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Auto Insurance Fraud Investigator Jobs (NOW HIRING)

Global Credit Union

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other ...

Global Credit Union

Fraud Investigator I

Glendale, AZ · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other ...

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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 Jun 10, 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 is the highest salary for a fraud investigator?

Auto insurance fraud investigators can earn salaries ranging from $50,000 to over $100,000 annually, with top earners in senior or specialized roles making higher wages. Factors such as experience, certifications, and geographic location influence salary levels in this field.

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.
More about Auto Insurance Fraud Investigator jobs
What cities are hiring for Auto Insurance Fraud Investigator jobs? Cities with the most Auto Insurance Fraud Investigator job openings:
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 5% Locum Tenens, 18% As Needed, 9% Full Time, 63% Part Time, and 5% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.
Senior Fraud Investigator-NYC (Hybrid)

Senior Fraud Investigator-NYC (Hybrid)

1199SEIU Funds

Manhattan, NY • Hybrid

Full-time

Posted 22 days ago

Job description

Responsibilities
Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work.
Reviews and analyzes medical records, claims data, enrollment data, and other documentation to evaluate potential FWA.
Performs coding, billing, reimbursement, and medical necessity assessments based on CPT, HCPCS, ICD-9/10, DRG, and related coding guidelines.
Uses advanced data mining techniques to identify aberrant billing patterns, outliers, and other indicators of fraudulent activity.
Produces reliable, accurate and timely written investigative reports for internal and/external review detailing investigation findings, based on industry standard(s) and/or internal policy and procedure.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
Coordinates with various internal customers to gather documentation pertinent to investigations.
Incorporates communication skills to work with physicians, other health professionals, attorneys as well as external regulatory agencies and law enforcement personnel.
Communicate effectively and collaboratively with internal staff, leadership and external customers in a professional manner.
Conducts settlement negotiations with providers and/or attorneys.
Maintain the confidentiality required of the organization and the department.
Follow all Health Insurance Portability and Accountability Act (HIPAA) and Personal Health Information (PHI) requirements and regulations

Qualifications
Bachelor's degree in business, criminal justice or related field.
Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud Investigator (CIFI), and/or Certified Economic Crime Forensic Examiner (CECFE) preferred (but not required).
Minimum three (3) years' experience with medical coding and medical record review performed required.
Minimum three (3) years' experience in healthcare industry within a Special Investigation Unit (SIU) or equivalent governmental agency responsible for investigating healthcare fraud required.
Knowledge of medical coding and medical terminology.
Experience using STARSSolutions or other healthcare FWA case management and detection software preferred (but not required).
Proven track record in conducting investigations and/or the identification and pursuit of the recovery of overpayments.
Excellent report writing skills.
Knowledge of claims processing, reimbursement procedures, and a solid understanding of fraud detection and prevention practices.
Knowledge of data analysis of claims and documenting findings on spreadsheets.
Proficiency in Microsoft Office/Suite applications (Excel, Word, PowerPoint, Outlook, etc.).
Excellent interpersonal and communication skills - oral, written and listening.

This is a hybrid posiiton that will require you to report to our offices in Midtown Manhattan.

Employment Type: Full time

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