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Insurance Fraud Investigation Manager Jobs (NOW HIRING)

Synovus

Fraud Investigation

Nashville, TN · On-site

Inputs all investigation activities and detailed field notes into the case management database ... Calculates total attempted fraud amounts as well as total loss amounts on all confirmed fraud cases.

Berkshire Bank

Fraud Investigator

Boston, MA · On-site

$52K - $90K/yr

... the fraud investigation process - including incident intake, advising on best practices for remediation, case management, and completion of regulatory reports. The Fraud Investigator is also ...

Berkshire Bank

Fraud Investigator

Boston, MA · On-site

$52K - $90K/yr

... the fraud investigation process - including incident intake, advising on best practices for remediation, case management, and completion of regulatory reports. The Fraud Investigator is also ...

Chubb

AVP, SIU Major Case Unit Manager

Uniondale, NY · On-site

$121K - $176K/yr

Identify, develop, coordinate, and direct complex investigations of MCU insurance fraud cases, ensuring compliance with legal and ethical standards. * Manage a team of Investigators, Analysts, and ...

centralins

Anti-Fraud Special Investigator

Van Wert, OH · Hybrid

... management. Integrity, relationships, and excellence are at the heart of everything we do. Our ... Possess prior experience in the investigation of insurance fraud * Travel up to 10-20% for field ...

centralins

Anti-Fraud Special Investigator

Dublin, OH · Hybrid

... management. Integrity, relationships, and excellence are at the heart of everything we do. Our ... Possess prior experience in the investigation of insurance fraud * Travel up to 10-20% for field ...

Chubb

AVP, SIU Major Case Unit Manager

Uniondale, NY · On-site

$121K - $176K/yr

Identify, develop, coordinate, and direct complex investigations of MCU insurance fraud cases, ensuring compliance with legal and ethical standards. * Manage a team of Investigators, Analysts, and ...

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Insurance Fraud Investigation Manager information

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How much do insurance fraud investigation manager jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for insurance fraud investigation manager 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 does an insurance fraud investigation manager do?

An Insurance Fraud Investigation Manager oversees teams that detect, investigate, and prevent fraudulent insurance claims. They develop strategies to identify suspicious activity, coordinate with law enforcement, and ensure compliance with legal and regulatory standards. Their role involves managing investigations, analyzing data, training investigators, and implementing policies to reduce fraud risk. This position requires strong analytical, leadership, and communication skills, as well as expertise in fraud detection techniques.

What are the key skills and qualifications needed to thrive as an insurance fraud investigation manager?

To thrive as an Insurance Fraud Investigation Manager, you need expertise in investigative techniques, analytical skills, and a background in insurance or criminal justice, often supported by a bachelor's degree or relevant certification. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required. Strong leadership, ethical judgment, and effective communication are essential soft skills for managing teams and collaborating with stakeholders. These skills ensure thorough investigations, reduce financial losses, and uphold the integrity of insurance operations.

What are some common challenges faced by insurance fraud investigation managers when leading investigative teams?

Insurance Fraud Investigation Managers often encounter challenges such as balancing multiple complex cases simultaneously, ensuring thorough documentation, and maintaining compliance with legal and regulatory standards. Leading a team also involves providing ongoing training on new fraud detection technologies and investigative techniques. Additionally, managers must foster effective collaboration between investigators, claims adjusters, and external partners like law enforcement to ensure successful outcomes while managing sensitive information and confidentiality.

What are popular job titles related to Insurance Fraud Investigation Manager jobs?

For Insurance Fraud Investigation Manager jobs, the most frequently searched job titles are:

Infographic showing various Insurance Fraud Investigation Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 98% Full Time, and 1% Part Time. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigation

Nashville, TN • On-site

Synovus
Finance and Insurance • 5 - 10K employees
Learn more about Synovusexternal

Full-time

Posted 5 days ago

Synovus rating

8.9

Company rating: 8.9 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

13th of 176 rated banks

Job description

Job Summary:
Conducts investigations of potential/suspected financial crimes and/or fraud. Utilizes systems and a variety of investigative techniques and tools to collect, collate, and analyze financial and background information and makes informed decisions concerning client account status/retention. Recognizes and evaluates high risk accounts, potential watch list matches and dispositions, and other suspicious and/or questionable account activity. Analyzes data and determines when cases are to be submitted to law enforcement and/or prosecutors for potential legal action. Takes appropriate action to stop or prevent data or monetary losses by assessing internal controls and procedures team memberd with financial crimes and fraud cases.
Job Duties and Responsibilities:
  • Conducts investigations of suspected financial crimes and/or fraud. Performs enhanced due diligence on clients designated by regulators as high risk, such as international and large cash clients.
  • Utilizes knowledge of bank systems, processes and contacts as resources for conducting investigations. Develops a plan of action and gathers, analyzes and compiles evidence for multiple case assignments. Prepares case documentation and writes a complete final summary report of investigation.
  • Inputs all investigation activities and detailed field notes into the case management database within five business days in order to provide a complete summary of the overall investigation. Calculates total attempted fraud amounts as well as total loss amounts on all confirmed fraud cases.
  • Interviews clients, employees, and suspects. Traces financial transactions and reviews the background and financial profile of suspected individuals. Works with senior level team members and management to determine when a case should be closed, recovered or charged off when all investigative leads and the potential for recovery have been exhausted. Closes cases in the case management database.
  • Communicates with office staff to obtain additional client information and/or information needed for supporting documentation, reports and risk mitigation. Assists office personnel, when necessary, to conduct client interviews to address certain specific alerted transactional issues,
  • Escalates cases to applicable Pinnacle department or team based on details of case. Compiles confidential case documents for referral to Corporate Security when law enforcement involvement may be required. Prepares all case-related Suspicious Activity Reports (SARSs) that are forwarded to Pinnacle Compliance within 30 days. Hands off investigations to Pinnacle Audit and/or Compliance when team members are involved.
  • Assists with the assessment of internal controls and procedures and with the identification of control breakdowns and makes recommendations to prevent future losses. Assists with determining new procedures to prevent, detect and investigate fraud.
  • Maintains updated information on various systems as well as required files and documentation. Ensures records are complete and available for review and audit as needed. Complies with regulatory requirements, security and applicable policies and identifies control and procedural issues. Manages the security of highly sensitive information related to fraud investigations. Participates in special projects as required.
  • Each team member is expected to be aware of risk within their functional area. This includes observing all policies, procedures, laws, regulations and risk limits specific to their role. Additionally, they should raise and report known or suspected violations to the appropriate Firm authority in a timely fashion.
  • Performs other related duties as required.

The information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job
Pinnacle is an Equal Opportunity Employer committed to fostering an inclusive work environment.
Minimum Education: High school diploma or equivalent.
Minimum Experience: Three years of fraud/financial crimes experience including transaction monitoring, investigative research, and analysis of potentially suspicious activity.
Required Knowledge, Skills & Abilities:
  • May sit for long periods of time;
  • Talk and hear regularly;
  • Use of hands, ability to reach;
  • Ability to see objects up close or at a distance, use peripheral vision, identify basic colors;
  • Up to 10 pounds weight lifting/force exertion required;
  • Weight/force exertion required less than 10% of the time;
  • Travel required less than 10% of the time.

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