Healthcare, Legal and Claims Support

Fraud Detection Basics

Recognise common insurance fraud indicators and escalate suspected fraud through the correct channels

10h4 lessonsTier 2 hireabilityTier 2 certificate

What you'll be able to do

You can recognise common insurance fraud indicators across claims and applications, understand the correct escalation process for suspected fraud, and apply this awareness without wrongly treating legitimate policyholders as suspects.

Job titles this qualifies you for

Claims ProcessorUnderwriting AssistantSpecial Investigations Support
Market intelligence
Demand
Moderate
Remote
60% remote roles
Nigeria salary
Not a primary local hiring category
Remote (USD)
$40,000–$46,461/year average for remote Insurance Claims Processors ($16.35–$22.34/hour range); entry-level and offshore-support rates commonly fall toward the lower end of this band

Lessons

Stage 1 — Foundation
1
Common Types of Insurance Fraud
25 min
2
Recognising Common Fraud Red Flags
30 min
Stage 2 — Applied
1
The Correct Escalation Process for Suspected Fraud
25 min
2
Avoiding False Accusations and Bias
20 min
Tier 2 Proof Submission

Fraud Detection Basics Portfolio

Demonstrate fraud-type understanding, red-flag recognition, correct escalation practice, and bias-aware, fact-based judgement.

1.An explanation distinguishing honest mistakes from genuine application fraud
2.A list of four observable red flags with an explanation of why they warrant review, not accusation
3.A specific, factual fraud referral for a weather-record-conflict scenario
4.A scenario showing a legitimate explanation for an apparent red flag
Create a free account to join this programJoin free →