Career profile · SOC ESC-F6E017AE

insurance fraud investigator

Insurance fraud investigators combat fraudulent activities by investigating the circumstances of certain suspicious claims, activities related to new customers, buying insurance products and premium calculations. Insurance fraud investigators refer potential fraud claims to insurance investigators who then undertake research and investigations to support or deny a claimant's case.

insurance fraud investigator insurance fraud investigators combat fraudulent activities by investigating the circumstances of certain suspicious claims, activities related to new customers, buying insurance products and premium calculations. The role shows moderate AI exposure (0.50 on a 0-1 scale) — some tasks are being automated but the role adapts. The most in-demand skills for the role include insurance law, fraud detection, principles of insurance, actuarial science, claims procedures.

AI exposure
5.0/10
automation risk

Pay in the UK

UK: median £39,634 a year for Estimators, valuers and assessors (ONS ASHE 2025, full-time)

Middle half of full-time jobs: £32,274 to £51,360 a year

UK jobs are grouped differently; this is the closest UK occupation group (ONS SOC 2020 3541). ONS rates this estimate reasonably precise. 2025 provisional figures; ONS revises them a year later. Source: ONS Annual Survey of Hours and Earnings (Open Government Licence)

Pay in India (occupation group)

Average monthly earnings of salaried employees in the occupation group “Technicians and associate professionals” in India, from the Government of India's Periodic Labour Force Survey (January–December 2025). It covers everyone in this group, not only insurance fraud investigator, and it is not US pay converted to rupees.

Urban India
₹31,909 a month
Rural India
₹18,966 a month
All India
₹26,175 a month

Source: MoSPI (Government of India), Periodic Labour Force Survey Annual Report 2025, Table 51 — average wage/salary earnings of regular wage/salaried employees, NCO-2015 division 3. Official India data gives one average per occupation group: there are no official India figures for single careers, experience levels or cities. Read the report

Top skills

insurance law fraud detection principles of insurance actuarial science claims procedures types of insurance analyse claim files review insurance process assist police investigations conduct financial audits

Knowledge you'll build

  • English Language
  • Economics and Accounting
  • Law and Government
  • Computers and Electronics
  • Administration and Management
  • Mathematics
  • Customer and Personal Service
  • Education and Training

What you'd actually do

  • Gather financial documents related to investigations.
  • Interview witnesses or suspects and take statements.
  • Prepare written reports of investigation findings.
  • Document all investigative activities.
  • Create and maintain logs, records, or databases of information about fraudulent activity.
  • Coordinate investigative efforts with law enforcement officers and attorneys.

Tools & technology you'd use

Microsoft Excel hot Microsoft Office software hot Microsoft Outlook hot Microsoft PowerPoint hot Microsoft Word hot Python hot SAS hot Structured query language SQL hot Microsoft Access hot Microsoft SharePoint hot Microsoft SQL Server hot Microsoft Visio hot

Frequently asked questions

What does insurance fraud investigator do?

Insurance fraud investigators combat fraudulent activities by investigating the circumstances of certain suspicious claims, activities related to new customers, buying insurance products and premium calculations. Insurance fraud investigators refer potential fraud claims to insurance investigators who then undertake research and investigations to support or deny a claimant's case.

What skills does insurance fraud investigator need?

The most in-demand skills for this role include insurance law, fraud detection, principles of insurance, actuarial science, claims procedures, types of insurance. These are the skills O*NET identifies as most important for competent performance.

Will AI replace insurance fraud investigator?

Our AI-durability model gives insurance fraud investigator a score of 0.50 on a 0-1 scale (higher = more exposure). That places it at moderate AI exposure — some tasks are being automated but the role adapts. Learning to work with AI tools rather than against them is the path forward.

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