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Contract Worker Compensation Fraud Investigator Jobs

Fraud Investigator

Flint, MI

$35.60 - $39.47/hr

... workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The ...

Fraud Investigator

Silver Spring, MD · Hybrid

$69K - $108K/yr

  • Medical

  • Retirement

Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...

Fraud Investigator

Silver Spring, MD · On-site

$69K - $108K/yr

  • Medical

  • Retirement

Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...

... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...

New

Fraud Investigator

Ogden, UT · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Fraud Investigator is responsible for detecting, investigating, and preventing fraudulent ... The position requires strong analytical ability, sound judgment, and a working understanding of ...

Fraud Investigator

Tampa, FL · Hybrid

$65K - $80K/yr

  • Medical

  • Retirement

  • PTO

The Investigator will complete fraud investigations to ensure that potentially suspicious ... compensation. Additionally, our Total Rewards program provides colleagues with a competitive ...

Fraud Investigator

San Jose, CA · On-site

$121K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Responsibilities - Conduct investigations of policy violation, data leakage, fraud and financial ... Compensation may vary outside of this range depending on a number of factors, including a candidate ...

Provider Fraud Investigator

Lincoln, NE · On-site

$25.61/hr

  • Life

  • Retirement

  • PTO

Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...

Provider Fraud Investigator

Lincoln, NE

$25.61/hr

  • Life

  • Retirement

  • PTO

Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...

New

Fraud Investigator I

Rocky Mount, NC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Our Fraud Investigators play a critical role in identifying suspicious activity, investigating ... Competitive total compensation * Comprehensive medical, dental, and vision insurance * Retirement ...

Fraud Investigator I

Newport News, VA · On-site

$52K - $79K/yr

The Fraud Investigator plays a key role in the Credit Union's fraud prevention and compliance ... This is not an all-inclusive list of the responsibilities, skills, working conditions or essential ...

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... Presentation/PowerPoint, Programming Languages, Spreadsheet WORKING CONDITIONS Periodically exposed ...

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... Presentation/PowerPoint, Programming Languages, Spreadsheet WORKING CONDITIONS Periodically exposed ...

Fraud Investigator I

Greenville, SC · On-site

$19.10 - $28.52/hr

Working in a fast-paced environment, the Fraud Investigator I partners with customers and internal teams to resolve fraud cases, maintain regulatory compliance, and identify emerging fraud trends and ...

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Contract Worker Compensation Fraud Investigator information

See salary details

$15

$30

$53

How much do contract worker compensation fraud investigator jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for contract worker compensation 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 contract worker compensation fraud investigator?

Contract Worker Compensation Fraud Investigators are professionals who specialize in detecting and preventing fraudulent claims related to workers' compensation, specifically for contract or freelance workers. They analyze documentation, interview involved parties, and collaborate with insurance companies and legal entities to uncover false or exaggerated claims. Their work helps ensure that only legitimate claims are paid, protecting organizations from financial losses due to fraud. These investigators often have backgrounds in law enforcement, insurance, or legal fields, and utilize a range of investigative techniques to gather evidence.

What are some common challenges faced by contract worker compensation fraud investigators during investigations?

Contract Worker Compensation Fraud Investigators often face challenges such as gathering sufficient evidence when documentation is incomplete or when parties involved are uncooperative. Additionally, distinguishing between genuine claims and fraudulent ones requires keen attention to detail and persistence, as fraud can be sophisticated and difficult to detect. Investigators must also balance a high caseload while adhering to strict legal and ethical standards, often collaborating closely with legal teams, law enforcement, and insurance professionals to ensure accurate and fair resolutions.

What are the key skills and qualifications needed to thrive as a contract worker compensation fraud investigator, and why are they important?

To thrive as a Contract Worker Compensation Fraud Investigator, you need strong analytical skills, knowledge of insurance regulations, and experience in claims investigation, often supported by a degree in criminal justice or a related field. Familiarity with case management software, data analysis tools, and sometimes a Certified Fraud Examiner (CFE) credential is typical. Exceptional attention to detail, critical thinking, and effective communication set outstanding investigators apart. These skills and qualifications are crucial for accurately identifying fraudulent claims, ensuring regulatory compliance, and protecting organizational assets.

What is the difference between Contract Worker Compensation Fraud Investigator vs Workers' Compensation Claims Adjuster?

AspectContract Worker Compensation Fraud InvestigatorWorkers' Compensation Claims Adjuster
CredentialsTypically requires certifications in fraud detection, investigations, or related fields; may include state licensingRequires adjuster licenses, knowledge of insurance policies, and claims processing certifications
Work EnvironmentInvestigates suspected fraud cases, often in the field or office, focusing on fraud detectionHandles claims processing, customer interactions, and policy evaluations, mainly in office settings
Employer & IndustryEmployed by insurance companies, government agencies, or private investigators in the insurance industryEmployed by insurance carriers, third-party administrators, or self-insured employers

The Contract Worker Compensation Fraud Investigator focuses on detecting and preventing fraudulent claims related to workers' compensation, requiring investigative skills and fraud-specific certifications. In contrast, the Workers' Compensation Claims Adjuster manages legitimate claims, evaluates coverage, and processes benefits. Both roles are essential in the workers' compensation industry but serve different functions within the claims process.

How much do contract worker compensation fraud investigators earn?

Contract worker compensation fraud investigators typically earn between $40,000 and $70,000 annually, depending on experience, location, and the complexity of cases handled. They often work for government agencies or insurance companies and may require knowledge of investigation techniques and relevant software tools.

How to become a contract worker compensation fraud investigator?

To become a contract worker compensation fraud investigator, candidates typically need a background in criminal justice, law enforcement, or insurance claims, along with strong analytical and investigative skills. Relevant certifications, such as those in fraud examination or insurance claims, can enhance prospects, and experience with data analysis tools or interviewing techniques is beneficial. Employment often requires passing background checks and may involve working independently or remotely on a contractual basis.

What qualifications do I need to be a contract worker compensation fraud investigator?

A contract worker compensation fraud investigator typically needs a background in criminal justice, law enforcement, or a related field, along with experience in investigations or claims processing. Strong analytical skills, attention to detail, and knowledge of insurance or workers' compensation laws are important, and some roles may require relevant certifications such as Certified Fraud Examiner (CFE).

What cities are hiring for Contract Worker Compensation Fraud Investigator jobs?

Cities with the most Contract Worker Compensation Fraud Investigator job openings:

What are the most commonly searched types of Worker Compensation Fraud Investigator jobs?

The most popular types of Worker Compensation Fraud Investigator jobs are:

What states have the most Contract Worker Compensation Fraud Investigator jobs?

States with the most job openings for Contract Worker Compensation Fraud Investigator jobs include:

$35.60 - $39.47/hr

Full-time

Re-posted 5 days ago


Job description

Pre-Employment Requirements Employment is contingent upon successful completion of all applicable pre-employment screenings and verification of eligibility to work in the United States, in accordance with applicable laws, civil service rules, and collective bargaining agreements. GENERAL STATEMENT OF DUTIES Under general direction, performs advanced professional investigative work involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, misuse of City assets, procurement irregularities, payroll fraud, workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The Fraud Investigator is responsible for planning and conducting confidential administrative investigations; gathering and preserving evidence; interviewing complainants, witnesses, employees, contractors, and other involved parties; analyzing investigative findings; preparing comprehensive written reports; and presenting investigative conclusions and recommendations to City leadership.

Work requires the exercise of independent judgment, discretion, objectivity, and sound investigative practices. Performs related work as required. DUTIES AND RESPONSIBILITIES Conducts confidential administrative investigations involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, conflicts of interest, residency violations, payroll and workers' compensation fraud, procurement irregularities, misuse of City assets, and other violations of City policies and applicable laws.

Plans and conducts investigations using accepted investigative practices. Interviews complainants, witnesses, employees, contractors, supervisors, and other involved parties; obtains written statements and supporting documentation. Collects, reviews, analyzes, and preserves documentary, financial, electronic, and physical evidence while maintaining proper chain of custody.

Reviews payroll, personnel, purchasing, financial, attendance, electronic communications, surveillance, GPS, and other records relevant to investigations. Prepares comprehensive investigative reports documenting findings, evidence, conclusions, and recommendations. Presents investigative findings to City leadership and coordinates investigations with legal counsel, law enforcement, regulatory agencies, and other governmental entities as appropriate.

Provides testimony during administrative hearings, arbitration proceedings, court proceedings, unemployment hearings, and other legal or administrative proceedings. Recommends improvements to internal controls, policies, and procedures to reduce fraud and organizational risk. Maintains strict confidentiality of investigative information and performs related work as assigned.

MINIMUM ENTRANCE REQUIREMENTS Bachelor's degree from an accredited college or university in Criminal Justice, Accounting, Finance, Public Administration, Business Administration, Human Resources, Law Enforcement, or a closely related field. Three to five years of progressively responsible professional experience conducting fraud investigations, administrative investigations, internal investigations, compliance investigations, internal auditing, human resources investigations, law enforcement investigations, or other closely related investigative work. Equivalent combinations of education, training, and experience that provide the required knowledge, skills, and abilities may be considered.

NECESSARY SPECIAL REQUIREMENT(S): Possession of a valid Michigan driver's license. SUPPLEMENTAL INFORMATION Thorough knowledge of modern investigative principles, practices, and techniques. Thorough knowledge of administrative investigations involving employee misconduct and fraud.

Knowledge of labor relations principles, collective bargaining agreements, employment law, and personnel practices. Knowledge of financial investigations and internal controls. Knowledge of evidence collection, documentation, preservation, and chain of custody requirements.

Knowledge of applicable federal, state, and local laws governing employment, public records, ethics, and fraud investigations. Ability to objectively investigate sensitive and confidential matters. Ability to analyze complex information, identify inconsistencies, and draw sound conclusions.

Ability to conduct effective interviews involving employees, management, complainants, and witnesses. Ability to prepare clear, concise, and comprehensive investigative reports. Ability to communicate effectively both orally and in writing.

Ability to establish and maintain effective working relationships with elected officials, department directors, employees, labor representatives, law enforcement agencies, and the public. Ability to maintain confidentiality and exercise sound professional judgment. Ability to testify effectively during administrative and judicial proceedings.

Ability to organize multiple investigations and meet deadlines with minimal supervision. Ability to successfully complete a comprehensive background investigation. Ability to obtain and maintain access to confidential investigative systems and records.

Must maintain strict confidentiality regarding investigative activities and information. Submitting an application does not guarantee that you will be contacted for further consideration. Applicants selected for an interview will be contacted directly by the hiring department.

Due to varying hiring timelines and recruitment processes, not all applicants may receive notification of the final hiring decision. Equal Employment Opportunity Statement The City of Flint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, veteran status, or any other legally protected status.

Americans with Disabilities Act (ADA) Notice Applicants requiring reasonable accommodation to participate in the hiring or selection process should contact the Human Resources Department.