Rooting Out Insurance Fraud: How to Spot It and What Brokers & Agents Must Report If It’s Suspected
- Average Rating:
- Not yet rated
- Categories:
- Ethics
- Speakers:
- Steve Smith, CFE, CA SIU | Steve Young
- Course Levels:
- All Levels
- Duration:
- 1 Hour
Description
This one-hour ethics course satisfies California's Anti-Fraud training requirement, and provides insurance professionals with a practical understanding of how insurance fraud is identified and investigated in California, highlighting current fraud trends, common red flags, and real case examples. Participants will learn the ethical and legal obligations of agents and brokers under California Insurance Code §1872.41, including how to recognize suspicious activity, document concerns, and properly report suspected fraud to an insurer’s SIU. The course also clarifies insurers’ SIU requirements and the role of the California Department of Insurance Fraud Division, giving producers the timely, real-world knowledge needed to strengthen ethical decision-making, meet compliance standards, and help protect the integrity of the insurance marketplace.
Basic Course Information
Learning Objectives- Understand ethical and legal obligations under California law to recognize, document, and report suspected insurance fraud
- Learn proper reporting procedures for referring suspicious activity to an insurer’s Special Investigative Unit (SIU)
- Gain insight into insurers’ responsibilities to establish, operate, and maintain effective SIUs in compliance with state regulations
- Become familiar with statewide anti-fraud efforts, including how the California Department of Insurance and law enforcement investigate, prosecute, and deter insurance fraud
Major Subjects
- Get clear on your legal duties under California Insurance Code §1872.41 and SIU regulations—learn exactly what brokers and agents must recognize, document, and report when fraud is suspected
- Understand how insurers’ Special Investigative Units (SIUs) work, including detection requirements, referral protocols, investigation standards, and how your role fits into the broader anti-fraud framework
- Learn real fraud indicators and emerging trends, including underwriting red flags, database resources, and recent case examples straight from the California Department of Insurance
- Strengthen your ethical decision-making with practical steps to take when fraud is suspected—plus insight into how the Fraud Division and law enforcement investigate, prosecute, and deter fraud statewide
Course Materials
| IMPORTANT_CE Credit Instructions_Read Before Webcast_Updated (752.6 KB) | Available after Purchase | ||
Speaker
Steve Smith, CFE, CA SIU Related Seminars and Products
Compliance Manager
J.D. Wesson & Associates, Inc
Steve Smith (CFE), JDW's California SIU Compliance Manager has 23 years of audit experience of which 13 of those years were California SIU Compliance audits (Insurance Company Anti-Fraud Programs). Prior to starting with JDW in July of 2025, Steve served as the California Department of Insurance (CDI) SIU Compliance Audit Manager and as a CDI Enforcement Branch Senior Manager overseeing CDI's SIU
Compliance Operations. Mr. Smith's SIU Compliance responsibilities involved developing audit plans/procedures, developing SIU regulations and legislative concepts, providing SIU industry training, and SIU insurance company noncompliance penalty determinations and policies.
At CDI, Steve also managed statewide audits of District Attorney Insurance Fraud Grant programs and served two years managing CDI's Enforcement Branch Forensic Audit Team, supporting criminal investigations through specialized financial analysis. Steve's auditing and consulting career also included working for the California Highway Patrol Office of Inspector General, the California State Controller's Office, the California
Department of Fish and Wildlife and various private industry firms providing governmental consulting services.
Steve Young Related Seminars and Products
Senior Vice President & General Counsel
Independent Insurance Agents & Brokers of California
Stephen L. Young is Senior Vice President and General Counsel of the Independent Insurance Agents and Brokers of California. He provides counsel on all corporate legal matters affecting the non-profit trade association and its subsidiaries, represents the interests of independent insurance agents and brokers at regulatory hearings conducted by the California Department of Insurance and other state agencies, coordinates the Association's involvement in litigation affecting insurance producers, provides legal research and support to the Association's legislative advocates, and provides legal information to member agencies and brokerages.
Young has served on the Insurance Law Committee of the State Bar of California, was a charter member of the Agent and Broker Advisory Committee to the California Insurance Commissioner, and is a frequent speaker and author on legal and regulatory developments affecting the business of insurance.
He was the 2007 recipient of the Ramsden/Sullivan Memorial Award, the Association's most prestigious honor for service to the American Agency System, insurance industry and community. Prior to joining IIABCal, he was Western Region counsel for the American Insurance Association, and also worked at Cassel & Abraham, San Francisco labor law firm representing employers.
Young is the immediate past president of SigEp National Housing, LLC, and was inducted in 2025 into The Order of the Golden Heart, the highest honor conferred by the Sigma Phi Epsilon National Fraternity.
He holds a Juris Doctor Degree, as well as a Bachelor of Science Degree in Journalism, from The University of Kansas. He is a former member of the Board of Governors of the KU School of Law, and is a recipient of the James Green Medallion, for service to the School of Law. He is also a former member of the Chancellor's Club Advisory Board of the KU Endowment Association. Before going to law school, Young worked as a newspaper reporter and editor. He is licensed to practice law in Illinois and California.
Dates
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Wed, Jan 07, 2026 - 10:00 AM to 11:00 AM PST
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Thu, Jan 22, 2026 - 1:00 PM to 2:00 PM PST
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Wed, Feb 04, 2026 - 10:00 AM to 11:00 AM PST
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Thu, Feb 26, 2026 - 1:00 PM to 2:00 PM PST
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Wed, Mar 04, 2026 - 10:00 AM to 11:00 AM PST
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Thu, Mar 26, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Apr 01, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Apr 23, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, May 06, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, May 28, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Jun 03, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Jun 25, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Jul 01, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Jul 23, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Aug 05, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Aug 27, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Sep 02, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Sep 24, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Oct 07, 2026 - 10:00 AM to 11:00 AM PDT
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Thu, Oct 22, 2026 - 1:00 PM to 2:00 PM PDT
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Wed, Nov 04, 2026 - 10:00 AM to 11:00 AM PST
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Thu, Nov 19, 2026 - 1:00 PM to 2:00 PM PST
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Wed, Dec 02, 2026 - 10:00 AM to 11:00 AM PST
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Wed, Dec 23, 2026 - 1:00 PM to 2:00 PM PST
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