Use this Fraud Investigator job description template to advertise the open roles for free using Longlist.io. You can use this template as a starting point, modify the requirements according the needs of your organization or the client you are hiring for.
We are looking for a talented Fraud Investigator to be responsible for identifying and handling suspicious or problematic insurance claims while providing consultation and strategic directions through professional reports.
The ideal candidate should have demonstrable analytical skills along with a passion for research and investigative evidence analysis.
On a day-to-day basis, a Fraud Investigator carries out various tasks to identify and mitigate fraudulent activities. Some of the typical activities include:
Gathering Information: The investigator collects and reviews relevant data, documents, and financial records related to the suspected fraudulent activity. This may involve analyzing transaction records, bank statements, emails, and other sources of evidence.
Conducting Interviews: The investigator interviews individuals related to the suspected fraudulent activity, such as employees, customers, or witnesses. They ask questions to obtain information, validate facts, and gather leads for the investigation.
Analyzing Financial Data: Fraud investigators analyze financial data to identify irregularities, discrepancies, or patterns indicative of fraudulent activity. They may use tools and techniques such as data analysis software or forensic accounting methods to detect anomalies and potential fraud indicators.
Researching and Reviewing Regulations: Keeping up-to-date with fraud-related laws and regulations is crucial for a fraud investigator. They research relevant legal precedents, review industry regulations, and identify any potential violations requiring further investigation.
Coordinating with Stakeholders: Fraud investigators often work closely with other departments, such as legal, human resources, or law enforcement agencies. They collaborate with these stakeholders to gather additional information, share findings, and develop strategies to address the detected fraud cases.
Preparing Reports: Investigators document their findings and prepare detailed investigative reports that present evidence, summarize the investigation process, and make recommendations for further action. These reports are used to communicate findings to management, legal authorities, or other relevant parties.
Communicating with Management: Fraud investigators keep management informed about the progress of ongoing investigations, including significant findings, potential risks, and recommended actions. They may also provide guidance on fraud prevention strategies and train employees on fraud awareness and detection.
Overall, a fraud investigator's day-to-day activities involve a combination of analysis, gathering evidence, interviewing individuals, and collaborating with others to uncover and address fraudulent activities.
Fraud Investigator: Upper East Tennessee
The Tennessee Comptroller of the Treasury is seeking an Investigator to investigate allegations of fraud, waste, and abuse in government and publicly funded entities, primarily in Knoxville, Johnson City, and the Tri-Cities area...
This will involve:• Applying accounting principles and techniques to analyze data from large books and records (manual an...
Job Description:
The Global Financial Crimes Compliance (GFCC) Investigator performs end-to-end investigations across one or more lines of business relevant to the Investigators specific area of responsibility, specifically focused on Special Investigations, Global Markets, or Global Wealth and Investment Management. In the investigative role, the Investigator conducts complex investigations.....
In a Nutshell:• The Fraud Investigator is responsible for applying fact-finding methods to investigate potential fraudulent activity, including the evaluation of transactions in Cable, Internet and Mobile Orders.• The ideal candidate will seek to achieve the optimal balance between customer experience and fraud prevention through interaction with callers, and maintain that balance as the... b...
Posting Job Description
JOB SUMMARY...The Fraud Investigator is responsible for applying fact-finding methods to investigate potential fraudulent activity, including the evaluation of transactions in Cable, Internet and Mobile Orders. The ideal candidate will seek to achieve the optimal balance between customer experience and fraud prevention through interaction with callers, and maintain tha...