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P319 – PREVENTION OF INSURANCE FRAUDS &

FINANCIAL AUDIT & CONTROL (LIFE)

 

Background:

Employing the best practices in the control and deterrence of Insurance Fraud can definitely reduce the exposure to this problem and can favourably impact the profitability of the companies.

Consequent upon liberalization, competitive environment and coming of Insurance Regulatory and Development Authority, there is a great need to strengthen internal control systems, various types of audit and reporting mechanism to ensure financial discipline.

Objectives

§   To cover comprehensively the role of audit and control functions

§   To facilitate interaction between staff in the audit and operations departments.

§   To avoid problems arising out of shortcuts in procedures

§   To know the modern and advanced techniques available in countering Insurance Fraud

Contents

§   How to counter Insurance Fraud – a general perspective

§   Analysing & Investigating  Insurance Fraud

§   Insurance fraud and legal aspects

§   Handling of fraudulent claims

§   Computer Audit

§   Claims Settlement - Early claims study

§   Strict implementation of Password security

§   Internal Audit - scope, coverage, appraisal/ evaluation of systems - methods and procedures in underwriting/ claims/investments/solvency and other financial areas.   Inbuilt audit trails/consistency checks

§   Complementary responsibilities of Internal Audit and Vigilance Dept.

§   Regulators’ expectations from the entire audit mechanism so as to help them in on-site and off-site supervision

§   Creating awareness about the various types of frauds like Cheque frauds, Expense A/C fraud, Payroll fraud, Theft/misappropriation of assets etc.

§   Case Studies with regard to employees, Customers & others

Participants’ Profile: HODs at D.Os of LIC, Sr./BMs of LIC and equivalent cadre participants from Life Insurance companies

Duration: 3 Days

Dates: I) 28.01.2008 – 30.01.2008

            II) 17.03.2008 – 19.03.2008

 

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