Insurance Ethics and Compliance Training Course

Participants can translate regulatory expectations into a structured insurance compliance management approach.

• Insurance Core Principles and risk-based supervisory expectations for insurers
• Licensing, fit-and-proper, and controlled-function obligations for personnel
• Mapping applicable statutes, regulations, supervisory guidance, and contractual commitments
• Three-lines model responsibilities for business, compliance, and internal audit
• Compliance obligation registers linked to owners, controls, evidence, and review dates
• Regulatory change management from horizon scanning through implementation assurance

Participants can assess product, sales and claims practices against fair-customer outcome requirements.

• Treating Customers Fairly principles and product-governance accountability requirements
• Target-market definitions, customer vulnerability factors, and distribution restrictions
• Product approval records: value assessments, exclusions, pricing, and review triggers
• Plain-language disclosures for benefits, limitations, deductibles, and cancellation rights
• Testing sales scripts against suitability, demands-and-needs, and disclosure requirements
• Assessing claims decisions for consistency, timeliness, reasons, and appeal rights
• Outcome testing using complaints, cancellations, claims denials, and customer feedback

Participants can identify and control conflicts, fraud exposures and improper inducements in insurance operations.

• Conflict-of-interest registers covering intermediaries, adjusters, vendors, and related parties
• Segregation of duties across underwriting, claims approval, payments, and recoveries
• Gifts, hospitality, inducements, and anti-bribery escalation thresholds
• Red flags for premium diversion, claims fraud, and commission manipulation
• Whistleblowing channels, non-retaliation safeguards, and investigation triage protocols
• Fraud risk assessments using likelihood, impact, controls, and residual risk

Participants can apply risk-based financial-crime controls to insurance customers, transactions and claims payments.

• Risk-based customer due diligence for policyholders, beneficiaries, and payees
• Beneficial ownership checks for corporate policyholders and complex ownership structures
• PEP screening, sanctions screening, and adverse-media review procedures
• Suspicious transaction indicators in single-premium policies, claims, and surrender payments
• Record retention, reporting escalation, and confidentiality under AML requirements
• Applying risk ratings to enhanced due diligence decisions

Participants can assess privacy and information-control requirements across insurance customer journeys.

• Lawful basis, purpose limitation, and data minimisation for insurance records
• Special-category health data controls across underwriting and claims handling
• Consent management versus contractual necessity in digital insurance journeys
• Data subject requests, retention schedules, deletion holds, and access controls
• Third-party processor due diligence and cross-border transfer safeguards
• Incident response roles, breach assessment, notification, and post-incident remediation

Participants can establish proportionate conduct oversight for insurance distributors and outsourced providers.

• Broker, agent, bancassurance, and digital-platform oversight responsibilities
• Due diligence criteria for appointing intermediaries and outsourced service providers
• Delegated authority controls, binding limits, and bordereaux review
• Commission structures tested for sales incentives and customer detriment
• Training, attestations, monitoring, and remediation for distributor conduct
• Outsourcing contracts specifying audit rights, data controls, and exit plans

Participants can manage claims and complaints with fair-treatment, evidence and redress controls.

• Claims-handling standards: acknowledgement, investigation, communication, settlement, and closure
• Evidence-based coverage decisions aligned with policy wording and documented rationale
• Managing vulnerable claimants, bereavement cases, and accessibility requirements
• Complaint classification, root-cause analysis, and corrective-action tracking
• Financial ombudsman referrals, file preservation, and response governance
• Claims leakage indicators distinguished from unfair claims settlement practices

Participants can design monitoring activities and management reporting for insurance compliance risks.

• Compliance risk assessment using inherent risk, control effectiveness, and residual exposure
• Control testing plans with populations, samples, evidence, exceptions, and conclusions
• Key risk indicators for sales, complaints, claims, financial crime, and privacy
• Management information showing trends, breaches, actions, and overdue remediation
• Compliance monitoring reports tailored for executives, boards, and regulators
• Root-cause analysis using five whys and corrective-action ownership

Participants can structure conduct investigations, report findings and plan validated remediation actions.

• Intake triage for conduct concerns, complaints, allegations, and regulatory notifications
• Investigation plans defining scope, evidence sources, interviews, and privilege boundaries
• Interview protocols, contemporaneous notes, evidence handling, and confidentiality safeguards
• Findings reports separating facts, analysis, breaches, and recommended actions
• Remediation plans with owners, deadlines, validation tests, and governance escalation
• Individual 90-day ethics and compliance application plan