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From Home Insurance Fraud Investigator Jobs (NOW HIRING)

City of Flint

Fraud Investigator

Flint, MI

$35.60 - $39.47/hr

The Fraud Investigator is responsible for planning and conducting confidential administrative ... MINIMUM ENTRANCE REQUIREMENTS Bachelor's degree from an accredited college or university in ...

United Community Bank

Fraud Investigator I

Greenville, SC · On-site

$19.10/hr

The Fraud Investigator I plays a key role in protecting the bank and its customers from financial loss by investigating fraud claims and suspicious activity across deposit, payment, card, and digital ...

Centennial Bank

Fraud Investigator

Amarillo, TX · On-site

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... respond to questions from groups of managers, clients, customers, and the general public.

United Community Bank

Fraud Investigator I

Greenville, SC · On-site

$19.10 - $28.52/hr

Overview The Fraud Investigator I plays a key role in protecting the bank and its customers from financial loss by investigating fraud claims and suspicious activity across deposit, payment, card ...

Centennial Bank

Fraud Investigator

Amarillo, TX · On-site

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... respond to questions from groups of managers, clients, customers, and the general public.

SCCU

Fraud Investigator I

Melbourne, FL · Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Stays current with fraud trends in the market by monitoring data from the Fraud Analysts and ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

SCCU

Fraud Investigator I

Miramar, FL · Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Stays current with fraud trends in the market by monitoring data from the Fraud Analysts and ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Avidbank

Commercial Bank Fraud Investigator

San Jose, CA · Remote

$65K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Serve as the first point of contact for all reported fraud events, coordinating investigations from ... insurance, long term disability insurance, 401k with matching, paid holidays and a competitive paid ...

Global Credit Union

Fraud Investigator I

Anchorage, AK

$69K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Global Credit Union

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Stripe

Payments Fraud Investigator

Millions of companies-from the world's largest enterprises to the most ambitious startups-use ... What you'll do As a Payments Fraud Investigator, you'll play a critical role in safeguarding our ...

Texas Capital Bank

Senior Fraud Investigator

Richardson, TX · On-site

  • Medical

  • Life

  • Retirement

  • PTO

Texas Capital provides a variety of benefits to colleagues, including health insurance coverage ... Comply with requests for information or documents from legal requests * Identify and recommend ...

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From Home Insurance Fraud Investigator information

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How much do from home insurance fraud investigator jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for from home 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.

How does a from home insurance fraud investigator typically collaborate with other departments while working remotely?

From Home Insurance Fraud Investigators frequently interact with claims adjusters, legal teams, and sometimes law enforcement through virtual meetings, emails, and secure data platforms. Despite working remotely, investigators are expected to provide timely updates, share findings, and coordinate on complex cases using digital collaboration tools. Strong communication skills and regular reporting are essential to ensure all departments stay informed and cases progress efficiently. Remote investigators may also participate in weekly video conferences or case review sessions to maintain alignment with broader team goals.

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

AspectFrom Home Insurance Fraud InvestigatorInsurance Claims Adjuster
CredentialsTypically requires insurance fraud investigation certifications, knowledge of insurance policiesRequires claims adjusting licenses, insurance knowledge, sometimes certifications
Work EnvironmentPrimarily remote, investigative work, analyzing documents and reportsOffice or field work, inspecting damages, interviewing claimants
Employer & IndustryInsurance companies, fraud investigation agenciesInsurance companies, third-party claims firms

While both roles involve insurance industry knowledge, From Home Insurance Fraud Investigators focus on detecting and investigating fraudulent claims remotely, whereas Insurance Claims Adjusters handle claim assessments and damage inspections, often onsite. The roles differ mainly in their focus—investigation versus claims processing—though they share some certification and industry background.

What does a from home insurance fraud investigator do?

A Home Insurance Fraud Investigator is responsible for examining claims made on home insurance policies to determine if they are legitimate or fraudulent. They review documents, interview claimants and witnesses, collect evidence, and may visit properties to assess damage. Their job helps protect insurance companies from false claims and keeps premiums fair for honest policyholders. Investigators use a combination of analytical skills and fieldwork to uncover inconsistencies or signs of deception.

What are the key skills and qualifications needed to thrive as a from home insurance fraud investigator?

To thrive as a Home Insurance Fraud Investigator, you need a strong background in investigative techniques, knowledge of insurance policies, and often a bachelor's degree in criminal justice or a related field. Familiarity with case management software, data analysis tools, and sometimes certifications such as Certified Fraud Examiner (CFE) are typically required. Excellent attention to detail, strong analytical thinking, and effective communication skills help set top investigators apart. These skills are essential for accurately identifying fraudulent claims, ensuring compliance, and protecting the integrity of insurance operations.

What cities are hiring for From Home Insurance Fraud Investigator jobs?

Cities with the most From Home 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 From Home Insurance Fraud Investigator jobs?

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

From Home Insurance Fraud Investigator jobs near you

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • On-site, Remote

Full-time

Posted 16 days ago

Cigna Healthcare rating

8.4

Company rating: 8.4 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

23rd 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 early-career 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

Social media

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