ZipRecruiter

Log In

1

Insurance Fraud Investigation Jobs in Florida (NOW HIRING)

BRMi

Fraud Management Specialist

Pensacola, FL

Assists with process improvements, reporting, training, and fraud investigations while working ... Comprehensive Medical, Dental, and Vision Insurance Employer-Paid Life Insurance Employer-Paid ...

LOYALTY MGA LLC

SIU Investigator

Miami, FL · Hybrid

Fraud Investigation: * Investigate suspicious claims for potential fraud, including interviews ... Active insurance adjuster's license preferred; must obtain and maintain as needed. * Strong ...

UNIVISTA HOLDINGS LLC

SIU Investigator

Miami, FL · Hybrid

Fraud Investigation: * Investigate suspicious claims for potential fraud, including interviews ... Active insurance adjuster's license preferred; must obtain and maintain as needed. * Strong ...

LOYALTY MGA LLC

SIU Investigator

Casselberry, FL · Hybrid

Fraud Investigation: * Investigate suspicious claims for potential fraud, including interviews ... Active insurance adjuster's license preferred; must obtain and maintain as needed. * Strong ...

BrightStar Credit Union

Fraud Specialist

Cooper City, FL · On-site

$23.80 - $29.32/hr

Company Paid Life Insurance * Health Savings Account with Company Contributions Essential Functions ... Collaborate in investigations with the BSA Department to ensure cases and reports are appropriately ...

previous pagenext page

Showing results 21-40

All JobsInsurance Fraud Investigation JobsInsurance Fraud Investigation Jobs in Florida

Insurance Fraud Investigation information

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 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 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.

How do you become an insurance fraud investigator?

To become an insurance fraud investigator, candidates typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in criminal justice, law enforcement, or a related field. Relevant experience in law enforcement, claims adjusting, or investigations is often preferred, and certifications such as the Certified Fraud Examiner (CFE) can enhance job prospects. Strong analytical skills, attention to detail, and knowledge of insurance policies and legal procedures are important for success in this role.

How to become an insurance fraud investigator?

To become an insurance fraud investigator, candidates typically need a background in criminal justice, law enforcement, or insurance claims, along with strong analytical and interviewing skills. Relevant certifications, such as the Certified Fraud Examiner (CFE), can enhance job prospects, and experience in claims adjusting or law enforcement is often preferred. The role may require a background check and adherence to industry regulations.

Is insurance fraud investigation a good career?

Insurance fraud investigation is a specialized law enforcement or insurance industry role that involves detecting and preventing fraudulent claims. It often requires analytical skills, attention to detail, and knowledge of insurance policies, with opportunities for advancement and job stability in the field.

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

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

What job categories do people searching Insurance Fraud Investigation jobs in Florida look for?

The top searched job categories for Insurance Fraud Investigation jobs in Florida are:

What cities in Florida are hiring for Insurance Fraud Investigation jobs?

Cities in Florida with the most Insurance Fraud Investigation job openings:

Insurance Fraud Investigation jobs near you
Infographic showing various Insurance Fraud Investigation job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Claims Investigator - Desktop - Full Time

Command Investigations LLC

Lake Mary, FL • On-site

$24 - $30/hr

Full-time

Posted 19 days ago

Command Investigations rating

6.1

Company rating: 6.1 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

376th of 499 rated business services

Job description

Description:

Claims Investigator - Desktop

Remote

Immediate need for a Claims Investigator - Desktop within the largest worldwide investigative solutions company. Join Command Investigations as it continues its expansion into all areas of investigations, allowing continual growth for its employees. 

Command Claims Investigators – Desktop are tasked with investigating insurance claims filed for various coverage, including workers’ compensation, general liability, property and casualty, disability, and life and health care. Investigators are to be able to complete a detailed, comprehensive report of daily activities, strategize cases and make professional recommendations to clients for additional investigative tasks, process evidence while maintaining the chain of custody (COC), submit updates and reports through the companies’ management system, conduct social media and background checks utilizing internet searches, courthouse records, conduct virtual/telephonic interviews and provide courtroom testimony when needed. Investigators must be familiar with insurance fraud, common fraud schemes, and various ways to report fraud at the state and local levels. Investigators should be able to work varied/irregular hours and days. Claims Investigator – Desktop will be required to work within various computer systems and programs, both internal of Command and its external client systems. This position offers opportunities for both professional and personal growth.


Responsibilities:

Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties:

  • Ability to produce a client ready report.
  • Submit daily status updates through the company management system.
  • Update clients verbally (per special handling instructions)
  • Reviewing case files daily for any new information/due dates
  • Conduct thorough Interviews, follow tasks as instructed, research records as needed and prepare a clear, concise, comprehensive written report within 24 hrs. or less from completed assignment.
  • Manage individual expenses and submit timely.
  • Daily communication with Case Manager
  • Frequently checking email/voicemail via company phone or home computer and responding timely


Requirements:

Requirements:

  • Licensed or eligible to be licensed as a Private Investigator
  • Excellent writing and communication skills
  • Ability to work independently.
  • Knowledge of laws, rules, and regulations related to insurance and insurance fraud.
  • Multitasking/Time management skills
  • Organized and detail-oriented.
  • Able to meet deadlines/Rush file handling.
  • Customer service skills
  • Highly motivated
  • Strong moral and work ethics
  • Extensive computer skills/Proficient in Microsoft Word
  • Possess or willing to purchase a computer with a Windows Operating System with access to Microsoft Word and other necessary equipment for the position.

Educational/Experience Qualifications:

  • Associate or Bachelor's Degree in Criminal Justice or related field
  • Experience as a Private Investigator or detective
  • Military or Law Enforcement background 
  • Comprehensive knowledge of insurance law and underwriting
  • Self-starter who holds themselves accountable for results and performance
  • Strong attention to detail with commitment to accuracy and quality 
  • Ability to adapt and work under stressful and sensitive situations
  • Can type 50 words or more a minute


What Command Investigations employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom