The Houston ACFE welcomes you to a virtual seminar.
Speakers: Conrad Gamboa & Gabriella Marshall, CFE
Title: From Car Accident to Lawsuit to Insurance Fraud: A Look Behind the Scenes of the Special Investigation Units of Your Insurance Company
Description: Everyone gets into car accidents. But how does a fender bender become a $100k fraudulent insurance claim? Simple people become pawns in an organized ring of attorneys, medical
providers, and others who profit. Learn how an accident becomes a fraudulent medical claim, step by step. Surveys show that the general public does not see inflating insurance claims as harmful, and the general opinion of many people is that defrauding an insurance company is a victimless, harmless crime. Learn how a simple accident is built up into an expensive and lengthy litigated process, and how insurance fraud affects each member of the community.
Bio: Conrad Gamboa III has been apart of the Insurance Industry for over 27 years. Having started as a claims adjuster with Progressive Insurance in 1996, Mr. Gamboa learned how to handle all aspects of an insurance claim. In 2004, Mr. Gamboa was promoted to the role of SIU Investigator where he won Great Plains Rookie Investigator of the Year. In 2006, Mr. Gamboa was hired to create the SIU Division for Fred Loya Insurance. He remained with Fred Loya Insurance as their SIU Director where he created an aggressive Fraud program targeted at identifying and deterring medical fraud, home owners fraud, and property damage fraud. In addition to being the SIU Director, Mr. Gamboa was also the Total Loss/Fire & Theft Director, Director of Training, and Director of Auditing. Mr. Gamboa has been a guest speaker for several organization on the topic of insurance fraud: the Insurance Fraud Conference, IASIU, and multiple TASIU events. Mr. Gamboa is currently employed at Kemper Insurance as a SIU Expert and is the TASIU Chapter Vice President.
Gabriella Marshall, CFE, CIFI is the 2021 Investigator of the Year for the International Association of Special Investigation Units (IASIU). She works for Nationwide Insurance, employed as the Major Case Consultant for SIU (Special Investigation Units), responsible for Texas and the surrounding states. She investigates and prepares cases for prosecution and civil actions related to fraudulent medical providers, organized staged accident rings, medical provider-attorney organized relationships, and other major frauds which affect the insurance industry. She is a Certified Fraud Examiner and a Certified Insurance Fraud Investigator. She has also worked investigating nationally and internationally in service and warranty fraud, brand protection at Hewlett-Packard, and worked in liability, fatality and cause investigations for AIG. Gabriella is the Training Director for the Houston Chapter of the Association of Certified Fraud Examiners, and the Secretary on the board of the local (Houston/San Antonio) chapter of the Texas Association of Special Investigation Units (TASIU). Gabriella is a graduate of the Walsh School of Foreign Service at Georgetown University in Washington, DC.
- Define insurance fraud
- Identify techniques used by fraudulent actors to inflate expenses to create fraudulent transactions
- Learn how insurance companies work with law enforcement and use other means to mitigate and recover losses from fraud
11:50 am: Zoom meeting opens
11:55 am: Houston ACFE President Remarks
12:00 pm - 1:00 pm: Speaker Begins
Recommended CPE hours: 1.0 credits. You must attend the full session plus answer three polling questions to qualify for the CPE credit.
If you have registered and/or paid for an event and you need to cancel, you MUST email firstname.lastname@example.org no later than 5 days prior to the event to request a refund and/or cancel your registration.
Program Cancellation Policy
If you have registered and/or paid for an event and you need to cancel, you MUST cancel online through your account no later than 5 days prior to the event, unless otherwise indicated in specific event policies, to request a refund and/or cancel your registration. The Chapter must confirm event registrations with the venue prior to the event and any changes after this time period can become a financial cost to the Chapter. The Chapter reserves the right to make the final determination on what percentage charge/refund will be returned for cancellations made after the cutoff. The default condition is that cancellations made after cutoff will be charged at 100% and/or no refunds will be allowed. In the event the Chapter determines that partial charges or refunds will be allowed, they will be made on a case by case basis.
In the event of having to cancel one of the events, the Chapter would immediately send an email blast to all registrants with the emails they used for registration. The Chapter media relations officer would post on all social media platforms notifying members of the cancellation, and the Chapter webmaster would also post cancellation on the Chapter website.
In the event an attendee does not show up to the event, the registration cost will be forfeited. If payment at the door was the selected method, then the attendee will be billed for the full cost of the event. The Chapter reserves the right to bar future registrations for any attendees who routinely register and fail to pay and/or attend the event. If you have any questions you may email email@example.com."
For more information regarding refund, complaint and/or program cancellation policies, please visit the Terms & Conditions section of the website, or email us at firstname.lastname@example.org.
Attendance Requirements: In order to receive CPE credit, you must attend at least 50 minutes of each hour presented, and you must answer at least three polling questions per hour presented.
Delivery Method: Group Internet Based
Prerequisites: Not Applicable
Field of Study: Specialized Knowledge
Who Should Attend: Anti-fraud professionals, Auditors, Accountants, Attorneys, Investigators, Law Enforcement, Educators, Students
Advanced Preparation: None
Program Level: Basic
NASBA Sponsor No. 125230
The Houston Area Chapter of the Association of Certified Fraud Examiners is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its web site: www.nasbaregistry.org