CIFI study guide
CIFI · Work through your exam, one topic at a time.
The Certified Insurance Fraud Investigator (CIFI) is a credential from the International Association of Special Investigation Units (IASIU) for professionals whose work is to detect, investigate, and deter insurance fraud. IASIU describes CIFI as an accrediting process with a high standard for admission and testing: candidates document qualifying education and experience, adhere to the association's Code of Ethics, and demonstrate competency through mandatory continuing professional education. Admission is points-based. An application requires at least 100 points, including a minimum of 30 points of SIU investigative experience earned at 10 points per full year. The CIFI study guide has 5 sections and about 1,279 words.
01Insurance Fraud Detection: From Red Flags to Referral
Fraud detection is the front end of the anti-fraud process: spotting patterns that justify a closer look. A candidate must know the difference between a red flag and evidence.
265 words, about 1 min02Insurance Fraud Investigation: Method, Evidence, and Interviews
An investigation turns a referral into an evidence-based account. Start with a plan: scope, hypotheses, evidence needed, legal and privacy constraints, and decision points.
256 words, about 1 min03Insurance Fraud Deterrence: Controls, Certainty, and Consequences
Deterrence aims to prevent conduct before it happens. The classic framework is certainty, speed, and severity of consequences: certainty and promptness usually matter more than harshness.
252 words, about 1 min04Ethics and Professional Standards for Fraud Investigators
Fraud investigators hold information and power that claimants do not. Professional standards therefore require integrity, objectivity, confidentiality, competence, and fairness.
237 words, about 1 min05Claims Fraud Law and Defense: Contract, Proof, and Exposure
Fraud law sits at the intersection of contract, tort, and criminal law. A claim denial is usually a contract decision: did the policy cover the loss, and did the insured comply with duties such as notice, proof of loss, cooperation, and truthful statements?
269 words, about 1 min