Insurance Fraud Detection and Claims Investigation
Train claims, underwriting and investigation teams to spot and investigate fraudulent insurance claims across short term, life and medical lines. The course covers staged accidents, inflated claims, syndicate activity and the indicators that separate genuine losses from fabricated ones. Delegates practise structured claim interviews and evidence gathering used by African insurers to reduce leakage while treating honest claimants fairly.
What you will be able to do
Recognise common fraud indicators across motor, property, life and medical claims.
Differentiate opportunistic exaggeration from organised syndicate fraud.
Plan and conduct structured claim investigation interviews.
Gather and preserve evidence that supports claim repudiation decisions.
Apply data analytics to flag suspicious claim patterns and networks.
Balance fraud control with fair treatment of legitimate claimants.
Course outline
01The Insurance Fraud Landscape in Africa
02Fraud Indicators Across Product Lines
03Opportunistic Versus Organised Syndicate Fraud
04Claim Interview and Statement Taking Techniques
05Evidence Gathering and Repudiation Decisions
06Data Analytics and Network Detection
07Fair Treatment and Regulatory Considerations
Who should attend
This course is designed for claims handlers, loss adjusters, underwriters and insurance investigators responsible for assessing and challenging suspect claims.
Dates, venues and fees
Dates
Venue
Days
Fee
Calendar
17 to 19 Aug 2026
Online
3
US$900
24 to 26 Aug 2026
Mozambique
3
US$1,500
31 Aug to 2 Sep 2026
Cairo
3
US$1,500
7 to 9 Sep 2026
Accra
3
US$1,500
14 to 16 Sep 2026
Lusaka
3
US$1,500
21 to 23 Sep 2026
Kigali
3
US$1,500
28 to 30 Sep 2026
Nairobi
3
US$1,500
5 to 7 Oct 2026
Durban
3
R13,000
12 to 14 Oct 2026
Johannesburg
3
R13,000
26 to 28 Oct 2026
Mauritius
3
US$1,500
2 to 4 Nov 2026
Dubai
3
US$1,500
9 to 11 Nov 2026
Lagos
3
US$1,500
16 to 18 Nov 2026
Harare
3
US$1,500
23 to 25 Nov 2026
Kampala
3
US$1,500
30 Nov to 2 Dec 2026
Dar es Salaam
3
US$1,500
7 to 9 Dec 2026
Pretoria
3
R13,000
14 to 16 Dec 2026
Cape Town
3
R13,000
Fees are per delegate. South African venues are priced in rand; other locations and online in US dollars. Fees exclude 15% VAT where applicable. Group bookings of three or more delegates from the same organisation qualify for a reduced rate; contact us for a quotation.