insurance fraud investigator

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.

Alternative Labels

insurance auditors

insurance fraud auditor

insurance fraud examiner

insurance fraud inspector

insurance fraud investigator

insurance policy processing worker

Regulatory Aspect

To see if and how this occupation is regulated in EU Member States, EEA countries or Switzerland please consult the Regulated Professions Database of the Commission. Regulated Professions Database:

http://ec.europa.eu/growth/single-market/services/free-movement-professionals/qualifications-recognition_en

Skills & Competences

Essential Skills and Competences

analyse claim files assess customer credibility assist police investigations conduct financial audits detect financial crime interview insurance claimants review insurance process

Essential Knowledge

actuarial science claims procedures fraud detection insurance law principles of insurance types of insurance

Optional Skills and Competences

analyse financial risk classify insurance claims collect property financial information document evidence interpret law manage claim files manage claims process obtain financial information perform debt investigation prepare financial auditing reports present evidence trace financial transactions

Optional Knowledge

debt systems

Concept URI

Concept Uri

http://data.europa.eu/esco/occupation/a2b81132-2147-4c8e-b250-e6290ed906ea

Status

released

Occupations