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Insurance Company Investigator Jobs (NOW HIRING)

UnitedHealth Group

Senior Investigator

New Orleans, LA · On-site

$60K - $107K/yr

Assess complaints of alleged misconduct received within the Company * Investigate medium to high ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases to investigate the applicability of ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position will also review database information found in systems such as Unitrac, insurance company websites, Lexis Nexis, ISO, and other automobile databases to investigate the applicability of ...

Centene

Senior Compliance Investigator

$70K - $126K/yr

Leads and oversees compliance and ethics investigations, facilitates and leads meetings with ... Managed care or health insurance company experience preferred. * Experience with compliance case ...

Alpine Intel

Fire Investigator

Ann Arbor, MI · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Centene

Senior Compliance Investigator

OR · On-site +1

$70K - $126K/yr

Leads and oversees compliance and ethics investigations, facilitates and leads meetings with ... Managed care or health insurance company experience preferred. * Experience with compliance case ...

Alpine Intel

Fire Investigator

Saint Louis, MO · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Mobile, AL · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Billings, MT · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Jacksonville, FL · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Fort Wayne, IN · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Lansing, MI · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Memphis, TN · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Grand Rapids, MI · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Kansas City, MO · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Indianapolis, IN · Remote

The Fire Investigator is responsible for studying fire and explosion scenes. They will do all the ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

Alpine Intel

Fire Investigator

Lubbock, TX · Remote

Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ... Must travel to perform investigations within a 100-mile radius (further when required) from the ...

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Insurance Company Investigator information

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$13

$25

$38

How much do insurance company investigator jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for insurance company investigator in the United States is $25.77, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $31.73 per hour, depending on experience, location, and employer.

What does an insurance company investigator do?

An Insurance Company Investigator is responsible for examining insurance claims to determine their validity and detect potential fraud. They gather and analyze evidence, interview claimants and witnesses, and review documents such as police reports and medical records. Their goal is to ensure that claims are paid out fairly and according to policy terms, while also preventing fraudulent or exaggerated claims. Investigators may work on cases involving auto, health, property, or life insurance.

What are the key skills and qualifications needed to thrive as an insurance company investigator?

To thrive as an Insurance Company Investigator, you need strong analytical skills, attention to detail, and knowledge of insurance laws and fraud detection, often supported by a bachelor's degree in criminal justice or a related field. Familiarity with investigation software, claims management systems, and sometimes certifications like Certified Fraud Examiner (CFE) are common requirements. Excellent communication, critical thinking, and ethical judgment are standout soft skills for interviewing claimants and collaborating with various stakeholders. These skills are vital for thoroughly investigating claims, preventing fraud, and protecting the company’s financial interests.

What are some common challenges faced by insurance company investigators when handling complex claims?

Insurance Company Investigators often encounter challenges such as gathering accurate evidence, dealing with uncooperative claimants or witnesses, and navigating strict regulatory requirements. Investigators must be detail-oriented and persistent, as claims can involve extensive documentation, interviews, and surveillance. Additionally, balancing a high caseload while adhering to deadlines requires strong organizational and time management skills. Collaborating effectively with legal teams, adjusters, and law enforcement is also essential to ensure thorough and fair investigations.

What is the difference between Insurance Company Investigator vs Claims Adjuster?

AspectInsurance Company InvestigatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles prefer insurance or investigative certificationsHigh school diploma or equivalent; licensing or certifications may be required depending on state
Work EnvironmentOffice setting, sometimes fieldwork for interviews and inspectionsOffice-based with site visits to assess damages or injuries
Employer & Industry UsageInsurance companies, law enforcement, private investigation firmsInsurance companies, public and private insurers
Common Search & Comparison IntentUnderstanding investigative roles within insuranceEvaluating claims and determining payouts

Insurance Company Investigators focus on examining claims, gathering evidence, and verifying facts related to insurance fraud or claims validity. Claims Adjusters evaluate damages, determine coverage, and settle claims. While both roles work within the insurance industry, investigators primarily conduct investigations, whereas adjusters handle claim processing and settlement.

More about Insurance Company Investigator jobs

What cities are hiring for Insurance Company Investigator jobs?

Cities with the most Insurance Company Investigator job openings:

What states have the most Insurance Company Investigator jobs?

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

What job categories do people searching Insurance Company Investigator jobs look for?

The top searched job categories for Insurance Company Investigator jobs are:

Insurance Company Investigator jobs near you
Infographic showing various Insurance Company Investigator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, 4% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $53,602 per year, or $25.8 per hour.

Senior Investigator

UnitedHealth Group

New Orleans, LA • On-site

$60K - $107K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

191st of 891 rated healthcare providers

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Senior Investigator will utilize claims data, applicable guidelines, and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include fieldwork to perform interviews and obtain records and/or other relevant documentation.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Preference for those residing in Texas or Louisiana.
Primary Responsibilities:
  • Assess complaints of alleged misconduct received within the Company
  • Investigate medium to high complex cases of fraud, waste, and abuse
  • Detect fraudulent activity by members, providers, employees, and other parties against the Company
  • Develop and deploy the most effective and efficient investigative strategy for each investigation
  • Maintain accurate, current, and thorough case information in the Special Investigations Unit's (SIU's) case tracking system
  • Collect and secure documentation or evidence and prepare summaries of the findings
  • Participate in settlement negotiations and/or produce investigative materials in support of the latter
  • Collect, collate, analyze, and interpret data relating to fraud, waste, and abuse referrals
  • Ensure compliance of applicable federal/state regulations or contractual obligations
  • Report suspected fraud, waste, and abuse to appropriate federal or state government regulators
  • Comply with goals, policies, procedures, and strategic plans as delegated by SIU leadership
  • Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings
  • Communicate effectively, including written and verbal forms of communication
  • Develop goals and objectives, track progress and adapt to changing priorities
  • Must participate in legal proceedings, arbitration, and depositions at the direction of management

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Associate's degree
  • Minimum 2 years of experience in fraud, waste and abuse (FWA) investigations/audit
  • Minimum 2 years of experience with state/federal laws and regulations pertaining to healthcare FWA
  • Minimum 2 years of experience in analyzing data to identify fraud, waste and abuse trends
  • Ability to travel up to 25%
  • Demonstrate intermediate level of proficiency in Microsoft Excel and Word
  • Access to reliable transportation

Preferred Qualifications:
  • Specialized knowledge/training in healthcare FWA investigations
  • Active affiliations with the National Health Care Anti-Fraud Association (NHCAA)
  • Accredited Health Care Fraud Investigator (AHFI)
  • Certified Fraud Examiner (CFE)
  • Certified Professional Coder (CPC)
  • Medical Laboratory Technician (MLT)
    • Statistical Analysis

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will rangefrom $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

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