger …….. 91
Cyber, Data Privacy …….. 92
Fraud Authority ….. 92
ALI Restatement …….. 93
Quiz 7 ……… 94
Pending NYS Legislation ……. 95
Workers Compensation Audits, AB 38 …… 95
Workers Compensation, AB 552 ……… 97
Medical Bill Audits, SB 873 ……… 99
Medicaid Fraud, SB 995 …….100
Identify Fraud, SB 1088 …… 102
Identity Fraud, AB 809 ……. 107
Medicaid Fraud, SB 949 …..112
Storm Chaser, SB 1405 ……. 113
Staged Accidents, SB 2508 …. 118
Fraud Reporting , AB 3027 ……. 119
Health Care Fraud, AB 2899 …… 120
AB 4032 …..121
Quiz 8 …… 131
Fraud Spreading While Insurer Technology Use Increases ….. 132
State of fraud & tech ……..133
Challenges of implementing tech ……134
Conclusions …….. 135
QUIZ 9 ……. 137
New York State DFS 23 NYCRR 500 – Cybersecurity Regulation …. 138
Frequently Asked Questions Regarding 23 NYCRR Part 500……… 151
Cybersecurity Regulation Exemptions ………. 161
Insurance Regulation 194 – Producer Compensation Transparency …… 164
New York State Department of Financial Services…… 169
General Questions about Financial Services ……… 170
N.Y. ISC. LAW § 2104 : NY CODE – SECTION 2104: INSURANCE BROKERS; LICENSING ……..171
N.Y. ISC. LAW § 2109 : NY CODE – SECTION 2109: AGENTS AND BROKERS; TEMPORARY LICENSE ……. 177
N.Y. ISC. LAW § 2110 : NY CODE – SECTION 2110: REVOCATION OR SUSPENSION OF LICENSE …………. 179
N.Y. ISC. LAW § 2105 : NY CODE – SECTION 2105: EXCESS LINE BROKERS; LICENSING ……………………. 182
N.Y. ISC. LAW § 2106 : NY CODE – SECTION 2106: REINSURANCE INTERMEDIARIES; LICENSING ………… 183

Sample Questions

1. _______________ states that people will exploit a crime opportunity only if it is presented to them, and falls into their lap.
a) Opportunity Theory
b) Life Theory
c) Crime Theory
d) String Theory

2. Carriers can control environmental factors to reduce opportunity for fraud by:
a) Make it publicly known that your insurer has a low threshold for fraud, and that fraudsters will be investigated and prosecuted.
b) Educate consumers by publicly branding insurance fraud as deviant, high-risk behavior.;
c) Identify fraud as soon as possible in the claims or underwriting processes.
d) All of the above.

3. Academic research shows that economic criminals have higher cognitive functioning than other criminals. This statement is:
a) True
b) False

Answers: 1. a 2. d 3. a

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Source: https://nys-ce.com/product/15-new-york-continuing-education-credits/

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