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Claim investigator vs fraud analyst

The differences between claim investigators and fraud analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a claim investigator and a fraud analyst. Additionally, a fraud analyst has an average salary of $53,187, which is higher than the $49,415 average annual salary of a claim investigator.

The top three skills for a claim investigator include scene investigations, insurance claims and property damage. The most important skills for a fraud analyst are customer service, fraud prevention, and SQL.

Claim investigator vs fraud analyst overview

Claim InvestigatorFraud Analyst
Yearly salary$49,415$53,187
Hourly rate$23.76$25.57
Growth rate-6%6%
Number of jobs8,73810,891
Job satisfaction-4
Most common degreeBachelor's Degree, 61%Bachelor's Degree, 52%
Average age4443
Years of experience44

What does a claim investigator do?

Claim Investigators are professionals who are responsible for examining facts of insurance claims to determine their extent and validity to prevent any cases of fraud. These investigators must use a combination of tools such as cutting-edge software to help insurance companies to settle claims quickly by evaluating them. They are required to manage multiple cases by investigating defective products or events such as an oil spill. Claim Investigators must also prepare reports while keeping track of evidence trails.

What does a fraud analyst do?

Fraud analysts are responsible for monitoring bank accounts, accounting paperwork, and financial transactions. They analyze the data to identify any fraudulent and suspicious activities within an organization. Their duties and responsibilities may vary depending on which industries they work in. These may include keeping the confidentiality of any collected information, resolving customers' problems, and maintaining fraud analysis models to enhance the effectiveness and efficiency of company systems. Fraud analysts are also expected to provide recommendations for anti-fraud processes and new software tools to improve fraud detection and prevention.

Claim investigator vs fraud analyst salary

Claim investigators and fraud analysts have different pay scales, as shown below.

Claim InvestigatorFraud Analyst
Average salary$49,415$53,187
Salary rangeBetween $37,000 And $65,000Between $30,000 And $92,000
Highest paying CitySan Francisco, CASan Francisco, CA
Highest paying stateAlaskaRhode Island
Best paying companyHealth AllianceAspiration
Best paying industryFinanceFinance

Differences between claim investigator and fraud analyst education

There are a few differences between a claim investigator and a fraud analyst in terms of educational background:

Claim InvestigatorFraud Analyst
Most common degreeBachelor's Degree, 61%Bachelor's Degree, 52%
Most common majorCriminal JusticeBusiness
Most common collegeCalifornia State University - BakersfieldCalifornia State University - Bakersfield

Claim investigator vs fraud analyst demographics

Here are the differences between claim investigators' and fraud analysts' demographics:

Claim InvestigatorFraud Analyst
Average age4443
Gender ratioMale, 52.5% Female, 47.5%Male, 41.0% Female, 59.0%
Race ratioBlack or African American, 11.1% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.1% American Indian and Alaska Native, 0.5%Black or African American, 8.6% Unknown, 3.9% Hispanic or Latino, 9.6% Asian, 10.0% White, 67.6% American Indian and Alaska Native, 0.3%
LGBT Percentage10%4%

Differences between claim investigator and fraud analyst duties and responsibilities

Claim investigator example responsibilities.

  • Manage and dispose of claims in litigation by preparing and developing strategy with defense counsel and consensus relative to litigation handling.
  • Coordinate with SIU investigators in their investigations of the same claimant or insure.
  • Collaborate with SIU, fire, and police personnel in an effort to resolve investigations.
  • Conduct extensive field investigations and interact with staff attorneys on litigation matters.
  • Prepare and/or review property and content estimates for settlement using Xactimate and XactContents software programs.
  • Conduct complete assessment of interior and exterior damage to create a detail repair estimate within Xactimate software.
  • Show more

Fraud analyst example responsibilities.

  • Accomplish investigations that meet the criteria for referrals to the OIG and/or the FBI.
  • Lead the requirement gathering effort from key customers for development of new JAVA applications and for troubleshooting customer issues.
  • Review, research, investigate, negotiate, adjust payments, and resolve appeals and grievances for Medicaid and Medicare claims.
  • Perform fundamental SQL database queries to accurately update financial fraud trends monthly analysis report.
  • Produce SARs as required by FinCEN.
  • Interact with various departments to research securities present on UBSPW.com.
  • Show more

Claim investigator vs fraud analyst skills

Common claim investigator skills
  • Scene Investigations, 11%
  • Insurance Claims, 7%
  • Property Damage, 5%
  • Fraud Claims, 5%
  • Background Checks, 5%
  • Litigation, 4%
Common fraud analyst skills
  • Customer Service, 13%
  • Fraud Prevention, 7%
  • SQL, 6%
  • Outbound Calls, 6%
  • Fraudulent Transactions, 5%
  • Law Enforcement, 4%

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