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From Home Insurance Fraud Investigator Jobs (NOW HIRING)

Peraton

Fraud Investigator

$66K - $106K/yr

... fraud, waste, and abuse. What you'll do: The position is expected to perform high level complex ... from witnesses and others. * Investigators may also be required to complete complex investigative ...

Global Credit Union

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 ...

Global Credit Union

Fraud Investigator I

Anchorage, AK · On-site

$69K - $112K/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 ...

Stripe

Payments Fraud Investigator

OR · On-site +1

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 ...

Government of the Virgin Islands

$45K - $47K/yr

Obtains evidence from potential witnesses identified in the investigation of the fraud case. Informs customers of the Fraud Investigative Process at initial interview to advise customers of their ...

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

As of Sep 12, 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.

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.

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.

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The most popular types of Insurance Fraud Investigator jobs are:

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From Home Insurance Fraud Investigator jobs near you
Infographic showing various From Home Insurance Fraud Investigator job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigator

Remote

Peraton
IT Services • 10K+ employees
Learn more about Peratonexternal

$66K - $106K/yr

Full-time

Posted 9 days ago

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.
What you'll do:
The position is expected to perform high level complex investigations of medical professional service providers and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions. Will work with internal resources and external agencies to develop cases and corrective actions as well as respond to requests for data and support.
  • An investigator uses good judgment and may work independently with minimum supervision and direction.
  • The investigator also may work as part of a team as there may be times when the investigator needs to work with state and/or federal investigators and other personnel.
  • An investigator handles multiple caseload assignments concurrently; organizes and analyzes complex evidentiary patterns; interviews and obtains statements from witnesses and others.
  • Investigators may also be required to complete complex investigative reports that apply regulations or rules to the program(s) affected by the behavior being investigated. There may also be times when the investigator will need to apply federal or state laws.
  • Investigators are expected to research and understand the relevant offenses being investigated; conduct efficient and effective investigations concerning those alleged offenses and detect or verify suspected violations; obtain information and evidence by observation, record examination, and interview.
  • Investigators then analyze the results of the investigation to ascertain if the allegations have been corroborated and work with others to determine the appropriate steps that need to be taken to address the issues.
  • As part of an investigation, the investigator will need to prepare correspondence; be objective and accurate and communicate with others with tact.
  • There may be times when investigators need to react to unplanned situations, be flexible in planning their activities and adopt effective courses of action.
  • As investigators will be working with health privacy information, they also must maintain confidentiality and understand all the laws, rules and regulations concerning health privacy.
  • Provide training and mentoring on tools/skills used in the investigative process
  • Develop expertise in a variety of tools to assist in the development of investigations and to participate in the identification of potential fraud schemes.
  • Telework-Ideally the candidate will be located in Maine, New Hampshire, Vermont, New York, Rhode Island, Connecticut, Massachusetts, Pennsylvania, Delaware, District of Columbia, New Jersey, Maryland, Northern Virginia.

Qualifications
Qualifications:
  • 5 years with BS/BA; or 9 years investigative experience with high school diploma
  • Strong investigative skills
  • Strong communication and organization skills
  • Strong PC knowledge and skills
  • US Citizen

The most competitive candidates will have:
  • Strong background in investigations.
  • Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
  • Knowledge of investigative practices regarding healthcare providers.
  • Knowledge of Medicare and/or Medicaid programs and the rules, regulations, policies and procedures
  • Background in evaluating, reviewing and analyzing medical claims and records
  • Ability to learn and operate a variety of data systems, equipment and tools used in investigations

Essential Functions:
  • Three to five years investigative experience preferred
  • Ability to perform research and draw conclusions
  • Ability to organize a case file, accurately and thoroughly document all steps taken
  • Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
  • Ability to compose correspondence, reports and referral summary letters
  • Ability to communicate effectively, internally and externally
  • Ability to interpret laws and regulations
  • Ability to handle confidential material.
  • Ability to manage and prioritize workload effectively so that customer metrics are met or exceeded.
  • Ability to educate providers, provider associations, law enforcement, other contractors and beneficiary advocacy groups on program safeguard matters
  • Ability to work independently and as a member of a team to deliver high-quality work
  • Ability to attend meetings, training, conferences, overnight travel required
  • This position may require the incumbent to appear in court to testify to work findings.

Peraton Overview
Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure.
Target Salary Range
$66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
EEO
EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

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About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017

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