Introduction and learning objectives
Introduction
Insurance fraud weakens the entire insurance system. It can raise premiums, reduce consumer trust, and involve both claimants and insurance professionals. California requires anti-fraud training so licensees understand their responsibilities for preventing, detecting, and reporting fraud.
Learning objectives
By the end of this chapter, you should be able to:
- Identify the role of California’s Fraud Division and its enforcement authority
- Recognize types of insurance fraud and common indicators
- Understand insurer and agent responsibilities regarding anti-fraud efforts
- Identify fraud detection and reporting tools
- Apply proper procedures when fraud is suspected