This course explores how to deal with the fraudulent claims and why an insurer should never settle a false claim.
A complete course of study providing education and training to allow the student, to learn how to deal with the fraudulent claims and why an insurer should never settle a claim that it believes is false and fraudulent. The student will review and understand the concept of never settling a claim that is fraudulent or not covered.
What you’ll learn
- Recognize what to do when investigation results in a conclusion a claim is fraudulent..
- Explore what to do when investigation results in a conclusion a claim is not covered by the policy..
- Identify the reasons for refusing to pay a fraudulent claim..
- Recognize how liability insurers conclude a fraudulent claim has been committed..
- Identify each of the requirements needed to negotiate with a fraudulent claimant..
- Discover each requirement to pay or not pay a claim..
- Discover how to fulfill all of the needs of an insured and an insurer..
Course Content
- Introduction –> 4 lectures • 43min.
- Supporting Materials –> 2 lectures • 1min.
- Review and Test –> 0 lectures • 0min.
Requirements
A complete course of study providing education and training to allow the student, to learn how to deal with the fraudulent claims and why an insurer should never settle a claim that it believes is false and fraudulent. The student will review and understand the concept of never settling a claim that is fraudulent or not covered.
This fifteenth course in the series provides a representative of an insured or the representative of the insurer with sufficient knowledge to work together to make certain that fraudulent claims are not paid and that the insurer never pays a claim that is not covered by the policy.
The Course covers the following:
- The need to defend insureds against false and fraudulent claims.
- The need to refuse to pay claims that are not owed – whether because the insured is not liable or the policy provides no coverage for the loss.
- Why settling with a fraud invites further fraudulent claims.
- Why paying a non-covered claim makes the wording of the policy useless.
- Why it is needed to fulfill the duty to defend.