Insurance claims manager to insurance fraud investigator
An insurance claims manager already meets 54% of what the insurance fraud investigator role asks for. The move turns on 5 required skills not yet in the profile.
45.2/ 100
1 How much of what an insurance fraud investigator is expected to do is already part of an insurance claims manager’s work. Directional: the figure for the reverse move differs, because moving into a speciality is not the same problem as moving out of one. 2 Every skill the insurance fraud investigator role is recorded as needing, required and optional together. What these numbers mean.
Why this move works
An insurance fraud investigator role treats 8 of its required skills as things an insurance claims manager already does. You would walk in with these on day one.
- analyse claim files
- assess customer credibility
- conduct financial audits
- fraud detection
- insurance law
- principles of insurance
What stands in the way is 5 required skills the profile does not yet cover. Table 3 groups them; Table 4 says which to take first.
Table 2 · What you already bring
Of the 12 skills that carry over, these are the ones fewest other occupations ask for. An insurance fraud investigator role needs them, and most people applying for one will not have them already. This is the part of an insurance claims manager background worth leading with.
- already held manage claim files information skills
- already held analyse claim files information skills
- already held assess customer credibility communication, collaboration and creativity
- already held review insurance process information skills
- already held manage claims process communication, collaboration and creativity
- already held prepare financial auditing reports information skills
All 12 carried skills, including the 8 the insurance fraud investigator role treats as required.
Table 3 · What you may need to learn
The 14 missing skills fall into 4 areas of the ESCO skill hierarchy, numbered in the order worth working in. Areas carrying the most required skills come first, and inside each one the required skills sit above the optional ones. Nothing here is a verdict on you: it is a list of what this particular job asks for that your current one does not.
- still to learn interview insurance claimants required
- still to learn assist police investigations required
- optional, not held interpret law optional
- optional, not held present evidence optional
- still to learn detect financial crime required
- optional, not held classify insurance claims optional
- optional, not held collect property financial information optional
- optional, not held document evidence optional
- optional, not held obtain financial information optional
- optional, not held perform debt investigation optional
- optional, not held trace financial transactions optional
- still to learn claims procedures required
- optional, not held debt systems optional
- still to learn actuarial science required
Table 4 · Where to start
The 3 entries an insurance fraud investigator role is least likely to hire without. The ordering is computed from the skill data, not from what pays.
- 01 actuarial science study this
- 02 claims procedures study this
- 03 interview insurance claimants practise this
Each entry opens a course search for that skill. Career Overlap earns nothing from these links.
Appendix · The rest of the record
All 12 skills that carry over
- already held analyse claim files skill
- already held assess customer credibility skill
- already held conduct financial audits skill
- already held fraud detection knowledge
- already held insurance law knowledge
- already held principles of insurance knowledge
- already held review insurance process skill
- already held types of insurance knowledge
- already held analyse financial risk skill
- already held manage claim files skill
- already held manage claims process skill
- already held prepare financial auditing reports skill
9 supplementary skills, helpful but not required
- optional, not held classify insurance claims optional
- optional, not held collect property financial information optional
- optional, not held debt systems optional
- optional, not held document evidence optional
- optional, not held interpret law optional
- optional, not held obtain financial information optional
- optional, not held perform debt investigation optional
- optional, not held present evidence optional
- optional, not held trace financial transactions optional
29 held skills the insurance fraud investigator role does not ask for
- not needed by the target role advise on financial matters skill
- not needed by the target role analyse financial performance of a company skill
- not needed by the target role analyse insurance risk skill
- not needed by the target role analyse market financial trends skill
- not needed by the target role apply technical communication skills skill
- not needed by the target role corporate social responsibility knowledge
- not needed by the target role create a financial plan skill
- not needed by the target role create insurance policies skill
- not needed by the target role enforce financial policies skill
- not needed by the target role ensure cross-department cooperation skill
- not needed by the target role estimate damage skill
- not needed by the target role financial analysis knowledge
- not needed by the target role financial management knowledge
- not needed by the target role financial statements knowledge
- not needed by the target role follow company standards skill
- not needed by the target role handle customer complaints skill
- not needed by the target role handle financial disputes skill
- not needed by the target role handle incoming insurance claims skill
- not needed by the target role initiate claim file skill
- not needed by the target role insurance market knowledge
- not needed by the target role lead claim examiners skill
- not needed by the target role liaise with managers skill
- not needed by the target role manage contract disputes skill
- not needed by the target role manage financial risk skill
- not needed by the target role manage staff skill
- not needed by the target role organise a damage assessment skill
- not needed by the target role plan health and safety procedures skill
- not needed by the target role recruit employees skill
- not needed by the target role strive for company growth skill
3 gaps that are knowledge rather than practice
Knowledge gaps usually close through study. Practical skill gaps usually need something you can point at.
- still to learn actuarial science required
- still to learn claims procedures required
- optional, not held debt systems optional
Common questions about this move
Can an insurance claims manager become an insurance fraud investigator?
Yes, and it is a moderate move. An insurance claims manager already covers 54% of what an insurance fraud investigator is expected to do: 12 skills carry over, 8 of which the insurance fraud investigator role treats as required.
What skills does an insurance claims manager need to become an insurance fraud investigator?
5 required skills are missing, plus 9 optional ones. They fall into 4 areas of the ESCO skill hierarchy, led by communication, collaboration and creativity. The single most important is actuarial science.
How hard is the move from insurance claims manager to insurance fraud investigator?
Its learning distance is 45.2 out of 100, which is the moderate band. That accounts for both how much is missing and how specialised those skills are.
How this record was compiled
Both occupations are taken from ESCO, which lists the skills and knowledge each occupation is expected to have and marks every one required or optional. Nothing here is a prediction about hiring, and nothing here knows that a particular employer wants a particular certificate. Treat Table 3 as a starting point for your own research rather than a syllabus. The full method states what these figures can and cannot tell you.