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Auto Insurance Fraud Investigator Jobs (NOW HIRING)

ORIGIN INVESTIGATIONS

SIU Investigator

Houston, TX · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

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ORIGIN INVESTIGATIONS

SIU Investigator

Las Vegas, NV · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

LUMA

Fraud Investigator - DMS

Boise, ID · On-site

$27.12 - $30/hr

Life insurance for self, spouse, and children * Short and long-term disability insurance * Flexible ... Conduct investigations into suspected fraud, waste, and abuse of public assistance programs.

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Auto Insurance Fraud Investigator information

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How much do auto insurance fraud investigator jobs pay per hour?

As of Jul 4, 2026, the average hourly pay for auto insurance fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is the difference between Auto Insurance Fraud Investigator vs Claims Adjuster?

AspectAuto Insurance Fraud InvestigatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles require certifications in insurance or fraud detectionHigh school diploma or equivalent; licensing or certifications may be required depending on state
Work EnvironmentOffice settings, field investigations, collaboration with law enforcementOffice-based, inspecting damages, interviewing claimants and witnesses
Employer & IndustryInsurance companies, law enforcement agencies, fraud detection firmsInsurance companies, adjusting claims for auto, home, or other policies
Common Search & ComparisonAuto Insurance Fraud Investigator vs Claims Adjuster

While both roles work within the insurance industry, Auto Insurance Fraud Investigators focus on detecting and preventing fraudulent claims, often involving investigations and law enforcement collaboration. Claims Adjusters handle the assessment and processing of legitimate claims, verifying damages and coverage. Understanding these differences helps clarify career paths and job expectations in the insurance sector.

What are some common challenges Auto Insurance Fraud Investigators face when conducting investigations?

Auto Insurance Fraud Investigators often encounter challenges such as distinguishing between genuine claims and sophisticated fraudulent schemes, managing high caseloads, and staying updated on evolving fraud tactics. They frequently collaborate with law enforcement, attorneys, and claims adjusters, requiring strong communication and analytical skills. Additionally, investigators must adhere to legal and ethical guidelines while collecting evidence, which can sometimes slow down the investigative process but is crucial for building a solid case.

What are the key skills and qualifications needed to thrive as an Auto Insurance Fraud Investigator, and why are they important?

To thrive as an Auto Insurance Fraud Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice or insurance, often supported by a bachelor's degree or relevant certification. Familiarity with claims management software, data analysis tools, and investigative databases is also important. Excellent communication, critical thinking, and discretion help you conduct interviews and build cases effectively. These skills are crucial to accurately identifying fraudulent claims, protecting company assets, and upholding legal and ethical standards in the insurance industry.

What does an Auto Insurance Fraud Investigator do?

An Auto Insurance Fraud Investigator is responsible for examining suspected fraudulent claims related to automobile insurance. They gather evidence, interview claimants and witnesses, analyze documents, and collaborate with law enforcement when necessary. Their goal is to identify false or exaggerated claims, help prevent financial losses for insurance companies, and ensure that legitimate claims are paid fairly. Investigators often use surveillance, background checks, and data analysis to uncover fraudulent activity.
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What are the most commonly searched types of Auto Insurance Fraud Investigator jobs? The most popular types of Auto Insurance Fraud Investigator jobs are:
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What job categories do people searching Auto Insurance Fraud Investigator jobs look for? The top searched job categories for Auto Insurance Fraud Investigator jobs are:
Auto Insurance Fraud Investigator jobs near you
Infographic showing various Auto Insurance Fraud Investigator job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 91% Full Time, and 8% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.
Bilingual Junior Healthcare Fraud Investigator-Florida Work at Home

Bilingual Junior Healthcare Fraud Investigator-Florida Work at Home

Cigna

Miami, FL • Remote

Full-time

Posted 19 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 228 frontline employees who took The Breakroom Quiz

42nd of 877 rated healthcare providers

Job description

Bilingual Spanish Junior Healthcare Fraud Investigator:

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.

This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.

As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.

What you'll do:

Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations

Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies

Support on-site inspections and patient/provider interviews as necessary

Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate

Prepare reports to expedite tracking and reporting of investigations

Requirements:

  • Bilingual Spanish and ability to pass oral and written assessments

  • A bachelor's degree in a Criminal Justice, or related field

  • 1+ years professional work experience, preferably with health insurance investigations/audit

  • Reside near South Florida (Miami, homestead) and West Palm Beach area for occasional site visits

  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word

  • Excellent verbal and written communication skills, along with ability to effectively manage conflict

  • Keen ability to deal with ambiguity and leverage reasoning skills

  • Possession of a strong desire and demonstrated ability to lead


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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