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Entry Level Insurance Fraud Investigator Jobs (NOW HIRING)

City of Alexandria

Fraud Investigator I

Courtland, VA · On-site

Title Description- Fraud Investigator I represents the entry level and works under close supervision while being trained in investigating fraud for a variety of social services and government ...

New

APGFCU

Fraud Investigator

Edgewood, MD · On-site

As a Fraud Investigator, you'll play a critical role in protecting APGFCU, our members, and our ... insurance providers, and industry partners to investigate cases, recover losses, support ...

TikTok

Fraud Investigator

San Jose, CA · On-site

$121K - $208K/yr

Responsibilities - Conduct investigations of policy violations, data leakage, fraud and financial ... Employees have day one access to medical, dental, and vision insurance, a 401(k) savings plan with ...

Shell FCU

Fraud Investigator

Deer Park, TX · On-site

Conducts investigations into suspicious activity, including but not limited to scams, check/wire/ACH/card fraud, identity theft, insurance fraud, account takeovers, electronic crimes and elder abuse.

State of California

INVESTIGATOR

California, MO · On-site

$6.3K - $10K/mo

... entry level to highly complex duties and casework. Investigators conduct criminal investigations of felony violations of State and Federal law relating to insurance fraud and white-collar crime.

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How much do entry level insurance fraud investigator jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for entry level insurance 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 does an entry level insurance fraud investigator do?

An Entry Level Insurance Fraud Investigator is responsible for examining and evaluating insurance claims to detect potential fraud or misrepresentation. They gather evidence, interview claimants and witnesses, and review documents to assess the legitimacy of claims. Their work helps insurance companies prevent losses due to fraudulent activities and ensures that only valid claims are paid. Entry-level investigators usually work under the guidance of experienced professionals and may assist in preparing reports or recommending further action.

What are the key skills and qualifications needed to thrive as an entry level insurance fraud investigator?

To thrive as an Entry Level Insurance Fraud Investigator, you need strong analytical skills, attention to detail, and a bachelor's degree in criminal justice or a related field. Familiarity with case management software, claims databases, and basic investigative tools is typically required. Excellent communication, critical thinking, and the ability to remain objective under pressure are the soft skills that set top performers apart. These competencies are crucial for detecting fraudulent activity, ensuring thorough investigations, and protecting company assets and integrity.

What are some common challenges faced by entry level insurance fraud investigators, and how can they be overcome?

Entry level insurance fraud investigators often face challenges such as managing a heavy caseload, learning to identify subtle signs of fraud, and adapting to the fast pace of investigations. Building strong analytical and communication skills is essential, as is seeking guidance from more experienced team members. Regularly participating in training sessions and collaborating closely with claims adjusters and legal teams can help new investigators develop effective techniques and confidence in handling complex cases.
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Infographic showing various Entry Level Insurance Fraud Investigator job openings in the United States as of September 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigator I

Courtland, VA • On-site

Virginia Department of Social Services
Public Administration • 1 - 5K employees
Learn more about Virginia Department of Social Servicesexternal

$16.71/hr

Part-time

Posted 4 days ago

Virginia Alcoholic Beverage Control Authority rating

5.2

Company rating: 5.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description


Title Description- Fraud Investigator I represents the entry level and works under close supervision while being trained in investigating fraud for a variety of social services and government assistance programs. Upon recommendation by the supervisor, approval by the director, and successful completion of the training program, the employee shall be redefined to a full-performance Fraud Investigator II becomes eligible for a pay increase as defined by the local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud Investigator II by the latter's performing all the assigned fraud investigation duties independently and making judgments following agency practices and procedures and mandated Federal, State, or local laws and policies.
General Work Tasks (Illustrative Only) -
  • Receives, evaluates and tracks allegations of suspected fraud;
  • Conducts an inquiry and investigation into the allegation in an effort to determine intent or no intent on the part of the client in all program areas;
  • Determines an Administrative Disqualification or refers to the Commonwealth's Attorney Office;
  • Calculates overpayments when the overpayment is discovered through a fraud investigation;
  • Prepares reports;
  • Reviews all new policy and procedures; and
  • Maintains Fraud Free database tracking system.

Knowledge, Skills, and Abilities: Knowledge- Some knowledge of: investigative techniques; public assistance programs; legal proceedings; collection methods; self-defense; public assistance program policies and regulations; applicable laws, codes, policies and procedures, including civil and court procedures; basic human behavior; and social problems and resources.
Skills- Skill in operating a personal computer and the associated office and agency software.
Abilities- Demonstrated ability to: communicate effectively both orally and in writing; perform addition, subtraction, multiplication, and division; calculate overpayments and track payments; testify in court proceedings; establish and maintain effective working relationships with clients, associates, law enforcement, other agencies and others; work independently; analyze data, recognize gaps and collect information; draw legal and supportable conclusions; prepare reports; apply principles of persuasion and/or influence; document data from interviews, forms, and documents; and organize own work schedule.
Education and Experience- High school diploma supplemented by work experience and/or training involving human services program eligibility, case management work, or some legal work OR any equivalent combination of training and experience which provides the required knowledge, skills and abilities.

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