insurance fraud investigatortoinsurance claims handler
A insurance fraud investigator already meets 51% of what the insurance claims handler role asks for. The move turns on 8 required skills not yet in the profile.
51%
51.4/ 100
1 Share of the insurance claims handler role’s weighted skill requirement already met by the insurance fraud investigator profile. Required skills count in full, supplementary skills at 0.35. Directional: the figure for the reverse move differs. 2 Combines what is missing with how specialised it is, so a gap of general skills scores easier than the same number of narrow ones.
Why this move works
A insurance claims handler role treats 11 of its required skills as things a insurance fraud investigator already does. These are the ones it depends on most.
- actuarial science
- analyse claim files
- claims procedures
- classify insurance claims
- fraud detection
- insurance law
What stands in the way is 8 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 14 skills that carry over, these are the ones fewest other occupations ask for. A insurance claims handler role needs them, and most people applying for one will not have them already. This is the part of a insurance fraud investigator background worth leading with.
- already held interview insurance claimants communication, collaboration and creativity
- already held classify insurance claims information skills
- already held manage claim files information skills
- already held analyse claim files information skills
- already held claims procedures business, administration and law
- already held review insurance process information skills
All 14 carried skills, including the 11 the insurance claims handler role treats as required.
Table 3 · What you would need to learn
The 18 missing skills fall into 5 areas of the ESCO skill hierarchy, numbered below in the order worth working in: the areas carrying the most required skills come first, and inside each one the required skills sit above the supplementary ones.
- required, not held communicate with beneficiaries required
- required, not held handle incoming insurance claims required
- required, not held apply technical communication skills required
- required, not held provide financial product information required
- optional, not held ensure cross-department cooperation optional
- optional, not held handle customer complaints optional
- optional, not held handle financial disputes optional
- required, not held calculate compensation payments required
- required, not held maintain records of financial transactions required
- required, not held synthesise financial information required
- optional, not held assess coverage possibilities optional
- optional, not held estimate damage optional
- optional, not held apply statistical analysis techniques optional
- required, not held organise a damage assessment required
- optional, not held decide on insurance applications optional
- optional, not held handle financial transactions optional
- optional, not held insurance market optional
- optional, not held statistics optional
Table 4 · Where to start
The 3 entries a insurance claims handler role is least likely to hire without. The ordering is computed from the skill data, not from what pays.
- 01 calculate compensation payments skill · occupation specific
- 02 communicate with beneficiaries skill · sector specific
- 03 handle incoming insurance claims skill · sector specific
Each entry opens a course search for that skill. Career Overlap earns nothing from these links.
Appendix · The rest of the record
All 14 skills that carry over
- already held actuarial science knowledge
- already held analyse claim files skill
- already held claims procedures knowledge
- already held classify insurance claims skill
- already held fraud detection knowledge
- already held insurance law knowledge
- already held interview insurance claimants skill
- already held manage claim files skill
- 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 claims process skill
- already held trace financial transactions skill
10 supplementary skills, helpful but not required
- optional, not held assess coverage possibilities optional
- optional, not held decide on insurance applications optional
- optional, not held estimate damage optional
- optional, not held apply statistical analysis techniques optional
- optional, not held ensure cross-department cooperation optional
- optional, not held handle customer complaints optional
- optional, not held handle financial disputes optional
- optional, not held handle financial transactions optional
- optional, not held insurance market optional
- optional, not held statistics optional
12 held skills the insurance claims handler role does not ask for
- not needed by the target role assess customer credibility skill
- not needed by the target role assist police investigations skill
- not needed by the target role collect property financial information skill
- not needed by the target role conduct financial audits skill
- not needed by the target role debt systems knowledge
- not needed by the target role detect financial crime skill
- not needed by the target role document evidence skill
- not needed by the target role interpret law skill
- not needed by the target role obtain financial information skill
- not needed by the target role perform debt investigation skill
- not needed by the target role prepare financial auditing reports skill
- not needed by the target role present evidence skill
2 gaps that are knowledge rather than practice
Knowledge gaps usually close through study. Practical skill gaps usually need something you can point at.
- optional, not held insurance market optional
- optional, not held statistics optional
Other moves recorded from insurance fraud investigator
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.