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CIFA
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The Certified Insurance Fraud Analyst (CIFA) certification is an accrediting process that covers all topics that deem an analyst to be well rounded and versed in all aspects of fraud analysis. The program has a high standard for admission and testing which includes adherence to IASIU’s code of ethics.

 

Applying to take the CIFA exam:

Examination applications are accepted any time of the year. The tests are taken on a computer and administered by a proctor that is CIFA certified. Tests will be given upon individual requests, and IASIU will find a proctor in your area to administer the examination. Periodically chapters will administer exams to a group. The CIFA exam is administered each year at the Annual Seminar. 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.

The CIFA exam is $200 and only available to IASIU members at this time. IASIU membership dues must be paid in full prior to taking the CIFA exam.

Individuals can submit the CIFA application online or print the CIFA application and email, fax or mail to the IASIU office.

Point Guidelines for CIFA Certification

Qualifications

  • Current member of IASIU in good standing
  • Education and Experience Requirements
  • Minimum of three years experience in insurance fraud analytics;

AND one of the following:

  • Bachelor’s Degree
  • 10 Years experience in the Insurance Industry
  • 5 Years in the Insurance Industry and 5 Years in a Military Analytical Position
  • 5 Years in the Insurance Industry and 5 Years in a Law Enforcement
  • Analytical Position

Minimum of one of the following insurance fraud certifications

  • Certified Insurance Fraud Investigator (CIFI)
  • AEI Certification (FCLS, FCLA, SCLA)
  • Certified Fraud Examiner (CFE)
  • Accredited Health Care Fraud Investigator (AHFI)
  • Other Certifications (subject to review and approved by committee)

Complete one of the following introduction to analytics course (minimum of 40 hours)

  • NICB Analyst Academy
  • ANACAPA
  • Alpha Group
  • Foundations of Intelligence Analysis Training
  • 4Knowledge

Other Courses (subject to review and approved by committee)

  • Federal Training Programs
  • State Training Programs
  • Collegiate Training Programs
  • Other Courses

Testing Scope

The exam will cover the following topics:

  • Insurance Fraud Terminology
    • Schemes and Fraud Recognition
    • Analytical Techniques
    • Elements of Fraud
    • Intelligence Cycle
  • Software Utilization
    • Spreadsheets Usage for Case Studies
    • Spreadsheet Functions
    • Spreadsheet Formulas
  • Organized Fraud Case Study
    • Scheme Recognition
    • Decision Matrix
    • Association Matrix
    • Link Analysis
    • Timeline
    • Telephone/Toll Analysis
    • Case Synopsis
  • Medical Fraud Case Study
    • Data Organization
    • Coding Recognition
    • Comparative Trends
    • Scheme Recognition
    • Case Synopsis

CIFA Exam Dates

Nothing is currently scheduled, but be sure to check back soon.

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