Career Overlap Transition record
RecordMove

Insurance fraud investigator to loss adjuster

An insurance fraud investigator already meets 54% of what the loss adjuster role asks for. The move turns on 9 required skills not yet in the profile.

Fig. 1 · Skill transfer ESCO v1.2.1 · directional
From insurance fraud investigator
54 % overlap
Partial match
To loss adjuster
20 You already bring
9 Still to learn
39 Skills in the target role2
Learning distance Real move, short list to learn

51.6/ 100

1 How much of what a loss adjuster is expected to do is already part of an insurance fraud investigator’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 loss adjuster role is recorded as needing, required and optional together. What these numbers mean.

Why

Why this move works

A loss adjuster role treats 12 of its required skills as things an insurance fraud investigator already does. You would walk in with these on day one.

  • actuarial science
  • analyse claim files
  • claims procedures
  • document evidence
  • insurance law
  • interview insurance claimants

What stands in the way is 9 required skills the profile does not yet cover. Table 3 groups them; Table 4 says which to take first.

Table 2

Table 2 · What you already bring

Of the 20 skills that carry over, these are the ones fewest other occupations ask for. A loss adjuster role needs them, and most people applying for one will not have them already. This is the part of an insurance fraud investigator background worth leading with.

Skill the target role also needs Area
  • 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 assess customer credibility communication, collaboration and creativity
  • already held claims procedures business, administration and law

All 20 carried skills, including the 12 the loss adjuster role treats as required.

Table 3

Table 3 · What you may need to learn

The 19 missing skills fall into 3 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.

Skill to pick up Tier
01 information skills 5 required, 3 supplementary
  • still to learn assess coverage possibilities required
  • still to learn estimate damage required
  • still to learn initiate claim file required
  • still to learn check for damaged items required
  • still to learn compile appraisal reports required
  • optional, not held determine cause of damage optional
  • optional, not held identify damage to buildings optional
  • optional, not held investigate occupational injuries optional
02 communication, collaboration and creativity 3 required, 6 supplementary
  • still to learn propose settlements required
  • still to learn handle incoming insurance claims required
  • still to learn negotiate settlements required
  • optional, not held advise on insurance policies optional
  • optional, not held create cooperation modalities optional
  • optional, not held ensure cross-department cooperation optional
  • optional, not held listen to the stories of the disputants optional
  • optional, not held manage contract disputes optional
  • optional, not held provide information on properties optional
03 management skills 1 required, 1 supplementary
  • still to learn organise a damage assessment required
  • optional, not held create a financial plan optional
Table 4

Table 4 · Where to start

The 3 entries a loss adjuster role is least likely to hire without. The ordering is computed from the skill data, not from what pays.

Each entry opens a course search for that skill. Career Overlap earns nothing from these links.

Appendix

Appendix · The rest of the record

All 20 skills that carry over
Skill Type
  • already held actuarial science knowledge
  • already held analyse claim files skill
  • already held claims procedures knowledge
  • already held document evidence skill
  • already held insurance law knowledge
  • already held interview insurance claimants skill
  • already held manage claim files skill
  • already held manage claims process skill
  • already held present evidence 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 assess customer credibility skill
  • already held classify insurance claims skill
  • already held collect property financial information skill
  • already held conduct financial audits skill
  • already held fraud detection knowledge
  • already held obtain financial information skill
  • already held prepare financial auditing reports skill
10 supplementary skills, helpful but not required
Skill to pick up Tier
  • optional, not held advise on insurance policies optional
  • optional, not held create a financial plan optional
  • optional, not held create cooperation modalities optional
  • optional, not held determine cause of damage optional
  • optional, not held ensure cross-department cooperation optional
  • optional, not held identify damage to buildings optional
  • optional, not held investigate occupational injuries optional
  • optional, not held listen to the stories of the disputants optional
  • optional, not held manage contract disputes optional
  • optional, not held provide information on properties optional
6 held skills the loss adjuster role does not ask for
Skill Type
  • not needed by the target role assist police investigations 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 interpret law skill
  • not needed by the target role perform debt investigation skill
  • not needed by the target role trace financial transactions skill
Index
FAQ

Common questions about this move

Can an insurance fraud investigator become a loss adjuster?

Yes, and it is a moderate move. An insurance fraud investigator already covers 54% of what a loss adjuster is expected to do: 20 skills carry over, 12 of which the loss adjuster role treats as required.

What skills does an insurance fraud investigator need to become a loss adjuster?

9 required skills are missing, plus 10 optional ones. They fall into 3 areas of the ESCO skill hierarchy, led by information skills. The single most important is propose settlements.

How hard is the move from insurance fraud investigator to loss adjuster?

Its learning distance is 51.6 out of 100, which is the moderate band. That accounts for both how much is missing and how specialised those skills are.

Note

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.