White-collar crime and insurance fraud pose significant financial and reputational risks to individuals,
businesses, and the insurance industry. Understanding the nature of these crimes, their legal
consequences, and methods for prevention is crucial for insurance professionals. This course provides a
comprehensive analysis of various white-collar crimes, including mail and wire fraud, money
laundering, and tax evasion, with a specific focus on insurance fraud. It explores the motivations behind
these crimes, their impact on businesses, and the legal frameworks used to prosecute offenders.
Additionally, it covers fraud detection strategies and the role of regulatory bodies in combating
financial crimes.

The course is highly relevant to insurance professionals, as it enhances their ability to identify
fraudulent activities, mitigate risks, and uphold ethical standards in the industry. By examining cases of
insurance fraud across different sectors, such as health care, workers’ compensation, and automobile
insurance, participants will develop a deeper understanding of the legal and financial implications of
fraud. This knowledge directly improves their technical competence in underwriting, claims handling,
and regulatory compliance, ensuring they operate within legal and ethical boundaries while protecting
consumers and the industry from fraudulent schemes.

Topics include:

• Overview of White-Collar Crime
• White-Collar Crime and Punishment
• Fraud and Pretexting
• Insurance Fraud
• Employee Dishonesty and Commercial Crime Insurance
• Workers’ Compensation Insurance and Fraud
• Health Care Insurance and Fraud
• Medicare & Medicaid Fraud and Abuse
• Health Privacy Violations
• Automobile Insurance and Fraud
• Property Insurance and Disaster-Related Fraud
• Federal Laws and White-Collar Crime
• Sentencing Guidelines for White-Collar Crimes
• Fraud & The Unethical Non-Professional Agent
• Incompetency, Lack of Objectivity, & Unfairness
• Unprofessional Behavior in Insurance
• Fiduciary Irresponsibility in the Insurance Industry