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Claims Investigator Jobs in Riverside, CA (NOW HIRING)

Ethos Risk Services

Investigator

San Bernardino, CA · On-site

$30 - $40/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

San Bernardino, CA

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

New

Ethos Risk Services

Investigator

San Bernardino, CA · On-site

$30 - $40/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

New

Ethos Risk Services

Entry-Level Investigator

Riverside, CA

$48K - $59K/yr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and ...

Progressive

Claims Adjuster Senior - Injury

Irvine, CA · Hybrid

$39 - $51/hr

Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and ...

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Showing results 1-20

All JobsClaims Investigator JobsClaims Investigator Jobs in Riverside, CA

Claims Investigator information

See Riverside, CA salary details

$36.5K

$68.1K

$93.4K

How much do claims investigator jobs pay per year?

As of Aug 11, 2026, the average yearly pay for claims investigator in Riverside, CA is $68,066.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,300.00 and $78,200.00 per year, depending on experience, location, and employer.

What is the difference between Claims Investigator vs Claims Adjuster?

AspectClaims InvestigatorClaims Adjuster
CredentialsTypically requires insurance-related certifications, such as CPCU or AICOften requires similar certifications, plus state licensing
Work EnvironmentInvestigates claims, interviews witnesses, reviews evidenceEvaluates damages, negotiates settlements, inspects property or vehicle
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, public adjusters, third-party administrators

Claims Investigators focus on uncovering facts and verifying claims, often conducting interviews and investigations. Claims Adjusters evaluate damages and negotiate settlements. While both roles require insurance knowledge and certifications, Investigators emphasize investigation skills, whereas Adjusters focus on assessment and negotiation.

What are some typical challenges faced by claims investigators and how can they be addressed?

Claims Investigators often encounter challenges such as managing a large caseload, dealing with incomplete or conflicting information, and handling sensitive interactions with claimants and witnesses. To address these, strong organizational skills, attention to detail, and effective communication are essential. Collaborating closely with legal teams, insurance adjusters, and law enforcement can also help resolve complex cases more efficiently. Regular training and staying updated on industry regulations further support investigators in overcoming these challenges.

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

To thrive as a Claims Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice, insurance, or a related field. Familiarity with case management software, database research tools, and sometimes certifications like Certified Fraud Examiner (CFE) are typically used. Excellent communication, discretion, and critical thinking help build trust and accurately assess complex situations. These skills are vital for efficiently detecting fraud, ensuring accurate claim resolutions, and maintaining the integrity of the claims process.

What is a claims investigator?

A claims investigator researches insurance claims to ensure that they are valid and accurate. While many insurance claims result in the claimants being compensated, for claims in which criminal activity or fraud is suspected, the claims investigator must interview people, conduct background checks, review forensic evidence, and advise insurance companies on how to proceed with the claim. The claims investigator saves insurance companies time and money by investigating key information about all claims.

More about Claims Investigator jobs
What are popular job titles related to Claims Investigator jobs in Riverside, CA? For Claims Investigator jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Claims Investigator jobs in Riverside, CA look for? The top searched job categories for Claims Investigator jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Claims Investigator jobs? Cities near Riverside, CA with the most Claims Investigator job openings:
Claims Investigator jobs near you
Infographic showing various Claims Investigator job openings in Riverside, CA as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 83% Physical, 5% Hybrid, and 12% Remote job distribution, with an average salary of $68,066 per year, or $32.7 per hour.

Retail Claims Investigator

Rebel Convenience Stores

Upland, CA • On-site

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Job description

We're looking for a detail-oriented Claims Investigator to support the fair, accurate, and timely resolution of general liability, property damage, and Injury claims across our convenience store and fuel station locations.
In this role, you'll conduct fact-based investigations, gather evidence, interview involved parties, and provide clear, well-documented findings that support claim decisions. This position partners closely with the Claims Manager and collaborates with internal teams, insurance carriers, third-party administrators, and legal partners.
If you have a background in investigations and enjoy uncovering facts, assessing risk, and supporting sound outcomes, then this may just be the role for you!
What You'll Do
  • Investigate general liability incidents such as slip/trip and falls or customer injuries
  • Investigate property damage claims involving customers or third-party vendors
  • Investigate carwash incidents involving customer vehicle damage
  • Collect evidence, review documentation, conduct interviews, and analyze surveillance footage
  • Evaluate facts to assess liability, identify root cause, and flag potential fraud or negligence
  • Prepare clear, professional investigative reports for claim evaluation and litigation support
  • Maintain accurate and timely documentation in the claims management system
  • Communicate findings, concerns, and red flags to the General Liability Claims Manager
  • Coordinate with insurance carriers, TPAs, legal counsel, and store-level teams
  • Assist with customer outreach or follow-up as needed

Requirements
What You Bring
  • 2+ years of investigative experience in law enforcement, private investigation, insurance claims, loss prevention, or risk management
  • Strong analytical and critical-thinking skills with the ability to assess liability objectively
  • Professional and confident communication style when interacting with claimants, store teams, and legal partners
  • Excellent written and verbal communication skills
  • Proficiency in Microsoft Word, Excel, and Outlook
  • Ability to remain calm and professional in sensitive or high-stress situations
  • Experience reviewing surveillance footage and working with DVR systems is a plus
  • Collaborative mindset with a strong track record of working effectively across teams
  • Bachelor's degree preferred, or an equivalent combination of education and experience

Pay for this position is $25-$30 an hour DOE
Benefits
  • Medical, Dental, Vision and Life Insurance
  • 401K Plan
  • Paid Time Off

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