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Insurance Fraud Jobs (NOW HIRING)

As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...

As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...

Conducts investigations into suspicious activity, including but not limited to scams, check/wire/ACH/card fraud, identity theft, insurance fraud, account takeovers, electronic crimes and elder abuse.

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Insurance Fraud information

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$26K

$48.4K

$73K

How much do insurance fraud jobs pay per year?

As of Sep 14, 2026, the average yearly pay for insurance fraud in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is insurance fraud?

Insurance fraud is the act of intentionally deceiving an insurance company or agent to obtain benefits, payouts, or advantages to which one is not entitled. This can include exaggerating claims, falsifying information on applications, staging accidents, or submitting false documents. Insurance fraud is a serious crime that can result in legal penalties, increased premiums for all policyholders, and reduced trust in the insurance system. Both individuals and organized groups can commit insurance fraud, and it occurs in various types of insurance, including health, auto, and property insurance.

What are the key skills and qualifications needed to thrive as an insurance fraud investigator, and why are they important?

To thrive as an Insurance Fraud Investigator, you need strong analytical thinking, attention to detail, and a background in criminal justice or a related field. Familiarity with investigative software, claims management systems, and sometimes certifications like the Certified Insurance Fraud Investigator (CIFI) credential are typically required. Excellent communication, critical thinking, and interpersonal skills allow you to conduct interviews, write clear reports, and collaborate with law enforcement. These capabilities are crucial for effectively identifying fraudulent claims, ensuring accurate investigations, and protecting organizational assets.

What are some common challenges faced by professionals working in insurance fraud investigation?

Professionals in insurance fraud investigation often face challenges such as distinguishing genuine claims from fraudulent ones, handling sensitive or confrontational interactions with claimants, and keeping up with evolving fraud tactics. The work requires strong attention to detail, persistence in gathering and analyzing evidence, and effective collaboration with law enforcement, legal teams, and other departments. Investigators also need to manage a significant workload while ensuring all cases are handled ethically and in compliance with regulations.

What is the difference between Insurance Fraud vs Insurance Claims Adjuster?

AspectInsurance FraudInsurance Claims Adjuster
Primary RoleDetecting and preventing fraudulent insurance claimsEvaluating insurance claims to determine coverage and settlement
Required CredentialsKnowledge of insurance policies, investigation skillsLicensing, insurance knowledge, sometimes certifications like CPCU
Work EnvironmentInvestigations, office, field inspectionsOffice-based, field visits, interviews
Industry UsageInsurance companies, law enforcementInsurance companies, adjusting firms

Insurance Fraud specialists focus on identifying and preventing fraudulent claims, often working closely with law enforcement. Insurance Claims Adjusters evaluate legitimate claims to determine appropriate payouts. While both roles require insurance knowledge, fraud specialists emphasize investigation skills, whereas adjusters focus on claim assessment and settlement.

More about Insurance Fraud jobs

What cities are hiring for Insurance Fraud jobs?

Cities with the most Insurance Fraud job openings:

What states have the most Insurance Fraud jobs?

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

What are popular job titles for Insurance Fraud?

Popular job titles for Insurance Fraud:

Infographic showing various Insurance Fraud job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Attorney III/Fraud Division

Columbia, SC โ€ข On-site

SC Department of Insurance
Public Administrationย โ€ขย 11 - 50 employees

$79K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Job description

Salary: $79,600.00 - $95,000.00 Annually
Location : Richland County, SC
Job Type: FTE - Full-Time
Job Number: 192343
Agency: Department of Insurance
Opening Date: 09/02/2026
Closing Date: 9/16/2026 11:59 PM Eastern
Residency Requirement: Yes
Class Code:: AE30
Position Number:: 61109818
Normal Work Schedule:: Monday - Friday (8:30 - 5:00)
Pay Grade: GEN12
Hiring Range - Min.: $79,600.00
Hiring Range - Max.: $95,000.00
EEO Statement: Equal Opportunity Employer
Agency Specific Application Procedures:: The Department of Insurance will not sponsor employment visas for this position. A RESUME WILL NOT BE ACCEPTED NOR REVIEWED TO DETERMINE IF AN APPLICANT HAS MET THE QUALIFICATIONS FOR THE POSITION. If you meet the requirements of the position and would like to be considered, you must submit a state application online. Please complete the state application to include all current and previous work history and education. Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. The quality of the application presented (completeness and accuracy as well as grammar and spelling) will be considered prior to the offer of an interview. An offer of employment is contingent upon a satisfactory criminal background check. Applications will be accepted until 11:59 on the state closing date.
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Job Responsibilities
Mission Statement:
The mission of the State of South Carolina Department of Insurance is to protect and serve the insurance consumers by promoting a fair, stable, and competitive insurance market through regulation, education, and advocacy. For more information about working at the SC Department of Insurance, please visit:
This position is located in the Insurance Fraud Unit of the South Carolina Department of Insurance.
Job Purpose:
The Insurance Fraud Division is a unit within the South Carolina Department of Insurance that investigates and prosecutes insurance fraud cases referred to the Department and coordinates the Department's fraud enforcement policy. Under general supervision of the Insurance Fraud Division Director, this prosecutor position is responsible for prosecution of insurance fraud cases brought on behalf of the State of South Carolina.
Job Functions:
1. In consultation with the Insurance Fraud Division Director, vets fraud complaints, determines the actions or charges to be brought against the alleged perpetrator and the punishment to be sought; makes, evaluates, negotiates and receives plea offers; explain the reason and process for certain decisions to victims or their families.
2.Responsible for prosecution of a range of insurance fraud cases assigned or referred to the Insurance Fraud Division which may include complex, high-profile litigation and other matters that may involve substantial public safety concerns: interviews witnesses, victims, and investigators; presents witnesses, photographs, objects, and other evidence of insurance fraud committed by the accused in court; complies with all rules regulating professional responsibility, including specific rules addressing the prosecutorial function: and produces information and other documents to defendants or their lawyers as requested and required by the laws of the State of South Carolina.
3. Conducts legal research and prepares or reviews memoranda, discovery requests, motions, responses, indictments warrants, and other court documents.
4.Oversees or assists investigators, detectives, and other law enforcement while gathering evidence.
5. May perform other related duties as required.
Knowledge, Skills and Abilities Needed:
1. Must be able to effectively interpret statutes and rules, applying criminal law to facts and determining the significance of testimony or other items of evidence. The analysis also consists of assessing the credibility of witnesses based on factors such as bias or inconsistency in statements.
2. Must have the ability to fairly and impartially decide whether and how to prosecute accused persons and avoid ethical lapses such as withholding evidence that may negate guilt, relying on false evidence and mistreating the law or facts.
3. Must be able to effectively organize and apply the theories, practices and principles of effective management in order to oversee, handle, and prepare multiple cases for trial or plea and manage the caseload of the Insurance Fraud Division.
4. Must be able to effectively communicate orally and in writing on behalf of the State of South Carolina to effectively advocate on behalf of the State of South Carolina.
Minimum and Additional Requirements
Applicant must have a juris doctor degree or its equivalent from an accredited law school, be a member of the South Carolina Bar in good standing and satisfy Rule 403 requirements, Applicant must satisfactorily complete a drug screening, credit check, delinquent tax check, attorney grievance check, and SLED background check, Applicant must have 5 or more years of experience as a practicing attorney,
Must be willing to travel in and outside of South Carolina as required and be available on call or after hours.
Preferred Qualifications
Experience with insurance or criminal law is preferred.
Additional Comments
Educational Credentials:
Applicants indicating college credit or degree(s) on the application will be required to submit a sealed, certified copy of the transcript(s) prior to beginning employment. Failure to produce an official, certified transcript will result in any conditional offer of employment being rescinded.
Equal Opportunity Employer:
It is the policy of the South Carolina Department of Insurance to provide equal employment opportunities to all job applicants and employees without regard to their race, color, religion, national origin, sex (including, but not limited to, pregnancy, childbirth or related medical conditions and lactation), disability or age.
Veteran Preference Statement:
South Carolina is making our Veterans a priority for employment in state agencies and institutions.
The Department of Insurance offers an exceptional benefits package for FTE positions that includes:
  • Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
  • 15 days annual (vacation) leave per year
  • 15 days sick leave per year
  • 13 paid holidays
  • State Retirement Plan (pension plan option) and Deferred Compensation Programs
  • Employee Assistance Program
    • Free counseling sessions for employees and household members
    • Free legal counseling
    • Free financial counseling
  • Flexible Work Schedules
    • Compressed work weeks
    • Part-time telecommuting
    • Flex-time
    • Contingent upon completing required probationary period
  • Free Gym Access
  • Growth Opportunities
    • Certifications/designation program allowing for salary increases and bonuses
  • Infants at Work Program
    • Employees eligible to bring their newborn/infant to the workplace
  • Free Parking

Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.