Career Overlap Transition record
RecordMove

Loss adjuster to insurance fraud investigator

A loss adjuster already meets 81% of what the insurance fraud investigator role asks for. The move turns on 2 required skills not yet in the profile.

Fig. 1 · Skill transfer ESCO v1.2.1 · directional
From loss adjuster
81 % overlap
Very strong match
To insurance fraud investigator
20 You already bring
2 Still to learn
26 Skills in the target role2
Learning distance Short step

18.8/ 100

1 How much of what an insurance fraud investigator is expected to do is already part of a loss adjuster’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

Why this move works

An insurance fraud investigator role treats 11 of its required skills as things a loss adjuster already does. You would walk in with these on day one.

  • actuarial science
  • analyse claim files
  • assess customer credibility
  • claims procedures
  • conduct financial audits
  • fraud detection

What stands in the way is 2 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. An insurance fraud investigator role needs them, and most people applying for one will not have them already. This is the part of a loss adjuster 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 11 the insurance fraud investigator role treats as required.

Table 3

Table 3 · What you may need to learn

The 6 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 1 required, 2 supplementary
  • still to learn detect financial crime required
  • optional, not held perform debt investigation optional
  • optional, not held trace financial transactions optional
02 communication, collaboration and creativity 1 required, 1 supplementary
  • still to learn assist police investigations required
  • optional, not held interpret law optional
03 business, administration and law 1 supplementary
  • optional, not held debt systems optional
Table 4

Table 4 · Where to start

The 2 entries an insurance fraud investigator 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 assess customer credibility skill
  • already held claims procedures knowledge
  • already held conduct financial audits skill
  • already held fraud detection knowledge
  • already held insurance law knowledge
  • already held interview insurance claimants 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 classify insurance claims skill
  • already held collect property financial information skill
  • already held document evidence skill
  • already held manage claim files skill
  • already held manage claims process skill
  • already held obtain financial information skill
  • already held prepare financial auditing reports skill
  • already held present evidence skill
4 supplementary skills, helpful but not required
Skill to pick up Tier
  • optional, not held debt systems optional
  • optional, not held interpret law optional
  • optional, not held perform debt investigation optional
  • optional, not held trace financial transactions optional
19 held skills the insurance fraud investigator role does not ask for
Skill Type
  • not needed by the target role advise on insurance policies skill
  • not needed by the target role assess coverage possibilities skill
  • not needed by the target role check for damaged items skill
  • not needed by the target role compile appraisal reports skill
  • not needed by the target role create a financial plan skill
  • not needed by the target role create cooperation modalities skill
  • not needed by the target role determine cause of damage 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 handle incoming insurance claims skill
  • not needed by the target role identify damage to buildings skill
  • not needed by the target role initiate claim file skill
  • not needed by the target role investigate occupational injuries skill
  • not needed by the target role listen to the stories of the disputants skill
  • not needed by the target role manage contract disputes skill
  • not needed by the target role negotiate settlements skill
  • not needed by the target role organise a damage assessment skill
  • not needed by the target role propose settlements skill
  • not needed by the target role provide information on properties skill
1 gaps that are knowledge rather than practice

Knowledge gaps usually close through study. Practical skill gaps usually need something you can point at.

Skill to pick up Tier
  • optional, not held debt systems optional
Index
FAQ

Common questions about this move

Can a loss adjuster become an insurance fraud investigator?

Yes, and it is an adjacent move. A loss adjuster already covers 81% of what an insurance fraud investigator is expected to do: 20 skills carry over, 11 of which the insurance fraud investigator role treats as required.

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

2 required skills are missing, plus 4 optional ones. They fall into 3 areas of the ESCO skill hierarchy, led by information skills. The single most important is assist police investigations.

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

Its learning distance is 18.8 out of 100, which is the adjacent 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.