Fraud Examiners, Investigators and Analysts

13-2099.04

Obtain evidence, take statements, produce reports, and testify to findings regarding resolution of fraud allegations. May coordinate fraud detection and prevention activities.

Occupation-Specific Information

Tasks

• Testify in court regarding investigation findings.
• 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.
• Lead, or participate in, fraud investigation teams.
• Prepare evidence for presentation in court.
• Recommend actions in fraud cases.
• Review reports of suspected fraud to determine need for further investigation.
• Design, implement, or maintain fraud detection tools or procedures.
• Analyze financial data to detect irregularities in areas such as billing trends, financial relationships, and regulatory compliance procedures.
• Maintain knowledge of current events and trends in such areas as money laundering and criminal tools and techniques.
• Evaluate business operations to identify risk areas for fraud.
• Conduct in-depth investigations of suspicious financial activity, such as suspected money-laundering efforts.
• Advise businesses or agencies on ways to improve fraud detection.
• Train others in fraud detection and prevention techniques.
• Conduct field surveillance to gather case-related information.
• Negotiate with responsible parties to arrange for recovery of losses due to fraud.
• Research or evaluate new technologies for use in fraud detection systems.
• Obtain and serve subpoenas.
• Arrest individuals to be charged with fraud.

Technology Skills

• Accounting software - Bookkeeping software
• Analytical or scientific software - SAS
• Audit software - PCG Software Virtual Examiner
• Business intelligence and data analysis software - Business intelligence software; Guardian Analytics FraudMAP; IBM Cognos; Tableau 🔥; TIBCO Spotfire
• Cloud-based data access and sharing software - Microsoft SharePoint 🔥
• Cloud-based management software - Splunk Enterprise 🔥
• Data base user interface and query software - Microsoft Access 🔥; Microsoft SQL Server 🔥; Structured query language SQL ; TriZetto QNXT; Vertafore ImageRight
• Electronic mail software - Microsoft Outlook
• Enterprise resource planning ERP software - SAP Business Objects
• Information retrieval or search software - LexisNexis
• Medical software - Electronic health record EHR software
• Object or component oriented development software - Python 🔥; R 🔥
• Office suite software - Microsoft Office software
• Presentation software - Microsoft PowerPoint
• Process mapping and design software - Microsoft Visio 🔥
• Risk management data and analysis software - ArcSight Enterprise Threat and Risk Management
• Spreadsheet software - Microsoft Excel
• Transaction security and virus protection software - NortonLifeLock cybersecurity software
• Word processing software - Microsoft Word

Occupational Requirements

Work Activities

• Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.
• Monitoring Processes, Materials, or Surroundings - Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
• Identifying Objects, Actions, and Events - Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
• Inspecting Equipment, Structures, or Materials - Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.
• Estimating the Quantifiable Characteristics of Products, Events, or Information - Estimating sizes, distances, and quantities; or determining time, costs, resources, or materials needed to perform a work activity.
• Judging the Qualities of Objects, Services, or People - Assessing the value, importance, or quality of things or people.
• Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
• Evaluating Information to Determine Compliance with Standards - Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
• Analyzing Data or Information - Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
• Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.
• Thinking Creatively - Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions.
• Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.
• Developing Objectives and Strategies - Establishing long-range objectives and specifying the strategies and actions to achieve them.
• Scheduling Work and Activities - Scheduling events, programs, and activities, as well as the work of others.
• Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.
• Performing General Physical Activities - Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
• Handling and Moving Objects - Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
• Controlling Machines and Processes - Using either control mechanisms or direct physical activity to operate machines or processes (not including computers or vehicles).
• Operating Vehicles, Mechanized Devices, or Equipment - Running, maneuvering, navigating, or driving vehicles or mechanized equipment, such as forklifts, passenger vehicles, aircraft, or watercraft.
• Working with Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
• Drafting, Laying Out, and Specifying Technical Devices, Parts, and Equipment - Providing documentation, detailed instructions, drawings, or specifications to tell others about how devices, parts, equipment, or structures are to be fabricated, constructed, assembled, modified, maintained, or used.
• Repairing and Maintaining Mechanical Equipment - Servicing, repairing, adjusting, and testing machines, devices, moving parts, and equipment that operate primarily on the basis of mechanical (not electronic) principles.
• Repairing and Maintaining Electronic Equipment - Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, devices, and equipment that operate primarily on the basis of electrical or electronic (not mechanical) principles.
• Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
• Interpreting the Meaning of Information for Others - Translating or explaining what information means and how it can be used.
• Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
• Communicating with People Outside the Organization - Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
• Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.
• Assisting and Caring for Others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
• Selling or Influencing Others - Convincing others to buy merchandise/goods or to otherwise change their minds or actions.
• Resolving Conflicts and Negotiating with Others - Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
• Performing for or Working Directly with the Public - Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
• Coordinating the Work and Activities of Others - Getting members of a group to work together to accomplish tasks.
• Developing and Building Teams - Encouraging and building mutual trust, respect, and cooperation among team members.
• Training and Teaching Others - Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
• Guiding, Directing, and Motivating Subordinates - Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
• Coaching and Developing Others - Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
• Providing Consultation and Advice to Others - Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
• Performing Administrative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
• Staffing Organizational Units - Recruiting, interviewing, selecting, hiring, and promoting employees in an organization.
• Monitoring and Controlling Resources - Monitoring and controlling resources and overseeing the spending of money.

Detailed Work Activities

• Testify at legal or legislative proceedings.
• Gather financial records.
• Interview witnesses, suspects, or claimants.
• Prepare legal or investigatory documentation.
• Document information related to legal proceedings.
• Maintain data in information systems or databases.
• Investigate legal issues.
• Supervise employees.
• Collect evidence for legal proceedings.
• Advise others on business or operational matters.
• Advise others on legal or regulatory compliance matters.
• Develop business or financial information systems.
• Analyze business or financial data.
• Update professional knowledge.
• Assess risks to business operations.
• Train personnel to enhance job skills.
• Negotiate contracts with clients or service providers.
• Obtain documentation to authorize activities.
• Inform individuals or organizations of status or findings.
• Detain suspects or witnesses.
• Apprehend criminal suspects.