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How much do disability fraud investigator jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for disability 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 disability fraud investigator?

A Disability Fraud Investigator is responsible for identifying and investigating potential cases of disability fraud, where individuals may be falsely claiming benefits. They gather evidence, conduct surveillance, interview witnesses, and collaborate with government agencies or insurance companies. Their goal is to ensure that disability benefits are only awarded to those who genuinely qualify, helping to prevent financial loss due to fraudulent claims. Investigators must have strong analytical skills, attention to detail, and knowledge of relevant laws and regulations.

What are the typical daily responsibilities of a disability fraud investigator?

As a Disability Fraud Investigator, your day-to-day tasks may include reviewing claim files, gathering and analyzing evidence, conducting interviews with claimants and witnesses, and writing detailed investigation reports. You’ll also perform field surveillance, collaborate with legal and medical professionals, and sometimes testify in hearings or court proceedings. The role is often a mix of office-based analysis and fieldwork, requiring flexibility and strong organizational skills. Working as part of an investigative team or in close partnership with insurance companies and government agencies is common, providing opportunities for ongoing learning and professional development.

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

To thrive as a Disability Fraud Investigator, a strong background in investigative methods, regulatory knowledge, and analytical thinking is essential, often supported by a degree in criminal justice or a related field. Familiarity with case management software, surveillance technology, and records databases is commonly required, along with certifications such as CFE (Certified Fraud Examiner) being advantageous. Exceptional attention to detail, discretion, and strong communication skills help investigators build trust, document findings, and collaborate with other professionals. These skills and qualities are crucial for accurately detecting fraudulent claims, ensuring compliance, and maintaining integrity in disability benefit programs.

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Infographic showing various Disability Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 3% Contract, and 1% Nights. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • Remote

Full-time

Posted 23 days ago


Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

41st of 893 rated healthcare providers


Job description

Bilingual Spanish Junior Healthcare Fraud Investigator:

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.

As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.

What you'll do:

  • Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations

  • Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies

  • Support on-site inspections and patient/provider interviews as necessary

  • Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate

  • Prepare reports to expedite tracking and reporting of investigations

Requirements:

  • Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits

  • Bilingual Spanish

  • A bachelor's degree in a Criminal Justice, or related field

  • 1+ years professional work experience, preferably with health insurance investigations/audit

  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word

  • Excellent verbal and written communication skills, along with ability to effectively manage conflict

  • Keen ability to deal with ambiguity and leverage reasoning skills

  • Possession of a strong desire and demonstrated ability to lead


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

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