Skip to content
Claim this template

Free course template · US federal

Insurance fraud red flags for claims and SIU teams: Spot, document and refer

A ready-made course, live deck and two surveys for claims handlers. AhaSlides tracks progress, completion and scores for you. 40 minutes, 6 lessons. Last reviewed 28 October 2026; not legal advice.

Claim the templatePreview the courseDownload SCORM for your LMS

Free. No credit card. Edit everything.

Course outline at a glance

  • An adjuster, Tom, gets a theft claim reported a week after a policy started, with receipts for brand-new electronics from a shop that has since closed
  • What would you do?
  • Timeline
  • Quiz

  • Types
  • Red flags
  • Tabs
  • Flashcards
  • Matching quiz

  • Five steps
  • A good referral contains
  • Process
  • Checklist
  • Quiz
  • Multi-select quiz

  • The new policy
  • One red flag, honest customer
  • Sort it
  • Scenario
  • Sorting activity
  • Matching quiz

  • Inside the organisation
  • Treating customers fairly during a referral
  • Process
  • Scenario
  • Quiz

  • Your next steps
  • Process
  • Quiz

Try some questions from the course

Question 1 of 3

Tom has noticed the timing, the receipts and the closed shop. How best to describe what he has found?

 

A red flag is an indicator that deserves a closer look. It is not proof, and it is not a reason to deny. Each of the three things has an innocent explanation, so Tom records the facts and asks neutral questions.

Lesson 1, The too-perfect claim, teaches this. See the outline

Question 2 of 3

Which sentence belongs in a referral note?

 

A referral note holds facts a reader can check: a date, a document, a quote. Opinions, feelings and conclusions belong to the SIU's review, not to your note.

Lesson 3, From red flag to referral, teaches this. See the outline

Question 3 of 3

Why does this course ask you to raise concerns early, before you are certain?

 

You see a small part of the picture. The SIU and compliance teams can put it together with other information. Waiting for certainty can let harm grow.

Lesson 5, Speak up and apply, teaches this. See the outline

Try next questionClaim the template

Learners earn a certificate

Your organisation

Certificate of completion

This certifies that

Alex Morgan

has completed

Insurance fraud red flags for claims and SIU teams: Spot, document and refer

Completed on12 October 2026
Sample certificate with a placeholder learner name.

Style 1 of 6: Indigo serif

Everyone who finishes gets a certificate with their name, the course title and the completion date. Add your own logo, colours and signer.

Three pieces that work together

Learners prepare on their own, you answer questions live, and the surveys tell you what stuck. 9 fields to fill in with your own policy, contacts and locations; each one is highlighted inside the course.

Claim the template

Completion is tracked for you

Learners sign in to take the course, so every start, finish and score is recorded in AhaSlides. No spreadsheet to keep.

  • Who has finished

    See who has not started, who is in progress and who has completed the course.

  • Every score

    Each learner's answers to the quizzes and activities in the course.

  • What landed

    Survey results show what people took away, and the 30-day check-in shows whether they use it.

Claim the template

6 lessons, about 40 minutes

What learners can do at the end of each lesson. Minutes are an estimate.

  • Lesson 1: The too-perfect claim · 7 min

    Before you begin · An adjuster, Tom, gets a theft claim reported a week after a policy started, with receipts for brand-new electronics from a shop that has since closed · What would you do?

  • Lesson 2: Fraud types and red flags · 7 min

    Types · Red flags · Check

  • Lesson 3: From red flag to referral · 7 min

    Five steps · A good referral contains · Check

  • Lesson 4: Grey areas · 7 min

    The new policy · One red flag, honest customer · Sort it

  • Lesson 5: Speak up and apply · 7 min

    Inside the organisation · Treating customers fairly during a referral · Check

  • Lesson 6: Final assessment and completion · 5 min

    Your next steps · Practice

Claim the template

Often taught together

Courses teams often run alongside this one.

Browse all templates (opens in a new tab)

Common questions

Yes. The course, the live deck and both surveys are free. Claiming the template into your AhaSlides account is free too.

Yes. The course is self-paced and online, and the live deck lets you add a live session in the room or online.

Every year and at onboarding for claims and underwriting roles.

Claims handlers, adjusters, underwriters, customer service staff and Special Investigations Unit (SIU) staff; run by the SIU or anti-fraud lead.

Record completion in your own LMS or record system, so you can show who finished the course and when.

Yes, everything. Change the wording, swap scenarios for ones from your workplace, add your logo, or remove parts that don't apply.

Your own details, each highlighted inside the course:
  • Siu referral route
  • Compliance contact
  • Compliance policy link
  • Reporting route
  • Jurisdiction rules link
  • LMS or record system
  • Course URL
Then edit anything else you like: wording, scenarios, your logo.
Visit the help centre (opens in a new tab)

Ready to run it?

Free. Copy the course, live deck and both surveys into your AhaSlides account in one click.

Claim the template