Description
Investigate suspected fraud by collecting and analyzing evidence, interviewing subjects and witnesses, and documenting findings. Prepare reports, support recovery actions, and testify as needed. Coordinate prevention, detection, and case resolution with legal, compliance, and law enforcement partners.
- • Prepare, organize, and preserve evidence for legal proceedings.
- • Maintain current knowledge of fraud schemes, money laundering trends, and investigative techniques.
- • Train employees on fraud detection, prevention, and reporting procedures.
- • Evaluate and recommend technologies for fraud detection, analytics, and case management.
- • Assist counsel with subpoena requests and legal holds for records.
- • Negotiate restitution or recovery agreements with responsible parties.
- • Conduct discreet fact-gathering, site visits, and open-source research.
- • Refer substantiated cases to law enforcement with complete case files.
- • Testify in depositions or court regarding investigative findings.
- • Advise management on strengthening fraud controls and monitoring.
- • Triage and review fraud allegations to determine investigative scope.
- • Produce clear, timely written reports of findings and recommendations.
- • Recommend disciplinary, civil, or criminal actions based on evidence.
- • Lead or participate in cross-functional investigation teams.
- • Interview complainants, witnesses, and subjects and take sworn statements.
- • Design and refine fraud detection rules, workflows, and procedures.
- • Collect and analyze financial records and related documentation.
- • Assess business processes to identify fraud risk and control gaps.
- • Document investigative steps, rationales, and outcomes.
- • Maintain case logs and databases of known schemes and actors.
- • Coordinate with attorneys, compliance, auditors, and law enforcement.
- • Conduct detailed analysis of suspicious transactions and money flows.
- • Analyze billing patterns, relationships, and compliance data to detect anomalies.
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Related Pathways
Financial Services
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Tasks & skills:
O*NET occupational data (work activities, skills, knowledge).
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Last reviewed: Jan 2026