Insurance Fraud Investigator

Investigate cases of false insurance claims.
picture of Insurance Fraud Investigator

Quick Stats


Outlook
Good

Salary Range
$36,000 – $104,000

Data from U.S. Department of Labor


What do Insurance Fraud Investigators do?

As an Insurance Fraud Investigator, you help your employer determine if someone has filed a fraudulent claim for insurance money. These cases can take a variety of forms, from lost or stolen property that has been in the owner’s possession the entire time, to a car accident or injury that never really happened, and more. Fraudulent claims can cost an insurance company millions of dollars per year. An Insurance Fraud Investigator will work hard to uncover the truth, help keep costs down, and protect people who truly need insurance coverage.

Like any good Detective, as an Insurance Fraud Investigator, you rely on facts and data. This can come from many sources.

First, an Insurance Claims Adjuster or other staff member may notice an inconsistency with a person’s claim. Then it’s up to the Insurance Fraud Investigator, to determine a course of action for the investigation. Phone calls, emails, additional information requests to law enforcement and medical personnel—depending on the type of claim—are all standard investigative techniques.

You need good communications skills and an inquisitive mind to get the information you need out of the people you talk to. Some investigations may require significant travel, as you may need to survey the scene of an accident, or interview people close to the claimant to determine the veracity of their claim. Good organization helps you keep all the facts and figures straight in your head and on paper as you put together your final report.


Should I be an Insurance Fraud Investigator?

You should have a bachelor's degree or higher and share these traits:
  • Logical Thinker: You take a step-by-step approach to analyze information and solve problems.
  • Detail Oriented: You pay close attention to all the little details.
  • Reliable: You can always be counted on to do a good job.

  • How to Become an
    Insurance Fraud Investigator

    Most Insurance Fraud Investigators have a Bachelor's degree. Chart?chd=s:ega9ca&chl=no+college+%286%25%29|certificate+%289%25%29||bachelor%27s+%2881%25%29|master%27s+%283%25%29|&cht=p3&chs=466x180&chxr=0,6,81
    Schools close to
         
     




    Careers Similar to Insurance Fraud Investigator