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Insurance Fraud Investigation Jobs (NOW HIRING)

Fraud Investigation Specialist

Columbus, OH ยท On-site

$24 - $26/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

RCA/Fraud Investigation Specialist (Contract) Location: Columbus, OH (100% Onsite) Duration: 6 ... insurance, and employee discounts with some preferred vendors.

SIU Investigator

Houston, TX ยท On-site

$25 - $40/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Minimum 1 year of SIU or insurance fraud investigation experience * Strong understanding of insurance claims and fraud investigation processes * Experience conducting surveillance, interviews, and ...

SIU Investigator

Las Vegas, NV ยท On-site

$25 - $40/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Minimum 1 year of SIU or insurance fraud investigation experience * Strong understanding of insurance claims and fraud investigation processes * Experience conducting surveillance, interviews, and ...

SIU Investigator

Las Vegas, NV ยท On-site

$25 - $40/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Minimum 1 year of SIU or insurance fraud investigation experience * Strong understanding of insurance claims and fraud investigation processes * Experience conducting surveillance, interviews, and ...

SIU Investigator

Houston, TX ยท On-site

$25 - $40/hr

  • Medical

  • Dental

  • Retirement

  • PTO

Minimum 1 year of SIU or insurance fraud investigation experience * Strong understanding of insurance claims and fraud investigation processes * Experience conducting surveillance, interviews, and ...

Sr. Fraud Investigation Associate

Irvine, CA ยท Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... insurance solutions to more than 3 million customers and businesses nationwide. We're a company ... WHAT YOU WILL DO The Sr. Fraud Investigation Associate is responsible for working closely with ...

Sr. Fraud Investigation Associate

Irvine, CA ยท On-site

$80K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... insurance solutions to more than 3 million customers and businesses nationwide. We're a company ... WHAT YOU WILL DO The Sr. Fraud Investigation Associate is responsible for working closely with ...

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Insurance Fraud Investigation information

See salary details

$15

$30

$53

How much do insurance fraud investigation jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for insurance fraud investigation 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 skills and qualifications are needed to thrive as an insurance fraud investigator?

To thrive as an Insurance Fraud Investigator, you need a solid background in investigative techniques, analytical reasoning, and knowledge of insurance policies, often supported by a degree in criminal justice or a related field. Familiarity with case management software, data analysis tools, and sometimes certifications like Certified Insurance Fraud Investigator (CIFI) are typically required. Strong attention to detail, ethical judgment, and effective communication skills help investigators build credible cases and collaborate with various stakeholders. These skills ensure thorough, accurate investigations that protect insurers from losses and uphold industry integrity.

What does an insurance fraud investigator do?

An insurance fraud investigator is responsible for detecting, investigating, and preventing fraudulent activities related to insurance claims. They gather and analyze evidence, interview claimants and witnesses, and collaborate with law enforcement and legal professionals when necessary. Their work helps insurance companies identify false or exaggerated claims, ensuring that legitimate policyholders are protected and financial losses are minimized. Insurance fraud investigators often use surveillance, background checks, and various investigative techniques to uncover fraud.

What are common challenges faced by insurance fraud investigators, and how can they be managed?

Insurance fraud investigators often face challenges such as handling large volumes of complex case files, staying updated on evolving fraud tactics, and balancing thoroughness with efficiency. Investigators must pay close attention to detail while maintaining clear documentation and adhering to legal procedures. Collaborating with colleagues in claims, legal, and law enforcement teams is crucial for gathering evidence and building strong cases. Ongoing training and effective time management can help professionals stay ahead of industry trends and manage caseloads successfully.

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

AspectInsurance Fraud InvestigationInsurance Claims Adjuster
CredentialsTypically requires certifications like CIFI or CPCURequires state licensing and adjuster certifications
Work EnvironmentInvestigative settings, often in offices or on-siteClaims processing, office and field work
Employer & IndustryInsurance companies, government agenciesInsurance companies, third-party administrators

Insurance Fraud Investigators focus on detecting and preventing fraudulent claims, often conducting investigations and interviews. Insurance Claims Adjusters evaluate and settle claims, verifying damages and coverage. While both roles require knowledge of insurance policies and certifications, Fraud Investigators emphasize investigative skills, whereas Adjusters focus on claims assessment and settlement.

More about Insurance Fraud Investigation jobs
What cities are hiring for Insurance Fraud Investigation jobs? Cities with the most Insurance Fraud Investigation job openings:
What states have the most Insurance Fraud Investigation jobs? States with the most job openings for Insurance Fraud Investigation jobs include:
Infographic showing various Insurance Fraud Investigation job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 11% Part Time, and 5% Contract. Highlights an 68% In-person, and 32% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigation Specialist

Russell Tobin

Columbus, OH โ€ข On-site

$24 - $26/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago


Job description

Job Title: RCA/Fraud Investigation Specialist (Contract)

Location: Columbus, OH (100% Onsite)

Duration: 6-Month Contract

Pay Rate: $24โ€“$26/hour on W2


About the Role

We are seeking detail-oriented and analytical professionals to join a Fraud Investigations team. In this role, you will investigate potentially fraudulent financial activity, analyze account transactions, document findings, and support regulatory reporting requirements. This is an excellent opportunity for candidates interested in fraud prevention, financial crimes, banking operations, or compliance.


Key Responsibilities

Investigate suspected fraudulent activity across consumer and commercial accounts.

Analyze account transactions to identify suspicious or unusual activity.

Review products including checking accounts, loans, credit cards, debit cards, and other financial products.

Conduct thorough investigations while following established policies and procedures.

Maintain accurate and detailed case documentation within the case management system.

Prepare clear, well-written investigative summaries and reports.

Determine whether suspicious activity should be escalated for regulatory reporting.

Complete Suspicious Activity Reports (SARs) when required.

Maintain confidentiality while handling sensitive customer and financial information.

Participate in ongoing compliance, fraud prevention, and regulatory training.


Required Qualifications

Bachelor's degree in Business, Finance, Accounting, Criminal Justice, Behavioral Sciences, or a related field OR equivalent experience in fraud investigations, banking, financial services, accounting, auditing, or compliance.

Strong analytical and problem-solving abilities.

Excellent written and verbal communication skills.

Strong attention to detail and organizational skills.

Proficiency with Microsoft Excel and Microsoft Word.

Ability to manage multiple cases while meeting deadlines.

Ability to maintain confidentiality and handle sensitive information.

Positive attitude with a willingness to learn and adapt.


Preferred Qualifications

Experience conducting fraud investigations.

Experience preparing or reviewing Suspicious Activity Reports (SARs).

Banking or financial services experience.

AML/BSA or financial crimes experience.

Accounting or auditing background.


Training & Schedule

Full-time, 40 hours per week.

Approximately 4 weeks of paid onsite training.

Training attendance is mandatory with no planned absences.

Standard first-shift schedule (Mondayโ€“Friday).


Ideal Candidate

This opportunity is ideal for professionals with backgrounds in fraud investigations, banking operations, compliance, AML/BSA, accounting, auditing, or recent graduates with relevant degrees who are looking to build a career in financial crime prevention and investigations.


ABOUT US:

Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies.


As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.


Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.


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About Russell Tobin

Sourced by ZipRecruiter

Russell Tobin is a leading minority-owned professional recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies We are the staffing arm of the Pride Global network, a minority-owned integrated human capital solutions firm, with additional offerings in vendor management, payroll programs, and business process optimization.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

New York, NY, US

Year founded

2010