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Benefit Fraud Investigator Jobs (NOW HIRING)

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Voluntary cash benefits for accident, hospitalization and critical illness * Tuition Reimbursement

Fraud Investigator I

Melbourne, FL · Hybrid

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Rotating Saturdays SCCU Benefits * Health & Wellness: Medical, dental, and vision insurance, plus ...

Fraud Investigator I

Melbourne, 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 ... Rotating Saturdays SCCU Benefits * Health & Wellness: Medical, dental, and vision insurance, plus ...

Fraud Investigator I

Miramar, FL · Hybrid

$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 ...

Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career! Job Title: Investigator - Medicaid Fraud Job Requisition ID:

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Benefit Fraud Investigator information

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$15

$30

$53

How much do benefit fraud investigator jobs pay per hour?

As of Sep 6, 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.

Fraud Investigator I

Global Credit Union

Anchorage, AK • On-site

$63K - $99K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Global Credit Union rating

8.4

Company rating: 8.4 out of 10

Based on 17 frontline employees who took The Breakroom Quiz


Job description

Overview
Reports to: Fraud Operations Officer
Functions Supervised: None
Primary Functions: Carry out detailed investigations concerning potential losses and/or suspected criminal activity. Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters. Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Refer cases to law enforcement for prosecution and restitution. Review cases for accuracy and decide next steps, such as reimbursement, member contact, or government agency follow-up. Demonstrate prudent judgment in decision-making and maintain the highest standards of confidentiality.
Duties and Responsibilities:
  1. Monitor alert queues to help prevent fraudulent activity and reduce losses.
  2. Conduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities.
  3. Investigate discrepancies, gather all relevant information, and implement effective measures to mitigate and, when feasible, prevent losses related to fraud and identity theft.
  4. Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters.
  5. Locate video surveillance and review recorded calls to support investigations.
  6. Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Reports may be used in criminal proceedings or civil litigation.
  7. Create and maintain complete and accurate case files, including investigative notes and documentation in the case management system.
  8. Detect, monitor, and analyze fraud patterns and trends.
  9. Participate in root cause analysis reviews of large loss incidents to help identity process gaps and recommend policy changes.
  10. Adhere to all regulations and internal policies and procedures in the timely management of complaints, referrals, and reimbursements.
  11. Report suspicious activity as required by the Bank Secrecy Act.
  12. Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.
  13. Work with all law enforcement, protective agencies, and financial institution contacts for fraud related investigations.
  14. Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other relevant credit union departments.
  15. Handle incoming and outgoing calls to deliver information about fraud, identity theft, or the Member Identification Program to branches, the Member Service Center, lending departments, and members.
  16. Ensure compliance with laws, rules, regulations, policies and procedures applicable to assigned departments and related credit union activities
  17. Perform other duties as assigned.

Qualifications
Education: Bachelor's degree in Business Administration, Criminal Justice or related field
Creditable Experience in Lieu of Education: 3-4 years' experience in the area of financial crimes investigations, law enforcement, or related field.
Experience/Skills: Excellent interpersonal skills with the ability to build collaborative relationships with various business units. Strategic and tactical analysis skills. Demonstrates sound discretionary judgment and upholds strict confidentiality. Demonstrates strong proficiency in both oral and written communication. Capacity to work in a fast-paced and dynamic environment with a drive to deliver outstanding results. Thorough familiarity with banking and financial regulations. Experienced in conducting complex investigations related to potential losses and/or suspected criminal activity. Experience with courtroom testimony and legal protocols. Skilled in interview techniques. Experienced in leveraging fraud prevention and detection technologies and tools. Well-versed in strategies for mitigating and investigating Identity Theft, check, card, ACH, and payment fraud. Certified Fraud Examiner (CFE) or equivalent credentials are preferred.
Tenure: Assignment to the Fraud Investigator I (Category 10), or Fraud Investigator II (Category 09) position will be determined by the candidate's education or experience. Advancement requires management recommendation and will be based on the candidate's certifications and/or performance.
Compensation
Starting base salary will be determined based on candidate experience, qualifications, education, and applicable local or state wage requirements, and will fall within the range provided below. In accordance with our Salary Administration policy, new hire base salaries generally fall between the minimum and midpoint of the listed range.
Salary Pay Range: 09
$69,557 - $112,677 annually
Salary Pay Range: 10
$63,233 - $99,908 annually
Benefits
  • Short-term and long-term incentives
  • Comprehensive medical, dental and vision insurance plan that has HSA and FSA options
  • 401(k) plan with a 5% match
  • Employee Assistance Program (EAP)
  • Life and disability coverage
  • Voluntary cash benefits for accident, hospitalization and critical illness
  • Tuition Reimbursement
  • Generous leave programs to include Paid Time Off accrual, Paid Sick Leave, Paid Holidays
  • Click here to view Global's comprehensive Benefits Programs

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