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Fraud investigator skills for your resume and career

Updated January 8, 2025
5 min read
Fraud investigator example skills
Below we've compiled a list of the most critical fraud investigator skills. We ranked the top skills for fraud investigators based on the percentage of resumes they appeared on. For example, 7.2% of fraud investigator resumes contained law enforcement agencies as a skill. Continue reading to find out what skills a fraud investigator needs to be successful in the workplace.

15 fraud investigator skills for your resume and career

1. Law Enforcement Agencies

Here's how fraud investigators use law enforcement agencies:
  • Prepared comprehensive investigative reports and other written communications for upper management, attorneys, prosecutors, and internal/external law enforcement agencies.
  • Performed telephone interviews with customers, financial institutions and law enforcement agencies, along with assisting law enforcement in identifying suspects.

2. 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 fraud investigators use investigative reports:
  • Initiated and maintained law enforcement contacts, prepared detailed investigative reports which resulted in criminal prosecution and conviction.
  • Prepared professional investigative reports based on factual findings arising from evidence gathered during an investigation.

3. Fraud Investigations

Frаud investigations аrе dеѕіgnеd to еxроѕе frаudulеnt оffеnсеѕ such аѕ іnѕurаnсе аnd credit саrd fraud аnd to рunіѕh thе perpetrator of a frаudulеnt and іllеgаl асt аnd tо соllесt еvіdеnсе to protect the vісtіmѕ іn ԛuеѕtіоn.

Here's how fraud investigators use fraud investigations:
  • Shared information with other Medicare contractors, law enforcement and other applicable stakeholders reference current fraud investigations and possible fraud patterns.
  • Protected assets by investigating possible fraudulent claims; initiating civil and/or criminal actions; supervised, conducted and directed fraud investigations.

4. Criminal Justice

Here's how fraud investigators use criminal justice:
  • Applied knowledge of the criminal justice court system, compliance regulations and collection procedures when researching a case for mortgage fraud.
  • Led a statewide criminal justice agency, responsible for conducting detailed and complex financial investigations into unlicensed or illegal activities.

5. Financial Institutions

Financial Institutions come in all sizes, forms, and are meant for all sorts of purposes. Some only keep money, some only trade it, some focus on extending loans, some work with only other financial corporations or regular business and companies, and some are built to be useful and multi-purpose. A central bank, for example, is a banking institution meant to keep an eye on other banks and ensure that no laws or rules are broken or bent.

Here's how fraud investigators use financial institutions:
  • Developed and maintain comprehensive fraud database for reporting to financial institutions contracted with Early Warning Services.
  • Conducted initial and followed-up interviews with customers, victims, financial institutions and merchants.

6. Fraud Claims

Here's how fraud investigators use fraud claims:
  • Boosted business savings by verifying identity theft/fraud claims, along with preventing fraudulent activities against business.
  • Minimized financial losses resulting from fraud by investigating fraud claims and identifying recovery opportunities.

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7. Fraud Trends

Fraud trends are referred to as the continuous pattern of similar fraudulent activities such as false representation, concealment, and the act of committing fraud. For example, a recent fraud trend is claiming insurance money by deliberately damaging a product.

Here's how fraud investigators use fraud trends:
  • Investigate possible fraudulent purchasing activity, identity theft and data theft using knowledge of popular fraud trends and security databases.
  • Participated in projects that involved identifying fraud trends and system development for Risk Operations

8. In-Depth Investigations

Here's how fraud investigators use in-depth investigations:
  • Conduct in-depth investigations of suspicious financial activity, such as suspected money-laundering efforts.
  • Performed in-depth investigations on identified providers as warranted.

9. Data Analysis

Here's how fraud investigators use data analysis:
  • Investigated cases for potential company fraud, including data analysis, document review, and witness interviews/suspect interrogations.
  • Performed comprehensive financial data analysis & document analysis, in order to identify potentially fraudulent Medicare providers/beneficiaries.

10. Fraud Prevention

Here's how fraud investigators use fraud prevention:
  • Investigate and provide advice to ensure development and implementation of fraud prevention, detection and resolution strategies.
  • Provide independent professional expertise related to compliance oversight, fraud prevention and money laundering investigations.

11. BSA

Here's how fraud investigators use bsa:
  • Ensured BSA Act requirements for suspicious activity reports were followed according to federal and state regulations.
  • Monitored an internal report for potential BSA related money laundering and other suspicious activity.

12. Fraud Losses

Here's how fraud investigators use fraud losses:
  • Coordinated investigations leading to the identification, arrest and conviction of suspects and recovery or restitution of fraud losses.
  • Create and maintain fraudulent activity log/records/databases and summarize fraud losses.

13. Fraud Cases

Here's how fraud investigators use fraud cases:
  • Uncovered and analyzed fraud cases by reviewing/monitoring individual insurance claims and prepared reports outlining all relevant facts of the investigations.
  • Review processed prescription claims for technical requirements and perform additional medical reviews to develop fraud cases.

14. Management System

A management system is a set of policies, processes, and procedures taken by an organization or a business to ensure it can fulfill its tasks and achieve its objectives. A management system makes sure that the company excels financially and improves the user experience. The management system also takes care of the worker's and employees' needs and manages their workload and oversees their performance. Apart from interior matters of the company, a management system also deals with exterior matters like legislations, tax matters, and law issues.

Here's how fraud investigators use management system:
  • Investigated allegations of possible fraud and monitored computer based case management system for client compliance.
  • Participated in testing of new case management system to assist in identification of process improvements.

15. AML

AML refers to the rules and systems set up by governments, financial institutions, or organizations to prevent fraudulent economic activities.

Here's how fraud investigators use aml:
  • Reviewed system generated alerts, assessed impact to AML processes, conducted research as required, and documented results.
  • Conducted AML transaction monitoring on Retail Bank accounts for AML concerns involving structuring, excessive cash and wire activity.
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List of fraud investigator skills to add to your resume

Fraud investigator skills

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

  • Law Enforcement Agencies
  • Investigative Reports
  • Fraud Investigations
  • Criminal Justice
  • Financial Institutions
  • Fraud Claims
  • Fraud Trends
  • In-Depth Investigations
  • Data Analysis
  • Fraud Prevention
  • BSA
  • Fraud Losses
  • Fraud Cases
  • Management System
  • AML
  • Medicaid
  • SAR
  • Insurance Fraud
  • Background Checks
  • Investigative Findings
  • Investigative Techniques
  • Subpoenas
  • Local Law Enforcement
  • OIG
  • FinCEN
  • Video Surveillance
  • Bank Secrecy Act
  • CMS
  • ACH
  • Fraudulent Transactions
  • Anti-Money Laundering
  • Insurance Claims
  • Identity Theft
  • Outbound Calls
  • Federal Law Enforcement
  • Customer Accounts
  • Financial Crimes
  • SIU
  • Court Proceedings
  • Administrative Actions
  • Inbound Calls
  • Credit Card Fraud
  • Government Agencies
  • ATM
  • Claims Data
  • Fraud Rings
  • Police Reports
  • Credit Card Accounts
  • Lexis Nexis
  • Detect Fraud

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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