We use cookies. Find out more about it here. By continuing to browse this site you are agreeing to our use of cookies.

Insurance Fraud Investigator

Job Summary

Responsible for handling claims where fraud is suspected. Performs surveillance, investigates claims, interviews witnesses and suspects, takes photographs, and provides final recommendation.

Primary Responsibilities

  • Handle claims where fraud is suspected.
  • Investigate cases of arson, where fires may have been set intentionally to cash in insurance claims.
  • Examine falsified workers' disability claims.
  • Set up surveillance and attempt to catch people suspected of fraud in the act.
  • Investigate possibly staged accidents.
  • Determine if medical treatments were necessary.
  • Examine vehicular damage.
  • Verify claimant's identity.
  • Visit claimants and witnesses to obtain an oral statement.
  • Take photographs and document evidence.
  • Examine videotapes to detect fraud.
  • Inspect facilities.
  • Determine if doctors have a proper license.
  • Consult with legal counsel.
  • Testify as an expert witness in court case.
  • Inspect damaged buildings and automobiles.
  • Investigate doctors suspected of malpractice.
  • Create detailed reports documenting incidents.
  • Perform background checks.
  • Examine medical reports.