Insurance Investigation
Insurance Investigation is a specialized field where professionals examine insurance claims to determine their legitimacy. These investigators help insurance companies prevent fraud by gathering evidence, interviewing people, and documenting findings about potentially suspicious claims. This work is similar to general private investigation but focuses specifically on insurance-related cases. You might also see this work described as "insurance claims investigation," "SIU investigation" (Special Investigative Unit), or "insurance fraud investigation."
Examples in Resumes
Conducted over 200 Insurance Investigation cases resulting in $500,000 fraud prevention
Led Insurance Investigation and Claims Investigation teams for major auto insurance provider
Performed detailed Insurance Investigation and SIU Investigation for worker's compensation claims
Typical job title: "Insurance Investigators"
Also try searching for:
Where to Find Insurance Investigators
Professional Associations
Job Boards
Professional Networks
Example Interview Questions
Senior Level Questions
Q: How would you handle a complex insurance fraud ring investigation?
Expected Answer: Should discuss coordination with multiple agencies, managing a team of investigators, data analysis methods, and experience with large-scale investigations involving multiple claims and suspects.
Q: Tell me about a time you had to present investigation findings in court.
Expected Answer: Should demonstrate experience with legal proceedings, evidence preparation, testimony delivery, and understanding of chain of custody requirements.
Mid Level Questions
Q: What methods do you use to verify the authenticity of medical documentation?
Expected Answer: Should explain approaches to checking medical records, contacting healthcare providers, identifying red flags in documentation, and following up on suspicious patterns.
Q: How do you conduct surveillance while maintaining legal compliance?
Expected Answer: Should discuss knowledge of privacy laws, proper documentation methods, understanding of legal boundaries, and ethical considerations in surveillance.
Junior Level Questions
Q: What are the basic steps you take when receiving a new case?
Expected Answer: Should explain initial review process, gathering basic information, checking databases, and creating an investigation plan.
Q: How do you document your findings during an investigation?
Expected Answer: Should describe basic report writing, photo/video evidence handling, note-taking procedures, and standard documentation practices.
Experience Level Indicators
Junior (0-2 years)
- Basic investigation techniques
- Report writing
- Database searches
- Evidence collection
Mid (2-5 years)
- Advanced surveillance techniques
- Interview skills
- Case management
- Court testimony experience
Senior (5+ years)
- Complex fraud investigation
- Team leadership
- Expert witness testimony
- Investigation strategy development
Red Flags to Watch For
- No understanding of insurance industry basics
- Lack of investigative report writing skills
- No knowledge of privacy laws and legal requirements
- Poor attention to detail in documentation
- No experience with surveillance techniques
Related Terms
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