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
- Accountants
- Auditors
- Business Managers
- Financial Institution Officers and Managers
- Financial Quantitative Analysts
- Forensic Accountants and Auditors
- Fraud Examiners, Investigators, and Analysts
- Health Care Insurance Navigators
- Insurance Claims Representatives
- Insurance Policy Processing Workers
- Insurance Underwriters
- Life Insurance Agents and Brokers
- Property and Casualty Insurance Agents and Brokers
- Regulatory Affairs Managers
- Risk Managers