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Claim investigator skills for your resume and career

Updated January 8, 2025
4 min read
Quoted expert
Gary LaFree
Claim investigator example skills
Below we've compiled a list of the most critical claim investigator skills. We ranked the top skills for claim investigators based on the percentage of resumes they appeared on. For example, 11.2% of claim investigator resumes contained scene investigations as a skill. Continue reading to find out what skills a claim investigator needs to be successful in the workplace.

15 claim investigator skills for your resume and career

1. Scene Investigations

Here's how claim investigators use scene investigations:
  • Secured written/recorded statements, accident scene investigations, and produced accurate, detailed reports.
  • Performed accident and fatality scene investigations and reconstructions.

2. Insurance Claims

Here's how claim investigators use insurance claims:
  • Engaged in the investigation of suspicious insurance claims including, disability, general liability, automobile and vessel damage.
  • Supervised and coordinated activities of workers engaged in examining insurance claims for payment in claims division of insurance company

3. Property Damage

Property damage is the destruction or damage of tangible personal property. Property damage can be caused by negligence, irresponsible handling of the property, willful destruction, or any other destructure act of nature.

Here's how claim investigators use property damage:
  • Evaluated property damage claims for legitimacy relative to terms of coverage interpretations; provided property value estimates, in applicable cases.
  • Conduct complex property damage liability and coverage investigations in order to administer the proper provisions under the current automobile policy.

4. Fraud Claims

Here's how claim investigators use fraud claims:
  • Selected as part of the SIU (special investigations unit) team to process and review theft and fraud claims.
  • Promoted from Fraud Claims Initiation Analyst II/Customer Service Representative to Claims Investigator Analyst II/Fraud Analyst II in 2012..

5. Background Checks

Here's how claim investigators use background checks:
  • Assisted in developing a special investigation unit by developing a due diligence process to conduct background checks on employees and applicants.
  • Conducted interviews, did activities checks, photographed and documented incident locations, filed reports and ran background checks.

6. Litigation

Here's how claim investigators use litigation:
  • Collaborated with in-house attorneys and Special Investigation Unit to gather information for litigation purposes.
  • Conducted extensive field investigations and interacted with staff attorneys on litigation matters.

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7. Investigative Reports

Investigative report are used in court to find facts, document certain subjects, to recover important records, or to recover certain file forms.

Here's how claim investigators use investigative reports:
  • Compose detailed and supported investigative reports that clearly explain work conducted.
  • Complete precise investigative reports and determine if claimant owns property.

8. Insurance Carriers

Here's how claim investigators use insurance carriers:
  • Performed trial preparation for defense attorneys and various insurance carriers.
  • Possess contacts within State, Local and Federal task forces as well as with special investigation units in other insurance carriers.

9. Insurance Policies

Here's how claim investigators use insurance policies:
  • Prepared insurance policies, open/closed cases and denial letters.
  • Prepared quotes for new insurance policies and renewals Worked with global equine companies Processed insurance payments and sales/auction payments

10. Law Enforcement Agencies

Here's how claim investigators use law enforcement agencies:
  • Communicated with various states' insurance fraud bureaus, law enforcement agencies and insurance industry anti-fraud professional organizations.
  • Make referrals of suspicious claims to states' insurance fraud bureaus, and liaised with law enforcement agencies.

11. Conduct Investigations

Here's how claim investigators use conduct investigations:
  • Conduct investigations regarding suspected incidents of fraud.
  • Conduct investigations under the New Mexico State Developmental Disabilities Waiver and New Mexico Administration Code guidelines to substantiate an alleged incident.

12. Insurance Fraud

Insurance fraud refers to any willful illegal act committed with the intent to deceptively receiving payment from an insurer, insurance company, or agent for financial gain or advantage to which they are not entitled. Deceitful claims make up a significant proportion of all claims received by the insurers and cost enormous sums of money each year. This may include the exaggeration of otherwise justified claims, intentional misrepresentation of the facts, or complex organized manipulation of the claims process to achieve financial advantage where no actual loss has occurred.

Here's how claim investigators use insurance fraud:
  • Maintained strong working relationships with insurance adjusters and examiners, swiftly communicating information in suspected cases of insurance fraud.
  • Assisted attorneys in obtaining information and evidence for trial relative to family law cases and combating insurance fraud through surveillance.

13. Insurance Coverage

Here's how claim investigators use insurance coverage:
  • Investigated and determined insurance coverage and other TPL resources for injured Medicaid clients.
  • Perform field investigations to determine insurance coverage analysis.

14. SIU

SIU stands for special investigative unit. It is a civilian investigative agency that conducts criminal investigations, detect and prevent fraudulent activities, and take action against crimes. A special investigator who works as part of the SIU usually travels to different areas to gather evidence, conduct interviews with various parties, collect statements from witnesses, and maintain records.

Here's how claim investigators use siu:
  • Developed the following Training Manuals for SIU: Identifying and Handling Suspicious Documents, Training Guide for Automobile Dealership Investigations.
  • Collaborated with SIU, fire, and police personnel in an effort to resolve investigations.

15. Disability Claims

Here's how claim investigators use disability claims:
  • Manage medical disability claims ensuring compliance Testify in court proceedings Obtain recorded and written statements from incident victims and witnesses
  • Collect and analyze objective medical evidence, vocational evidence and descriptions of daily function necessary to adjudicate disability claims.
top-skills

What skills help Claim Investigators find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What claim investigator skills would you recommend for someone trying to advance their career?

Gary LaFreeGary LaFree LinkedIn profile

Chair and Professor, University of Maryland

In criminology, having statistical skills is very useful for either an academic career or a research career. Researchers in police departments are getting increasingly sophisticated. Many criminology positions, both in academia and in the private sector, also depend on statistical training.
Do you want to know more?
Read more about what experts have to say about claim investigator

List of claim investigator skills to add to your resume

The most important skills for a claim investigator resume and required skills for a claim investigator to have include:

  • Scene Investigations
  • Insurance Claims
  • Property Damage
  • Fraud Claims
  • Background Checks
  • Litigation
  • Investigative Reports
  • Insurance Carriers
  • Insurance Policies
  • Law Enforcement Agencies
  • Conduct Investigations
  • Insurance Fraud
  • Insurance Coverage
  • SIU
  • Disability Claims
  • Video Surveillance
  • In-Person Interviews
  • Defense Counsel
  • Liability Claims
  • Bodily Injury
  • ISO
  • Government Agencies
  • Policy Provisions
  • Pending Claims
  • Auto Claims
  • Interrogatories
  • Property Claims
  • Physical Evidence
  • Settlement Conferences
  • Claims Handling
  • Fraud Investigations
  • Court Proceedings
  • Injury Claims
  • Police Reports
  • Workers Compensation Claims
  • Process Claims
  • Comprehensive Reports
  • HIPAA
  • Medical Claims
  • Medicaid
  • Hippa
  • Inbound Calls
  • Outbound Calls
  • Background Investigations
  • Red Flags
  • Arbitration
  • Subpoenas
  • Prosecutions

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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