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§ OCCUPATION · GLOBAL STANDARDS

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.

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Description

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.

Theoretical Knowledge
ESSENTIALTheoretical knowledge required
fraud detectioninsurance lawclaims procedurestypes of insuranceactuarial scienceprinciples of insurance
OPTIONALAdjacent knowledge that strengthens fit
debt systems
Practical Skills
ESSENTIALApplied skills & competences
interview insurance claimantsassess customer credibilityreview insurance processassist police investigationsconduct financial auditsdetect financial crimeanalyse claim files
OPTIONALOptional competences
classify insurance claimsanalyse financial riskobtain financial informationmanage claim filestrace financial transactionscollect property financial informationperform debt investigationpresent evidenceinterpret lawprepare financial auditing reportsdocument evidencemanage claims process

GLOBAL RESOURCE

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SKILLS OVERVIEW

26 total
13 essential · 13 optional

Data Source: Unified Global Standards (ISCED, ISCO, O*NET, ESCO)

© 2026 DESTINAI · BETA 1.0 · ISCED ISCO O*NET ESCO
CareersSkillsPrivacyTermsEU AI Act notice