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Flex Insurance Fraud Investigator Jobs (NOW HIRING)

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 ...

As a Fraud Investigator you will: * Investigate and prepare cases of alleged public assistance ... Health Insurance Coverage - The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 ...

Fraud Investigator

Portland, ME · On-site

$22.91 - $31.97/hr

As a Fraud Investigator you will: * Investigate and prepare cases of alleged public assistance ... Health Insurance Coverage - The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 ...

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ACE Fraud Investigator

Detroit, MI · On-site

$28 - $35/hr

Health insurance * Paid time off Education: Bachelor's degree required Experience: Fraud Investigation - 1 year required Ability to Commute: Detroit, MI 48226 required Company Description Our Company ...

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 ...

Fraud Investigator

Deer Park, TX · On-site

$60 - $80/hr

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.

Fraud Investigator I

Miramar, FL · On-site

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Fraud Investigator I

Melbourne, FL · Hybrid

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Fraud Investigator I

Melbourne, FL · On-site

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Fraud Investigator I

Miramar, FL · Hybrid

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other ...

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Flex Insurance Fraud Investigator information

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How much do flex insurance fraud investigator jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for flex 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 a Flex Insurance Fraud Investigator do?

A Flex Insurance Fraud Investigator is responsible for identifying, investigating, and preventing fraudulent insurance claims across various types of insurance, such as auto, health, or property. They analyze claim information, gather evidence, interview claimants and witnesses, and collaborate with law enforcement when necessary. The 'flex' aspect of the role typically refers to flexible scheduling or the ability to work across different insurance lines and cases. Their ultimate goal is to protect insurance companies from financial loss due to fraud and ensure the integrity of the claims process.

What are the key skills and qualifications needed to thrive as a Flex Insurance Fraud Investigator, and why are they important?

To thrive as a Flex Insurance Fraud Investigator, you need strong analytical skills, knowledge of insurance policies, and investigative experience, often supported by a relevant degree or certifications such as CIFI or CFE. Familiarity with fraud detection software, claims management systems, and legal research tools is typically required. Attention to detail, effective communication, and ethical judgment are crucial soft skills for building cases and interacting with claimants or law enforcement. These skills ensure accurate detection of fraudulent activity, protect company assets, and uphold industry standards.

How does a Flex Insurance Fraud Investigator typically collaborate with other departments during an investigation?

Flex Insurance Fraud Investigators regularly work alongside claims adjusters, underwriters, and legal teams to gather comprehensive information about suspicious cases. Collaboration often involves coordinating interviews, sharing relevant documentation, and discussing evolving evidence to ensure a thorough investigation. Investigators may also consult with data analysts or external agencies when specialized knowledge is required. This teamwork helps ensure all perspectives are considered and that investigations are both efficient and compliant with industry regulations.

What is the difference between Flex Insurance Fraud Investigator vs Insurance Claims Adjuster?

AspectFlex Insurance Fraud InvestigatorInsurance Claims Adjuster
Required CredentialsInsurance license, fraud investigation certificationsInsurance license, claims handling certifications
Work EnvironmentInvestigative settings, offices, fieldworkClaims offices, field inspections, customer interactions
Employer & Industry UsageInsurance companies, fraud detection agenciesInsurance companies, third-party claims firms
Common Search & ComparisonYesNo

The Flex Insurance Fraud Investigator focuses on detecting and preventing insurance fraud through investigations, often requiring specialized certifications. In contrast, an Insurance Claims Adjuster handles claims processing, assessing damages, and settling claims. While both roles work within the insurance industry and may share some credentials, their primary functions differ significantly, making this comparison useful for job seekers exploring roles in insurance.

How much do flex insurance fraud investigators earn?

Flex insurance fraud investigators typically earn between $45,000 and $70,000 annually, depending on experience, location, and employer. They often require skills in investigation, data analysis, and familiarity with insurance policies and fraud detection tools.

How to become a Flex Insurance Fraud Investigator?

To become a Flex Insurance Fraud Investigator, candidates typically need a bachelor's degree in criminal justice, law enforcement, or a related field. Relevant experience in insurance claims, investigations, or law enforcement, along with strong analytical skills and knowledge of insurance policies, is often required. Certifications such as the Certified Fraud Examiner (CFE) can enhance prospects in this role.

Is it hard to become a flex insurance fraud investigator?

Becoming a flex insurance fraud investigator typically requires a background in insurance, law enforcement, or criminal justice, along with strong analytical skills and attention to detail. Relevant certifications, such as those in fraud detection or insurance claims, can improve job prospects, but the difficulty varies based on experience and education levels.

What cities are hiring for Flex Insurance Fraud Investigator jobs?

Cities with the most Flex Insurance Fraud Investigator job openings:

What are the most commonly searched types of Insurance Fraud Investigator jobs?

The most popular types of Insurance Fraud Investigator jobs are:

What states have the most Flex Insurance Fraud Investigator jobs?

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

What are popular job titles related to Flex Insurance Fraud Investigator jobs?

For Flex Insurance Fraud Investigator jobs, the most frequently searched job titles are:

Fraud Investigator

Deer Park, TX • On-site

SHELL FEDERAL CREDIT UNION
Commercial Banking • 201 - 500 employees

Full-time

Posted 17 days ago


Job description

Schedule Hours:
M - F: 10:00 AM - 7:00 PM
Saturday's: 9:00 AM - 3:00 PM (Minimum two Saturdays a month)

The Fraud Investigator aides the Operations Department in all areas of fraud mitigation and loss prevention in accordance with Shell FCU's policies and procedures.
Essential Job Duties and Responsibilities
  • Consistently meets all Shell FCU Service Commitments; Shell FCU Employee Creed and Shell FCU Service Distinctions.
  • Maintains a strong knowledge of the financial industry and complies with all applicable rules and regulations required within the scope of duties, including, but not limited to, the Bank Secrecy Act and the Uniform Commercial Code.
  • Attends annual and on-demand training sessions as instructed or scheduled.
  • Performs job duties and responsibilities in compliance with SFCU policies, procedures, philosophy, and standards of performance.
  • Completes all assigned projects in an effective and professional manner.
  • Possesses strong time management skills and consistently meet deadlines.
  • Monitors system queues in the fraud monitoring/anti-money laundering software Verafin to identify high risk transactions within the membership portfolio.
  • 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.
  • Tracks and documents investigations in Verafin case management system.
  • Refers more complex fraud and BSA/AML alerts to the appropriate team members of the Operations Department.
  • Files Suspicious Activity Reports in Verafin as needed.
  • Regularly communicates findings to the Fraud Analyst/Internal Auditor/VP of Operations.
  • Investigates member transactions to identify fraudulent activity such as account takeover, friendly fraud, identity theft or other similar risks.
  • Interacts with credit union employees and members in order to validate information while researching suspected fraud scenarios.
  • Communicates with members by phone or email to validate account activity.
  • Determines existing fraud trends by the analysis of accounts and transaction patterns.
  • Utilizes external resources that identify nationwide and global fraud trends and communicate this information to the Fraud Analyst and/or VP of Operations. Evaluates and recommends improvements of all corporate-wide systems in order to enhance the credit union's fraud prevention program.
  • Recommends mitigation solutions affecting various areas/departments.
  • Works with the Internal Auditors to assist in money laundering investigations to provide a fraud perspective when needed.
  • Assists in the development and implementation of automated fraud detection and real-time decisioning strategies.
  • Acts as a primary resource for internal employees in the areas of fraud and loss prevention.
  • Must be able to work independently with little assistance or supervision.
  • Must be able and willing to work a minimum of 40 hours per week plus overtime as needed.
  • Must be able and willing to work and/or travel to any of our office locations as needed within a 75-mile radius.
  • Must be able to travel to and attend job-related conferences and training, both local and out of state.
  • Performs additional duties as assigned.

Shell Federal Credit Union is an equal opportunity and an affirmative action employer and committed to providing equal opportunity for all employees and applicants for employment, without regard to race, religion, color, sex, sexual orientation, gender identity, national origin, age, citizenship status, marital status, protected veteran status, mental and/or physical disability, pregnancy, or any basis prohibited by State or Federal law.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge and Skills
Experience:
A minimum of one-year financial institution experience in the areas of lending and operations or one year working in an investigative capacity in an unrelated field.
Education / Training:
High school diploma or general education degree (GED). Some college experience preferred.
Job Requirements:
  • Must possess exceptional investigative skills and a data-driven mindset.
  • Possess exceptional written and verbal communication skills using tact and to reach an objective.
  • Possess a highly positive, member-service oriented attitude and the ability to anticipate member needs.
  • A significant level of trust, diplomacy, and confidentiality is required, in addition to normal courtesy and tact.
  • Work involves extensive personal contact with others and/or can be of a personal or sensitive nature.
  • Work involves motivating or influencing others.
  • Maintain a high level of knowledge and procedural expertise in credit union products, services, and promotions.
  • Perform all work within established policies and procedures.
  • Ability to work in an open-concept workspace/environment.

Physical Demands:
While performing the duties of this job, the employee is regularly required to bend and stand. May at times be able to lift, carry and/or move up to 15 pounds.
Working Conditions
Exposure to potential hazardous conditions-robbery. Employees are to receive detailed instructions and procedures to be followed to minimize risk.
In accordance with the American with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization.
This Job Description is not a complete statement of all duties and responsibilities comprising this position. Job descriptions are not intended and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
This organization uses E-Verify® in its hiring practices to achieve a lawful workforce.