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Entry Level Insurance Fraud Investigator Jobs in Florida

MyFlorida

SENIOR INVESTIGATOR - 41001289

Orlando, FL · On-site

$47K - $50K/yr

Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance ...

Assuranceamerica

SIU Desk Investigator - Tampa

Tampa, FL

$21 - $27/hr

The Desk Investigator conducts low to moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and injury claims. The Desk Investigator ...

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Entry Level Insurance Fraud Investigator information

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$11

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$39

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

As of Aug 8, 2026, the average hourly pay for entry level insurance fraud investigator in Florida is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $26.39 per hour, depending on experience, location, and employer.

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.

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 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 most commonly searched types of Insurance Fraud Investigator jobs in Florida? The most popular types of Insurance Fraud Investigator jobs in Florida are:
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What job categories do people searching Entry Level Insurance Fraud Investigator jobs in Florida look for? The top searched job categories for Entry Level Insurance Fraud Investigator jobs in Florida are:
What cities in Florida are hiring for Entry Level Insurance Fraud Investigator jobs? Cities in Florida with the most Entry Level Insurance Fraud Investigator job openings:
Entry Level Insurance Fraud Investigator jobs near you
Infographic showing various Entry Level Insurance Fraud Investigator job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $47,925 per year, or $23 per hour.

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • Remote

Full-time

Posted 8 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

24th of 887 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.

What Cigna Healthcare employees say

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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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