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Insurance Claims Investigator Jobs (NOW HIRING)

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position will also review database information found in systems such as Unitrac, insurance ... for a Claims Investigator. * Promptly and effectively respond to both carrier and lender ...

Allied Solutions

Claims Investigator

Plano, TX

This position will also review database information found in systems such as Unitrac, insurance ... for a Claims Investigator. * Promptly and effectively respond to both carrier and lender ...

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Insurance Claims Investigator information

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$35K

$65.2K

$89.5K

How much do insurance claims investigator jobs pay per year?

As of Jun 12, 2026, the average yearly pay for insurance claims investigator in the United States is $65,243.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $75,000.00 per year, depending on experience, location, and employer.

What claims adjuster makes the most money?

Senior claims adjusters, especially those specializing in complex or high-value claims such as commercial or large-loss claims, tend to earn the highest salaries among claims adjusters. Advanced certifications, extensive experience, and working in high-cost regions can also increase earning potential for claims adjusters.

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

To thrive as an Insurance Claims Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice, insurance, or a related field. Familiarity with claims management software, investigative databases, and sometimes certifications like the Certified Insurance Fraud Investigator (CIFI) are typically required. Exceptional interpersonal skills, critical thinking, and effective communication help in interviewing claimants and documenting findings. These competencies ensure accurate, fair claims assessments and help prevent fraudulent activity, protecting both the company and its clients.

How do I become an insurance claims investigator?

To become an insurance claims investigator, candidates 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 skills include attention to detail, analytical thinking, and knowledge of insurance policies; some employers also require certification or training in insurance claims or investigation techniques. Gaining experience through entry-level positions in insurance or law enforcement can also be beneficial.

What does an insurance investigator do?

An insurance investigator evaluates insurance claims to determine their validity and identify potential fraud. They gather evidence, interview claimants and witnesses, review documents, and analyze data, often using specialized tools and techniques to assess the legitimacy of claims. The role requires attention to detail, analytical skills, and knowledge of insurance policies and regulations.

What does an Insurance Claims Investigator do?

An Insurance Claims Investigator is responsible for examining insurance claims to determine their validity and prevent fraudulent activity. They gather and analyze information by interviewing claimants and witnesses, reviewing documents, and sometimes conducting surveillance. Their goal is to ensure that claims are legitimate and that the insurance company only pays for valid losses. Investigators often work on cases involving suspicious or large claims, such as auto accidents, property damage, or workers' compensation. Their findings help insurance companies make informed decisions about whether to approve or deny claims.

What are some common challenges faced by Insurance Claims Investigators, and how can they be addressed?

Insurance Claims Investigators often encounter challenges such as gathering sufficient evidence, dealing with uncooperative claimants, and managing a high volume of cases simultaneously. These challenges can be addressed by developing strong interviewing and analytical skills, staying organized with case management tools, and maintaining a professional and empathetic approach during investigations. Collaboration with other departments, such as legal and fraud prevention teams, is also essential to ensure accurate and thorough claim assessments.

How much do insurance investigators make in the US?

Insurance claims investigators in the US typically earn a median annual salary of around $50,000 to $70,000, with experienced professionals and those in certain regions earning higher. Salaries can vary based on experience, location, and the complexity of cases handled, and investigators often use specialized tools and conduct interviews as part of their work.
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What states have the most Insurance Claims Investigator jobs? States with the most job openings for Insurance Claims Investigator jobs include:
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Insurance Claims Investigator jobs near you
Infographic showing various Insurance Claims Investigator job openings in the United States as of June 2026, with employment types broken down into 3% Full Time, 74% Part Time, and 23% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $65,243 per year, or $31.4 per hour.
Retail Claims Investigator

Retail Claims Investigator

Rebel Convenience Stores

Upland, CA • On-site

$25 - $30/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

We’re looking for a detail-oriented Claims Investigator to support the fair, accurate, and timely resolution of general liability, property damage, and Injury claims across our convenience store and fuel station locations.

In this role, you’ll conduct fact-based investigations, gather evidence, interview involved parties, and provide clear, well-documented findings that support claim decisions. This position partners closely with the Claims Manager and collaborates with internal teams, insurance carriers, third-party administrators, and legal partners.

If you have a background in investigations and enjoy uncovering facts, assessing risk, and supporting sound outcomes, then this may just be the role for you!

What You’ll Do
  • Investigate general liability incidents such as slip/trip and falls or customer injuries
  • Investigate property damage claims involving customers or third-party vendors
  • Investigate carwash incidents involving customer vehicle damage
  • Collect evidence, review documentation, conduct interviews, and analyze surveillance footage
  • Evaluate facts to assess liability, identify root cause, and flag potential fraud or negligence
  • Prepare clear, professional investigative reports for claim evaluation and litigation support
  • Maintain accurate and timely documentation in the claims management system
  • Communicate findings, concerns, and red flags to the General Liability Claims Manager
  • Coordinate with insurance carriers, TPAs, legal counsel, and store-level teams
  • Assist with customer outreach or follow-up as needed

Requirements

What You Bring
  • 2+ years of investigative experience in law enforcement, private investigation, insurance claims, loss prevention, or risk management
  • Strong analytical and critical-thinking skills with the ability to assess liability objectively
  • Professional and confident communication style when interacting with claimants, store teams, and legal partners
  • Excellent written and verbal communication skills
  • Proficiency in Microsoft Word, Excel, and Outlook
  • Ability to remain calm and professional in sensitive or high-stress situations
  • Experience reviewing surveillance footage and working with DVR systems is a plus
  • Collaborative mindset with a strong track record of working effectively across teams
  • Bachelor’s degree preferred, or an equivalent combination of education and experience

Pay for this position is $25-$30 an hour DOE

Benefits

  • Medical, Dental, Vision and Life Insurance
  • 401K Plan
  • Paid Time Off

Apply