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Dental Insurance Fraud Jobs (NOW HIRING)

Fraud Analyst

New York, NY · On-site

$100K - $135K/yr

We are seeking a Fraud Analyst to join our BSA/AML team. In this role, you will support the ... and dental coverage, access to a 401(k) retirement plan, short & long-term disability insurance ...

SIU Investigator

Syracuse, NY · On-site

$30 - $35/hr

Ability to investigate multiple insurance lines of business for potential fraud * Conduct phone or ... VRC also offers medical, dental, vision, disability benefits, as well as paid vacation, and a 401K ...

Ability to investigate multiple insurance lines of business for potential fraud * Conduct phone or ... VRC also offers medical, dental, vision, disability benefits, as well as paid vacation, and a 401K ...

Litigation Paralegal

Madison, MS · On-site

$40K - $60K/yr

With rare certification in insurance fraud investigation, our client handles complex and high-risk ... Dental insurance * Health insurance * Paid time off * Vision insurance

Drives fraud trend detection, identity theft prevention, and fraud control enhancements while ... dental, vision) * Basic term and optional term life insurance * Short-term and long-term disability

Drives fraud trend detection, identity theft prevention, and fraud control enhancements while ... dental, vision) * Basic term and optional term life insurance * Short-term and long-term disability

Drives fraud trend detection, identity theft prevention, and fraud control enhancements while ... dental, vision) * Basic term and optional term life insurance * Short-term and long-term disability

We are seeking a Fraud Analyst to join our BSA/AML team. In this role, you will support the ... and dental coverage, access to a 401(k) retirement plan, short & long-term disability insurance ...

Showing results 41-60

Dental Insurance Fraud information

See salary details

$26K

$48.4K

$73K

How much do dental insurance fraud jobs pay per year?

As of Aug 22, 2026, the average yearly pay for dental insurance fraud in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is dental insurance fraud?

Dental insurance fraud is the act of intentionally deceiving or misrepresenting information to a dental insurance provider in order to receive unauthorized benefits or payments. This can be committed by dentists, staff, or patients, and examples include billing for services not provided, upcoding procedures, submitting false claims, or misrepresenting patient information. Dental insurance fraud is illegal and can result in severe penalties, including fines, loss of license, and even imprisonment. Insurance providers use various methods to detect and prevent fraud, and both dental professionals and patients should be aware of the consequences of fraudulent activities.

What are some common challenges faced by professionals working in dental insurance fraud investigation?

Professionals in dental insurance fraud investigation often face the challenge of distinguishing between genuine billing errors and intentional fraudulent activities. The role requires careful analysis of dental records, claims data, and provider patterns, often under tight deadlines. Investigators must also stay updated on the latest fraud schemes and maintain clear communication with dental providers, insurance teams, and sometimes law enforcement. Attention to detail and strong ethical standards are essential to succeed in this collaborative and fast-paced environment.

What are the key skills and qualifications needed to thrive as a dental insurance fraud investigator, and why are they important?

To thrive as a Dental Insurance Fraud Investigator, you need a strong background in insurance principles, dental terminology, and investigative techniques, often supported by a degree in criminal justice or a related field. Familiarity with claims management systems, data analysis tools, and sometimes certifications like Certified Fraud Examiner (CFE) are typically required. Attention to detail, analytical thinking, and strong communication skills help investigators identify patterns, interview stakeholders, and document findings effectively. These skills are crucial to accurately detecting and preventing fraud, protecting both patients and insurance providers from financial loss.

What is the difference between Dental Insurance Fraud vs Dental Claims Examiner?

AspectDental Insurance FraudDental Claims Examiner
Required CredentialsKnowledge of insurance policies, fraud detection skillsDental coding, claims processing, insurance knowledge
Work EnvironmentInsurance companies, fraud investigation unitsDental offices, insurance companies, claims departments
Employer & Industry UsageInsurance providers, fraud agenciesDental practices, insurance companies
Search & Comparison IntentUnderstanding fraud detection vs claims processing

Dental Insurance Fraud involves identifying and preventing fraudulent activities related to dental insurance claims, focusing on detecting deception and illegal activities. Dental Claims Examiners review and process dental insurance claims, ensuring accuracy and compliance. While both roles require insurance knowledge, fraud specialists focus on investigation, whereas claims examiners handle claim processing. Understanding these differences helps clarify career paths and job functions within the dental insurance industry.

More about Dental Insurance Fraud jobs

What states have the most Dental Insurance Fraud jobs?

States with the most job openings for Dental Insurance Fraud jobs include:

Infographic showing various Dental Insurance Fraud job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

SIU Investigator (Part-Time)

VRC Investigations

Birmingham, AL • On-site

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago


Job description

We currently have opportunities for experienced, self-determined, and highly motivated Part-Time SIU FIELD INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud. We have several work from home, part-time and full-time hourly positions available in our rapidly expanding Special Investigations Unit. This hybrid style position that requires travel within the advertised city and state.
VRC is seeking qualified candidates to conduct multi-line insurance investigations suspected of insurance fraud or other irregularities as requested by our clients by obtaining in-person interviews; identifying, collecting and preserving relevant evidence and documenting all findings into a clear, concise and timely investigative report. SIU investigates auto, property, Workers' Compensation, and liability claims of varying complexity in which specific indicators have been identified; and coordinates with law enforcement and / or the state fraud bureaus for regulatory compliance and criminal prosecutions.
The successful candidate will have related experience in one or more of the follow areas:
A minimum of 5-10 years of experience as a:
  • Private Investigator / SIU Investigator
  • Claims Adjuster
  • Law Enforcement
  • Military Police / CID
  • Or other related investigative fields

Core Duties & Responsibilities:
  • Ability to investigate multiple insurance lines of business for potential fraud
  • Conduct phone or in-person recorded statements with insureds, claimants, and witnesses
  • Provide daily updates regarding current files
  • Conduct scene investigations
  • Obtain investigative photographs
  • Maintain and report investigative expenses
  • Completes detailed and accurate investigative reports

Applicants must meet the following requirements:
  • Excellent verbal and written communication skills
  • Ability to analyze information, develop logical questions and accurately report findings
  • Proficiency in Microsoft Office programs
  • Excellent time management skills
  • A customer service focus
  • A strong desire to learn and work as a team
  • Be willing to travel
  • Possess a valid driver's license and provide MVR
  • Current Private Investigator license may be required in some states
  • Must pass a drug test, and pre-employment testing
  • Upon hiring, paid formal training is provided.

Benefits:
VRC provides their investigators with necessary equipment and comparable pay to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. VRC also offers medical, dental, vision, disability benefits, as well as paid vacation, and a 401K/Profit Sharing retirement plan.
Compensation:
VRC employees are paid on a bi-weekly basis. Investigators are paid a competitive hourly wage to commensurate with experience.
For more information and to apply, please visit our web site located at https://vrcinvestigations.com/