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Contract Worker Compensation Fraud Investigator Jobs

Fraud Investigator I

Rocky Mount, NC ยท 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 ...

New

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

BSA Fraud Investigator

Lakeville, CT ยท On-site

$21.29 - $28.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to multi-task, working multiple inquiries/investigations simultaneously. Tasks Performed ... Total Rewards NBT recognizes and rewards your contributions with competitive compensation ...

Fraud Investigator I

Miramar, FL ยท On-site

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Fraud Investigator I Compensation: * Starting Salary: $28.13 - $29.79 hourly * Bonus Opportunity: Eligible for ONE SCCU Annual Bonus. Work Schedule * Hybrid and Flexible Schedule Options : This ...

Fraud Investigator I

Melbourne, FL ยท Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Fraud Investigator I Compensation: * Starting Salary: $28.13 - $29.79 hourly * Bonus Opportunity: Eligible for ONE SCCU Annual Bonus. Work Schedule * Hybrid and Flexible Schedule Options : This ...

Fraud Investigator I

Anchorage, AK ยท On-site

$63K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Compensation Starting base salary will be determined based on candidate experience, qualifications ...

Fraud Investigator I

Miramar, FL ยท Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Fraud Investigator I Compensation: * Starting Salary: $28.13 - $29.79 hourly * Bonus Opportunity: Eligible for ONE SCCU Annual Bonus. Work Schedule * Hybrid and Flexible Schedule Options : This ...

Fraud Investigator I

Melbourne, FL ยท On-site

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Fraud Investigator I Compensation: * Starting Salary: $28.13 - $29.79 hourly * Bonus Opportunity: Eligible for ONE SCCU Annual Bonus. Work Schedule * Hybrid and Flexible Schedule Options : This ...

BSA Fraud Investigator

Lakeville, CT ยท On-site

$21.29 - $28.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to multi-task, working multiple inquiries/investigations simultaneously. Tasks Performed ... Total Rewards NBT recognizes and rewards your contributions with competitive compensation ...

Investigator - Medicaid Fraud Job Requisition ID: JR0000000386 Number of Openings: 1 Shift ... Day (United States of America) Compensation Details: STARTING IN THE $50'S (COMMENSURATE WITH ...

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Contract Worker Compensation Fraud Investigator information

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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:

Fraud Investigator I

First Carolina Bank

Rocky Mount, NC โ€ข On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Job description

Join Our Team-Where Protection, Investigation, and Purpose Matter

At BM Technologies, protecting our customers and safeguarding their financial well-being is a responsibility we take seriously. Our Fraud Investigators play a critical role in identifying suspicious activity, investigating fraud claims, mitigating losses, and helping strengthen our fraud prevention efforts. If you're analytical, detail-oriented, and motivated by solving complex problems, this role offers meaningful impact and professional growth.

Why You'll Love This Role

  • You'll play a direct role in protecting customers and the organization from fraud-related losses.
  • You'll be trusted to investigate complex situations and make informed decisions.
  • You'll work alongside Fraud Prevention, Compliance, Risk Management, Operations, and other key business partners.
  • You'll continuously learn about emerging fraud schemes, trends, and prevention strategies.
  • You'll have opportunities to develop your expertise within a growing fintech and banking environment.
  • You'll be recognized for critical thinking, sound judgment, and attention to detail.

This role is ideal for someone who enjoys investigating issues, uncovering patterns, and helping protect customers through thoughtful analysis and action.

Where You'll Spend Time

  • Investigating allegations and suspicions of customer fraud activity.
  • Reviewing account activity, transaction details, supporting documentation, and fraud indicators.
  • Communicating with customers, merchants, and internal partners regarding fraud claims and investigations.
  • Researching cases using fraud tools, reporting systems, and available resources.
  • Identifying fraud trends, patterns, and opportunities to reduce future risk.
  • Collaborating with Fraud Prevention, Compliance, Risk Management, and Operational teams to improve controls and processes.

Work is performed in a fast-paced, investigative environment that values critical thinking, accuracy, accountability, and customer protection.

What Makes You a Great Fit

  • You are analytical, curious, and naturally inclined to investigate problems.
  • You can evaluate information objectively and make sound decisions.
  • You pay close attention to detail and maintain a high level of accuracy.
  • You communicate clearly and professionally with both internal and external stakeholders.
  • You remain organized while managing multiple priorities and deadlines.
  • You enjoy collaborating with others while maintaining ownership of your work.
  • You thrive in environments that require accountability, professionalism, and adaptability.

What You'll Do (Highlights)

  • Investigate fraud claims involving customer accounts, transactions, and related activity.
  • Analyze documentation and account information to determine appropriate case resolution.
  • Evaluate chargeback eligibility and support recovery efforts where appropriate.
  • Document investigative findings thoroughly and accurately.
  • Identify fraud trends and escalate emerging risks to management.
  • Take timely action to help prevent future fraud while minimizing customer impact.
  • Support fraud reporting, case management, and departmental initiatives.
  • Assist with projects and additional responsibilities as assigned.

Qualifications

Required

  • Minimum of 3 years of fraud investigation experience, preferably within financial services.
  • Strong understanding of fraud investigation practices and procedures.
  • Excellent verbal and written communication skills.
  • Strong analytical, organizational, and problem-solving abilities.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Ability to exercise sound judgment and maintain confidentiality.
  • Willingness to adapt, learn, and support other areas as business needs evolve, with or without reasonable accommodation.

Preferred

  • Experience in banking, fintech, financial services, or another regulated industry.
  • Knowledge of banking systems, fraud detection tools, and case management platforms.
  • Experience with fraud reporting, risk mitigation, and customer protection activities.
  • Proficiency in Microsoft Word, Excel, and Outlook.
  • Associate or Bachelor's degree in Criminal Justice, Finance, Business, Risk Management, or a related field (or equivalent experience).

Benefits

  • Competitive total compensation
  • Comprehensive medical, dental, and vision insurance
  • Retirement savings plans with company match
  • Paid time off and company-observed holidays
  • Professional development and training opportunities
  • Employee assistance programs
  • Opportunities to serve and support our communities

Risk Management Requirements

This position requires adherence to Workplace Policies, Code of Conduct, privacy and information security standards, and all applicable Anti-Money Laundering, Bank Secrecy Act, and USA PATRIOT Act requirements. Employees are expected to operate within authorized limits, follow established controls, and actively support risk mitigation efforts to protect customers, partners, and the organization.

Why Fraud Professionals Choose BM Technologies

Fraud prevention is constantly evolving, and so are we. At BM Technologies, you'll investigate complex cases, identify emerging fraud trends, and help protect our customers and business. You'll partner across the organization, influence meaningful outcomes, and continue building your expertise in a dynamic fintech environment.

Our core values guide everything we do:

  • Enterprising - We proactively identify risks and pursue innovative solutions.
  • Intentional - We investigate thoroughly, act thoughtfully, and hold ourselves accountable.
  • Responsive - We move quickly to address threats, support customers, and mitigate risk.
  • Considerate - We lead with professionalism, integrity, and respect in every interaction.

If you're passionate about protecting others, solving complex problems, and making a difference, you'll find a rewarding career at BM Technologies.