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Insurance Fraud Investigators

Experience, Skills, and Personality Traits

Insurance fraud investigators need at least one to three years of experience investigating insurance claims or law enforcement investigative experience (ideally in fraud or identity theft units).

To be a successful investigator, you’ll need excellent interviewing, communication, and listening skills; knowledge of insurance and investigative practices; the ability to organize and evaluate data; and strong analytical, problem-solving, research, and computer and Internet skills. Insurance fraud investigators also need familiarity with the following types of software (although specific software proficiency requirements vary by employer):

  • analytical or scientific software: insurance claims fraud detection software, behavioral targeting software
  • computer-aided design software
  • document management software
  • expert system software: bill review software
  • financial analysis software
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