Job Brief
This Fraud Investigator job description template can be used to post on job boards and careers pages. It is also easy to customize for your business.
Job Description
- ● Conduct objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by clients against our company
- ● Review and research evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations
- ● Prepare and coordinate field assignments to obtain relevant evidence and information
- ● Coordinate with defense attorneys to provide deposition strategies and use law enforcement resources for assistance
- ● Manage and prioritize a large and varied case load effectively and efficiently to achieve positive results
- ● Prepare prosecution packages and restitution proposals
Job Requirements
- ● Proven working experience in related field
- ● Strong interpersonal and communication skills including the ability to interact with clients, upper management and law enforcement
- ● Ingenuity and persistence to obtain case information not readily available with an eye for detail
- ● Ability to work independently with minimum supervision
- ● Good organisational skills needed to manage a high volume of assigned cases
- ● Proficient with the insurance procedures, regulations and investigation methods
- ● Hands on experience with relevant Information System
- ● Display good interviewing and interrogation skills along with the capability of drafting reports
- ● Honest and ethical with high levels of integrity and confidentiality
- ● Willing to submit to extensive background checks and provide employment recommendations
- ● BS degree in a related field (e.g. insurance studies, criminal justice, risk management) or other relevant certification preferred (e.g. Certificate of Insurance Fraud Investigator)