Description
Investigate suspected fraud across insurance, financial, healthcare, and corporate settings by gathering and analyzing evidence, interviewing parties, performing forensic reviews, and reporting findings to prevent losses, recover assets, and support legal action while ensuring compliance.
- • Write detailed reports and case summaries documenting investigations and findings.
- • Analyze transactions, claims, invoices, and account activity to identify anomalies and red flags.
- • Search public records, databases, social media, and credit files to corroborate identities and facts.
- • Interview claimants, employees, witnesses, and vendors to validate statements and detect inconsistencies.
- • Collect, preserve, and document physical and digital evidence with proper chain of custody.
- • Perform forensic accounting to trace funds, uncover embezzlement, and quantify losses.
- • Investigate insurance claims to expose staged accidents, inflated damages, or false injuries.
- • Conduct surveillance or site visits to verify activities, injuries, or business operations when appropriate.
- • Coordinate with SIU, compliance, legal, and law enforcement to escalate confirmed fraud.
- • Testify in depositions, hearings, or trials to present evidence.
- • Use analytics and case management tools to prioritize leads and track case progress.
- • Recommend fraud controls and process improvements based on case trends.
- • Perform background checks and due diligence on subjects, partners, or vendors.
- • Ensure investigative activities comply with laws, regulations, and privacy requirements.
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Public Service & Safety
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Source
Tasks & skills:
O*NET occupational data (work activities, skills, knowledge).
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Sources & Standards:
This site includes information from O*NET by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. Career Clutch has modified some of this information for student readability. USDOL/ETA has not approved, endorsed, or tested these modifications. O*NET® is a trademark of USDOL/ETA.
Last reviewed: Jan 2026
