NATG is committed to providing quality insurance fraud training to all Washington Integral Anti-Fraud personnel as required under the Washington Insurance Fraud Code Chapter 285 Sections 8-11
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!
ANTI FRAUD EDUCATION INITIATIVE REQUIREMENTS
Section 9
Each insurer licensed to write direct insurance in this state shall institute and maintain an insurance antifraud plan. An insurer licensed on the effective date of this act shall file its antifraud plan with the insurance commissioner no later than December 31, 1995. An insurer licensed after the effective date of this act shall file its antifraud plan within six months of licensure. An insurer shall file any change to the antifraud plan with the insurance commissioner within thirty days after the plan has been modified.
Section 10 - An insurer's antifraud plan must establish specific procedures to:
(1) Prevent insurance fraud, including internal fraud involving employees or company representatives, fraud resulting from misrepresentation on applications for insurance coverage, and claims fraud;
(2) Review claims in order to detect evidence of possible insurance fraud and to investigate claims where fraud is suspected;
(3) Report fraud to appropriate law enforcement agencies and cooperate with those agencies in their prosecution of fraud cases;
(4) Undertake civil actions against persons who have engaged in fraudulent activities;
(5) Train company employees and agents in the detection and prevention of fraud.
A company’s plan must include a section on training of company employees and agents in the detection and prevention of fraud. This portion of the plan should address each company's procedure to make all representatives aware of fraud and associated problems. Companies must send an explanation on the type, frequency, and monitoring procedures for training being offered to all company employees and agents. They may also outline use of outside resources, informational mailings, or other continuing education mechanisms. Companies may not include information pertaining to unrelated company training or simply state that fraud training is in place.
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.
