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Fraud Awareness Staff Quiz

Frontline fraud literacy: red flags, soft fraud rationalisations, and escalation.

5 questions · 1 page · about 2 minutes to answer · fully editable after you start

Claims fraud is caught first by frontline pattern recognition, or not at all. This staff quiz checks the literacy that matters: classic red flags in stories and documents, the soft-fraud rationalisations customers voice, and the escalation path – what to do on suspicion without accusing – plus a confidence self-check that targets refresher training.

The right answers are already marked and the pass mark is set at 60 percent – two of the three scored questions – so it scores itself from the first response. Score by team, not name, and refresh twice yearly; fraud typologies move faster than annual training cycles.

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Page 1

Fraud awareness check

This short quiz checks how well you can spot the signs of insurance fraud. It is a way to learn, so answer as you would in your work. It takes about 2 minutes. If you need help with a specific policy or claim, please contact us directly, as this form may not be read straight away. Please do not include card numbers or passwords.

Q1.A claimant's story changes in a key detail between calls. You should...*

  • Correct them to the first version
  • Note both versions verbatim and flag per procedure
  • Challenge them directly
  • Ignore minor changes

Q2.Which is the classic soft-fraud rationalisation?*

  • I pay premiums so I am owed this
  • The insurer expects rounding up
  • Everyone adds a bit
  • All of these

Q3.A receipt looks edited. Your FIRST action?*

  • Reject the claim
  • Accuse the customer
  • Flag to the fraud team per procedure, continue neutrally
  • Ask the customer if it is fake

Q4.Your confidence spotting fraud indicators in daily work?

12345
LowHigh

Q5.Describe a pattern you have seen that training never mentioned.

Respondent types their answer here…

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