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Insurance Claim Inspector Jobs (NOW HIRING)

E Logic

IBM DataStage Developer

Washington, DC · On-site

$123K/yr

... massive health insurance claim datasets for the Office of Personnel Management (OPM), Office of Inspector General (OIG). This role will be hybrid in Washington DC area, as needed. Key ...

John Grace Restoration

Inspector

Comstock Park, MI · On-site

Our staff are experts in the insurance claim process. We work in the customers best interest and ... Inspectors are able to gain a full understanding of what is caused the damage and the extent of ...

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Insurance Claim Inspector information

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How much do insurance claim inspector jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for insurance claim inspector in the United States is $19.92, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.12 per hour, depending on experience, location, and employer.

What are some common challenges Insurance Claim Inspectors face during field assessments, and how can they be addressed?

Insurance Claim Inspectors often encounter challenges such as coordinating site visits with clients, gathering accurate documentation under time constraints, and managing difficult conversations with policyholders who may be under stress. To address these challenges, inspectors rely on strong organizational skills, clear communication, and adherence to standardized assessment protocols. Building rapport with clients and maintaining professionalism helps facilitate smoother inspections and ensures all necessary information is collected efficiently.

What does an Insurance Claim Inspector do?

An Insurance Claim Inspector is responsible for investigating and evaluating insurance claims to determine the extent of the insurance company’s liability. They inspect damaged property, interview claimants and witnesses, review police or medical reports, and prepare detailed reports on their findings. Their goal is to ensure that claims are legitimate and that settlements are accurate and fair according to policy terms. They play a crucial role in preventing insurance fraud and maintaining trust between the insurer and policyholders.

How do I become an insurance claims investigator?

To become an insurance claims investigator, you typically need a high school diploma or equivalent, with some roles preferring or requiring a bachelor's degree in criminal justice, forensics, or a related field. Relevant experience in insurance, law enforcement, or investigations is valuable, and obtaining certifications such as the Certified Insurance Fraud Investigator (CIFI) can enhance job prospects. Strong analytical, communication, and interviewing skills are essential for success in this role.

Which claims adjusters make the most money?

Senior claims adjusters, especially those handling complex or high-value claims such as large property or commercial insurance, tend to earn the highest salaries in the field. Adjusters with specialized certifications, extensive experience, and strong negotiation skills typically earn more, often supplemented by bonuses or commissions.

How much does a claims adjuster make?

The average salary for a claims adjuster in Florida is approximately $60,000 to $70,000 per year, depending on experience, certifications, and the employer. Adjusters with specialized skills or advanced certifications can earn higher salaries, and the role often involves field inspections and claim evaluations.

What is the difference between Insurance Claim Inspector vs Insurance Adjuster?

AspectInsurance Claim InspectorInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are beneficialRequires similar credentials; often holds adjuster licenses and certifications
Work EnvironmentField inspections at claim sites, offices, or homesFieldwork and office work, assessing damages and reviewing claims
Employer & IndustryInsurance companies, third-party inspection firmsInsurance companies, independent adjusting firms
Primary FocusInspecting property or vehicle damages to verify claimsEvaluating insurance claims to determine coverage and settlement

Both roles involve assessing damages and verifying claims, often requiring similar certifications. Insurance Claim Inspectors focus mainly on inspecting damages, while Insurance Adjusters evaluate entire claims for settlement. The roles are complementary within the insurance industry, with overlapping skills and work environments.

What are the key skills and qualifications needed to thrive as an Insurance Claim Inspector, and why are they important?

To thrive as an Insurance Claim Inspector, you need strong analytical skills, attention to detail, and a background in insurance, risk assessment, or a related field—often supported by relevant certifications or an associate’s degree. Familiarity with claims management software, digital inspection tools, and industry regulations is typically required. Excellent communication, negotiation, and organizational skills help inspectors effectively interact with clients and resolve claims efficiently. These skills and qualities are crucial for ensuring accurate claim evaluations, minimizing fraud, and delivering fair outcomes for both insurers and policyholders.

What does an insurance claim investigator do?

An insurance claim investigator examines insurance claims to determine their validity and assess the extent of the insurer's liability. They review documents, interview claimants and witnesses, inspect property or damages, and use investigative techniques to detect fraud or discrepancies. Strong analytical skills and knowledge of insurance policies are essential for this role.
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Insurance Claim Inspector jobs near you
Field Site Inspector - Part Time

Field Site Inspector - Part Time

Allied Universal

Boise, ID • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Allied Universal rating

5.6

Company rating: 5.6 out of 10

Based on 2,402 frontline employees who took The Breakroom Quiz

66th of 100 rated security

Job description

Overview
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
  • Must possess a valid driver's license with at least one year of driving experience

RESPONSIBILITIES:
  • Conduct independent investigations of assigned cases in a specific geographic area.
  • Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones)
  • Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections
  • Efficient and timely workload management to meet assignment time completion.
  • Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required.
  • Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms.
  • Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance.
  • Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.

QUALIFICATIONS (MUST HAVE):
  • High school diploma or equivalent
  • Proficient in utilizing laptop computers, mobile devices, and tablets.
  • Flexibility to work varied and irregular hours/days including weekends
  • Successful completion of the Allied Universal Investigations' training/orientation course
  • Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.

PREFERRED QUALIFICATIONS (NICE TO HAVE):
  • Associate degree or higher, preferably in Criminal Justice
  • Prior insurance investigations and/or healthcare facility on-site inspections/compliance.
  • Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred.
  • Effective public speaking and communication skills.

BENEFITS:
  • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
  • Seven paid holidays annually, sick days available where required by law
  • Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.

Closing
Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Requisition ID
2026-1610262

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About Allied Universal

Sourced by ZipRecruiter

Allied Universal® is a leading security and facility services company. We provide proactive security services and cutting-edge smart technology to deliver evolving, tailored solutions that allow our clients to focus on their core business. Our excellence starts with our local leadership and local presence. Operating in more than 90 countries, our global workforce of approximately 800,000 people. Employees help to deliver our promise globally and locally: keeping people safe so our customers and communities can thrive. As we build the world's best services company, we continue to expand our footprint and infrastructure on a global and local level. In North America, we operate our business under the existing Allied Universal brand, and our international business operates under the G4S brand.

Industry

Investigation and physical security services, chemical manufacturing and real estate

Company size

10,000+ Employees

Headquarters location

Santa Ana, CA, US

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