Insurance fraud investigator
Code 3315.4
Insurance fraud investigators combat fraudulent activities by investigating the circumstances of certain suspicious claims, activities related to new customers, buying insurance products and premium calculations. Insurance fraud investigators refer potential fraud claims to insurance investigators who then undertake research and investigations to support or deny a claimant's case.
Essential skills
Knowledge
- actuarial science
- insurance law
- fraud detection
- principles of insurance
- claims procedures
- types of insurance
Skills and competences
- analyse claim files
- assist police investigations
- detect financial crime
- interview insurance claimants
- assess customer credibility
- conduct financial audits
- review insurance process
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What to assess for this role
Technical knowledge can be verified with tests and references. What never shows up on a CV are the transversal competences, and they explain most failed hires. Before closing, it pays to measure them with a standardised battery.
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Sources
This service uses the ESCO classification of the European Commission and the Mapha Taxonomy developed by OTIC SOFOFA (CC BY 4.0), in an adapted version. Group codes come from the ILO's ISCO-08. See sources and licences