insurance-fraud-investigator/references/tasks.md

Tasks & work activities — insurance fraud investigator

Source: O*NET 30.3, occupation 13-2099.04 (Fraud Examiners, Investigators and Analysts).

Task statements

• [Core] Maintain knowledge of current events and trends in such areas as money laundering and criminal tools and techniques.
• [Core] Train others in fraud detection and prevention techniques.
• [Core] Research or evaluate new technologies for use in fraud detection systems.
• [Core] Prepare evidence for presentation in court.
• [Core] Negotiate with responsible parties to arrange for recovery of losses due to fraud.
• [Core] Conduct field surveillance to gather case-related information.
• [Core] Testify in court regarding investigation findings.
• [Core] Advise businesses or agencies on ways to improve fraud detection.
• [Core] Review reports of suspected fraud to determine need for further investigation.
• [Core] Prepare written reports of investigation findings.
• [Core] Recommend actions in fraud cases.
• [Core] Lead, or participate in, fraud investigation teams.
• [Core] Interview witnesses or suspects and take statements.
• [Core] Design, implement, or maintain fraud detection tools or procedures.
• [Core] Gather financial documents related to investigations.
• [Core] Evaluate business operations to identify risk areas for fraud.
• [Core] Document all investigative activities.
• [Core] Create and maintain logs, records, or databases of information about fraudulent activity.
• [Core] Coordinate investigative efforts with law enforcement officers and attorneys.
• [Core] Conduct in-depth investigations of suspicious financial activity, such as suspected money-laundering efforts.
• [Core] Analyze financial data to detect irregularities in areas such as billing trends, financial relationships, and regulatory compliance procedures.
• [Supplemental] Obtain and serve subpoenas.
• [Supplemental] Arrest individuals to be charged with fraud.

Detailed work activities

• Advise others on business or operational matters.
• Advise others on legal or regulatory compliance matters.
• Analyze business or financial data.
• Apprehend criminal suspects.
• Assess risks to business operations.
• Collect evidence for legal proceedings.
• Detain suspects or witnesses.
• Develop business or financial information systems.
• Document information related to legal proceedings.
• Gather financial records.
• Inform individuals or organizations of status or findings.
• Interview witnesses, suspects, or claimants.
• Investigate legal issues.
• Maintain data in information systems or databases.
• Negotiate contracts with clients or service providers.
• Obtain documentation to authorize activities.
• Prepare legal or investigatory documentation.
• Supervise employees.
• Testify at legal or legislative proceedings.
• Train personnel to enhance job skills.
• Update professional knowledge.