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Benefit Fraud Investigator Jobs (NOW HIRING)

As a Fraud Investigator you will: * Investigate and prepare cases of alleged public assistance ... Hernandez@Maine.gov Benefits of working for the State of Maine: No matter where you work across ...

Fraud Investigator

Portland, ME · On-site

$22.91 - $31.97/hr

As a Fraud Investigator you will: * Investigate and prepare cases of alleged public assistance ... Hernandez@Maine.gov Benefits of working for the State of Maine: No matter where you work across ...

Fraud Investigator

Richmond, VA · On-site

$61K - $74K/yr

As a Fraud Investigator, you will monitor and research risk signals for both customers and ... Benefits: At Koalafi, you will have a direct impact on our products and help shape the company ...

Fraud Investigator

Richmond, VA · On-site

$61K - $74K/yr

As a Fraud Investigator, you will monitor and research risk signals for both customers and ... Benefits: At Koalafi, you will have a direct impact on our products and help shape the company ...

Fraud Investigator

Arlington, VA · On-site

$61K - $74K/yr

As a Fraud Investigator, you will monitor and research risk signals for both customers and ... Benefits: At Koalafi, you will have a direct impact on our products and help shape the company ...

Fraud Investigator

Colorado Springs, CO · On-site

$53K - $80K/yr

As a desk investigator with our Fraud Unit, you'll reconstruct up to six years of income history ... Reviews public assistance benefits and case records; conducts interviews, obtains statements from ...

Fraud Investigator

Tampa, FL · Hybrid

$65K - $80K/yr

The Investigator will complete fraud investigations to ensure that potentially suspicious ... MUFG Benefits Summary The above statements are intended to describe the general nature and level of ...

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ACE Fraud Investigator

Detroit, MI · On-site

$28 - $35/hr

Benefits: * Health insurance * Paid time off Education: Bachelor's degree required Experience: Fraud Investigation - 1 year required Ability to Commute: Detroit, MI 48226 required Company Description ...

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Fraud Investigator

San Jose, CA · On-site

$121K - $208K/yr

Responsibilities - Conduct investigations of policy violations, data leakage, fraud and financial ... Benefits may vary depending on the nature of employment and the country work location. Employees ...

JR2026-00028695 Provider Fraud Investigator (Evergreen) (Open) Applications No Longer Accepted On ... Benefits We offer a comprehensive package of pay, benefits, paid time off, retirement and ...

Fraud Investigator I

Miramar, FL · On-site

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Monday - Friday: 8:00 a.m. - 5:00 p.m Rotating Saturdays SCCU Benefits * Health & Wellness: Medical ...

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Benefit Fraud Investigator information

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How much do benefit fraud investigator jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for benefit 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 a benefit fraud investigator?

Benefit Fraud Investigators are professionals who work for government agencies or local authorities to detect, investigate, and prevent fraudulent claims for public benefits such as welfare, housing, or disability support. Their job involves gathering evidence, interviewing claimants and witnesses, conducting surveillance, and preparing reports for potential prosecution. By ensuring that only those eligible receive benefits, they help protect public funds and maintain the integrity of the welfare system.

What are the key skills and qualifications needed to thrive as a benefit fraud investigator?

To thrive as a Benefit Fraud Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice or a related field, often supported by relevant certifications. Familiarity with case management systems, data analysis tools, and legal research databases is typically required. Excellent communication, critical thinking, and discretion are essential soft skills for conducting interviews and handling sensitive information. These skills ensure effective detection, investigation, and prevention of fraudulent activities, protecting public resources and maintaining trust in benefit programs.

What are some common challenges benefit fraud investigators face during their investigations?

Benefit Fraud Investigators often encounter challenges such as gathering sufficient evidence while maintaining compliance with legal and ethical standards. They may deal with uncooperative individuals, complex financial records, and the need to work across multiple agencies. Additionally, managing a high caseload and staying updated on changing regulations can be demanding. Successful investigators rely on strong analytical, communication, and organizational skills to navigate these obstacles effectively.

What is the difference between Benefit Fraud Investigator vs Benefit Fraud Officer?

AspectBenefit Fraud InvestigatorBenefit Fraud Officer
CredentialsTypically requires relevant certifications or experience in fraud detectionSimilar credentials, often with additional training in social benefits
Work EnvironmentField investigations, interviews, and data analysisOffice-based work with case management and reporting
Employer & IndustryGovernment agencies, social servicesPublic sector, social welfare departments
Search & Comparison IntentHigh overlap, both focus on fraud detection in benefits

Benefit Fraud Investigators and Benefit Fraud Officers both work within social welfare agencies to detect and prevent benefit fraud. While their roles may differ slightly in focus or scope, they share similar credentials, work environments, and employer settings. The main difference lies in the specific job functions, with investigators often conducting field investigations and interviews, whereas officers may focus more on case management and reporting.

Are benefit fraud investigators in demand?

Benefit fraud investigators are in demand due to the need to detect and prevent fraudulent claims in social welfare programs. Employment in this field is expected to grow as governments prioritize fraud prevention and enforcement, often requiring skills in investigation, data analysis, and knowledge of benefit systems.

How hard is it to become a benefit fraud investigator?

Becoming a benefit fraud investigator typically requires a high school diploma or equivalent, with some positions preferring or requiring a college degree or relevant experience in investigations or social services. Candidates often need to pass background checks and may benefit from training in investigative techniques or certifications in fraud detection. The role involves understanding benefit programs, data analysis, and interviewing skills, but the difficulty varies depending on the employer and specific job requirements.

What qualifications do I need to be a benefit fraud investigator?

Benefit fraud investigators typically need a high school diploma or equivalent, with some roles preferring or requiring a college degree in criminal justice, law enforcement, or a related field. Relevant skills include attention to detail, analytical thinking, and knowledge of benefit programs and fraud detection methods; experience in law enforcement or investigations can be advantageous. Certifications such as the Certified Fraud Examiner (CFE) may also enhance qualifications.
More about Benefit Fraud Investigator jobs

What states have the most Benefit Fraud Investigator jobs?

States with the most job openings for Benefit Fraud Investigator jobs include:

Infographic showing various Benefit Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 70% Physical, 1% Hybrid, and 29% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

$22.91 - $31.97/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 7 days ago


Job description

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State's career page and indicate on the application that they have previously worked for the State.

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Department ofHealth and Human Services (DHHS)

Date: August 28, 2026

Closing Date:September 11, 2026

Job Class Code:5040

Grade:22 (Professional & Technical)

Salary:$22.91 - $31.97 per hour*

*This is inclusive of a 1.00% recruitment and retention stipend

Position Number:02000-1628

Location: Portland

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

As a Fraud Investigator you will:

  • Investigate and prepare cases of alleged public assistance fraud and/or related crimes for prosecution and recovery of overpayments.
  • Review of complaints of alleged public assistance fraud.
  • Interview witnesses, complainants, and others with knowledge of the facts.
  • Conduct fraud investigations.
  • Gather evidence.
  • Write investigation reports.
  • Refer cases for prosecution.
  • Investigate violations for administrative hearings and sanctions.
  • Testify as a State witness to facts developed during the conduct of an investigation.
  • This work requires extensive personal contact and the use of other appropriate investigative and collection techniques. State-wide travel is required.

Minimum Qualifications:

To qualify, your background must include:

  • a Baccalaureate Degree in Criminal Justice, Law, Business or Public Administration, or related field -AND-
  • one year experience in criminal investigation, law enforcement, forensic accounting, auditing, or related field. Directly related work experience may be substituted for education on a year-for-year basis.

The successful candidate must pass Criminal Justice Information Services ("CJIS") clearance, as well as a fingerprint background check.

*** To properly evaluate your experience, please respond to the following performance areas on a separate document and include with your cover letter:

  • Knowledge of investigative procedures, methods, techniques and use of associated equipment.
  • Experience in criminal investigations

Thinking about applying?

Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you're currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your experience and passion set you apart.

Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

The Office for Family Independence (OFI) is responsible for administration of eligibility determination for several programs, including MaineCare, Temporary Assistance for Needy Families (TANF), Food Supplement and Child Support. The Fraud Unit is tasked with identifying, investigating and presenting for prosecution or administrative hearing, all allegations of public benefits fraud in the State.

Application Information:

For additional information about this position please contact Tom Roth, Director of Fraud Operations at Thomas.J.Roth@Maine.gov

To apply, please upload a current resume, transcript or copy of degree (transcript/degree needed only if education is used to meet the minimum qualifications), and cover letter addressing the four (4) competencies listed above.

Please submit all documents or files in PDF or Word format.

To request a paper application, please contact Mandy.Hernandez@Maine.gov

Benefits of working for the State of Maine:

No matter where you work across Maine state government, you find employees who embody our state motto-"Dirigo" or "I lead"-as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:

  • Work-Life Fit- Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.
  • Health Insurance Coverage- The State of Maine pays85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value), depending on salary. Use this chart to find thepremium costsfor you and your family, including the percentage of dependent coverage paid by the State.
  • Health Insurance Premium Credit- Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information aboutprogram requirements.
  • Dental Insurance- The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
  • Retirement Plan- The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
  • Gym Membership Reimbursement - Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
  • Health and Dependent Care Flexible Spending Accounts - Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
  • Public Service Student Loan Forgiveness - The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.
  • Living Resources Program - Navigate challenging work and life situations with our employee assistance program.
  • Parental leaveis one of the most important benefits for any working parent. All employees who are welcoming a child-including non-birthing and adoptive parents-receivesix weeks of fully paid parental leave. Additional, unpaid leave may also be available, under theFamily and Medical Leave Act.
  • Voluntary Deferred Compensation - Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.

State employees are eligible for anextensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.

Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated foranything less than full-time.

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.

As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.

If you're looking for a great next step, and want to feel good about what you do, we'd love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.

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If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.