Certified Insurance Fraud Investigator case studies
Certified Insurance Fraud Investigator · Put your knowledge to work in context.
The Certified Insurance Fraud Investigator (CIFI) is an accrediting credential from the International Association of Special Investigation Units (IASIU) for people whose work is to detect, investigate, and deter insurance fraud. It is aimed at insurance company and self-insured SIU staff, NICB special agents, state fraud bureau investigators, and others with investigative backgrounds who want a recognized standard of competency. The Certified Insurance Fraud Investigator case studies are 5 cases and about 4,348 words.
1Closing a Nine-Person Training Gap Before the Compliance Deadline
You are the SIU training coordinator for a regional property-casualty carrier with 14 investigators and 60 adjusters. Your state requires licensed adjusters to complete 24 hours of continuing education every two years, including 3 hours of ethics.
846 words, about 4 min2The Aisle 7 Slip-and-Fall With a Kayak Photo
On a Tuesday afternoon in March, a 47-year-old claimant alleges she slipped on a clear liquid in aisle 7 of a grocery store and struck her right shoulder on a display rack. The incident report, written by an assistant manager, states the floor was dry and that a 'wet floor' cone was placed near the aisle about 20 minutes after the fall.
946 words, about 5 min3The Fourteen-Month-Old Term Policy and a Pending Toxicology Report
A $500,000 twenty-year term policy was issued 14 months ago on a 52-year-old insured who died when his pickup left a two-lane road at 1:40 a.m. The application answered 'no' to tobacco use in the past 12 months and 'no' to treatment for depression or any mental health condition.
856 words, about 4 min4The Draft Report and the Forty-Slide Conference Deck
You are reviewing a draft SIU report prepared by a newly promoted investigator before it goes to outside defense counsel in a contested fire claim. The draft reads, in part: 'The insured is clearly lying about his whereabouts.
889 words, about 4 min5Verifying 'CIFI-Certified' in a Vendor Bid
The SIU director at a mid-size auto carrier is selecting a vendor for overflow investigations. The vendor's proposal states that all six of its investigators are 'CIFI-certified' and 'CFE-certified,' and includes a resume line reading 'CIFI, 2019' along with '40 hours of annual fraud training.' The director's own unit includes an investigator whose CIFI lapsed 18 months ago after he missed a continuing-education deadline, and a claims manager who completed a two-day online 'certified fraud specialist' course that required an open-book quiz and no investigative experience.
811 words, about 4 min