Fraud Investigator

Summary

What does an Insurance Fraud Investigator do?An insurance fraud investigator works for an insurance company to determine whether a claim is made under false pretenses. This role is especially important in disability claims, where evidence of limited movement or quality of life is difficult to substantiate medically. Investigators may also review medical bills, which are generally easier to verify.ResponsibilitiesCollect background information and contact details of the claimant.Review the complaint filing and case file to assess validity.Conduct surveillance using still cameras, video cameras, and, when necessary, remote surveillance equipment.Document evidence with photographs and video recordings.Prepare reports of findings for insurance or consumer‑fraud lawyers.Assist in suspending payments and may be called to testify at civil or criminal court.QualificationsDetail‑oriented and persistent.Four‑year degree in finance (preferred by most insurers).Previous police or detective experience is a plus and may be required by some companies.Background in investigations and experience with surveillance.Insurance companies typically offer limited training, so prior investigative experience is valuable.Average salary is approximately $60,000 per year.#J-18808-Ljbffr

Job Description

What does an Insurance Fraud Investigator do?An insurance fraud investigator works for an insurance company to determine whether a claim is made under false pretenses. This role is especially important in disability claims, where evidence of limited movement or quality of life is difficult to substantiate medically. Investigators may also review medical bills, which are generally easier to verify.ResponsibilitiesCollect background information and contact details of the claimant.Review the complaint filing and case file to assess validity.Conduct surveillance using still cameras, video cameras, and, when necessary, remote surveillance equipment.Document evidence with photographs and video recordings.Prepare reports of findings for insurance or consumer‑fraud lawyers.Assist in suspending payments and may be called to testify at civil or criminal court.QualificationsDetail‑oriented and persistent.Four‑year degree in finance (preferred by most insurers).Previous police or detective experience is a plus and may be required by some companies.Background in investigations and experience with surveillance.Insurance companies typically offer limited training, so prior investigative experience is valuable.Average salary is approximately $60,000 per year.#J-18808-Ljbffr