NATG is committed to providing quality insurance fraud training to all Tennessee Integral Anti-Fraud personnel as required under the Tennessee Insurance Fraud Code Chapter 356.
It's convenient. NATG offers every course you need for compliance. You choose the method of delivery: on-line through our secure web site or in-person at your facility. We take care of the rest " from administration, to record keeping, to providing certificates of completion and administrative access to account holders or SIU.
Online students have the additional convenience of taking courses whenever they want. Our program allows users to start and stop without losing their place or data. Administrators can see at the click of a mouse which personnel have completed the required courses. Compliance has never been so easy!
ANTIFRAUD EDUCATION INITIATIVE REQUIREMENTS
Fraud Plan/SIU Requirement Section 56-53-111 - Regulatory requirements
Anti-Fraud Plans Within six months of the effective date of this legislation, every insurer with direct written premiums exceeding ten million dollars ($10,000,000) shall prepare, implement, and maintain an insurance anti-fraud plan. Each insurer's anti-fraud plan shall outline specific procedures, appropriate to the type of insurance the insurer writes in the state, to
(1) Prevent, detect and investigate all forms of insurance fraud, including fraud involving the insurer's employees or agents; fraud resulting from misrepresentations in the application, renewal or rating of insurance policies; claims fraud; and security of the insurer's data processing system;
(2) Educate appropriate employees on fraud detection and the insurer's anti-fraud plan;
(3) Provide for the hiring of or contracting for fraud investigators;
(4) Report insurance fraud to appropriate law enforcement and regulatory authorities in the investigation and prosecution of insurance fraud; and
(5) Pursue restitution for financial loss caused by insurance fraud, where appropriate.
The information provided on the website should be used as a guide in complying with state laws and regulations and should not serve as an alternative to legal counsel.
