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The Certified Insurance Fraud Investigator (CIFI) program is an accrediting process for individuals with the specialized skills required to detect, investigate and deter insurance fraud. The program has a high standard for admission and testing, which includes adherence to IASIU’s code of ethics, and a demonstrated competency through mandatory continuing professional education.
Setting Up an Exam:
Examination applications are accepted year-round. You have the option to take the exam in-person or online.
There are two opportunities to take the exam in-person, which are administered by a proctor that is CIFI certified.
- At a chapter event; these exam dates are posted on the IASIU website. If an IASIU chapter wishes to sponsor an exam, they must contact the IASIU office for approval at least 90 days prior to the test date.
- At the Annual Seminar. In addition, the prep course will be available free of charge to everyone registered to take the exam at the 2016 Seminar at the Red Rock Resort.
Online Exam: (Brand New in 2016!)
The CIFI exam can be taken online. This allows you to schedule the exam when you want and where you want. There’s no need to travel to an exam location. It does require the use of a computer with a camera and microphone. The proctor will administer the exam from a remote location. On the application, select “Online” as your preferred method to take the exam and we will email you instructions on how to take it.
CIFI Application Fee:
The CIFI exam fee is $200 for members and $400 for nonmembers. If you qualify for membership, your membership application and payment fees must be received and application approved prior to submitting your CIFI application in order to qualify for the lower member rate of $200.
Requirements for CIFI Certification
A minimum of 100 points is needed for the CIFI Examination Application. Each category takes into consideration your education, SIU investigative experience, other investigative experience and your experience as an expert in your field, as a speaker or writer.
Points awarded for each degree:
- Bachelor’s Degree from an accredited college (20 pts.)
- Master’s Degree from an accredited college (10 pts.)
- Ph.D., J.D. from an accredited college (10 pts. each)
SIU Investigative Experience
A minimum of 30 points is required in this category. 10 points are awarded for each full year of SIU investigative experience. To receive points in this category, the applicant must be or have been:
- An insurance company employee whose primary purpose is the investigation and/or supervision of investigation of insurance fraud, or
- An employee of a self-insured corporation or company whose primary purpose is the investigation and/or supervision of investigation of insurance fraud, or
- A special agent or supervisory special agent of the National Insurance Crime Bureau or the Insurance Crime Prevention Bureau, or
- A full time investigator for a state fraud bureau.
Other Investigative Experience
- Law Enforcement Investigative Experience (5 pts. per year): to receive points in this category, the applicant must be, or have been, a local, state or federal law enforcement officer and/or investigator; or a fire department investigator.
- Insurance Investigation Experience (5 pts. per year): To receive points in this category, the applicant must be or have been:
- An insurance company employee whose primary purpose is the investigation and/or supervision of investigation of insurance claims
- A self-insured corporation company employee who is assigned to a claims handling unit and whose primary purpose is the investigation and/or supervision of investigation of insurance claims.
- Licensed Private Investigator: To receive points in this category, the applicant must be or have been a private investigator licensed by a state or local government agency.
Public Speaking and Writing
As an expert in your field, you can receive points in this category if you have:
- Published a book on a subject directly related to the investigation of insurance fraud. (15 pts. per book) Attach a list showing the title and publishers name for all books authored, and attach a copy of the copyright page with the Library of Congress catalog number.
- Published a paper or article in a professional magazine or journal on a subject directly related to the investigation of insurance fraud. (3 pts. per paper or article) Attach a list showing title and publisher’s name for all authored articles, and a copy of the article pages which show the magazine or journal name, date, article title and your name.
- Given lecture(s) at professional industry organization meetings, seminars or conferences on a subject directly related to the investigation of insurance fraud. (3 pts. per lecture) Industry organizations are defined as: IASIU, IAAI, ACFE, IAATI, etc., national and chapter functions. Attach a list showing organization, topic, location and date of each lecture.
To receive points in this category, the applicant must have certification(s) from a professional organization concerned with the detection and/or prevention of fraud. (5 pts. per professional certification)
The following is a list of resource materials for investigators who take the CIFI examination. Please note, that this is a test of knowledge and experience rather than a course of study.
Materials used to develop the exam include:
- Law of Claims Fraud Investigation and Defense, American Educational Institute
- Property Investigation Checklists: Uncovering Insurance Fraud, 8th edition, Michael H. Boyer, West Group, 2002.
- The North American Training Group online CIFI prep courses which can be purchased for $200.
Additional sources include periodicals such as The John Cooke Fraud Report, SIU Today, the Coalition Against Insurance Fraud’s Fraud Focus and Mealey Publications’ Insurance Fraud.
More information on the CIFI exam, CEU requirements and the CIFI application can be viewed on the CIFI overview.
Once an individual receives certification, they must be recertified every three years. In order to qualify for recertification, the individual must maintain the standards set forth in IASIU’s Code of Ethics and obtain 60 continuing education units (CEUs) over a three year period. A minimum of 10 credits per year must be obtained, which includes taking a one credit ethics course. For CEUs to qualify, they must relate to the investigation of insurance fraud, and a certificate of completion or other proof of attendance must be maintained by the CIFI and submitted to IASIU upon request.
CEUs can be submitted through the IASIU website and are accessible under “Professional Development” in your membership profile.
After logging your credits, individuals can complete the CIFI recertification form and submit payment to complete the renewal process.