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MyFlorida

SENIOR INVESTIGATOR - 41001289

Orlando, FL · On-site

$47K - $50K/yr

Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance ...

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Insurance Fraud Investigation information

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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:
What job categories do people searching Insurance Fraud Investigation jobs look for? The top searched job categories for Insurance Fraud Investigation jobs are:
Insurance Fraud Investigation jobs near you
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.

Indirect Fraud Investigation Associate - (260000LS) - Irvine, CA

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Irvine, CA • On-site

Full-time

Posted 6 days ago

Job description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is On-Site at the location detailed in the job post.
Description
Hyundai Capital America (HCA) helps people move forward. Through Hyundai Motor Finance, Genesis Finance, and Kia Finance, we deliver innovative financing, leasing, and insurance solutions to more than 3 million customers and businesses nationwide.
We're a company driven by growth, innovation, and people. At HCA, you'll find opportunities to build new skills, expand your career, and make a real impact-while working in a diverse, inclusive, and valuesdriven environment. We're proud to support our communities through volunteerism, philanthropy, and engaged Employee Resource Groups.
If you're looking for a fastpaced, collaborative workplace where your ideas matter, join us as we lead the future of financing freedom of movement. Apply today.
WHAT YOU WILL DO
The Indirect Fraud Investigation Associate primarily focuses on managing indirect consumer Identity Theft claims, ensuring thorough and effective investigations from start to finish. Responsibilities include analyzing relevant information, determining accountability, drafting dealer buyback demands, obtaining necessary approvals, and managing follow-up actions until cases are fully resolved. In addition, this role will collaborate with internal teams-particularly the Credit Dispute team and Operations teams (Sales, Servicing, Collections, Credit/Funding)-as well as Legal, dealers, and external partners to effectively address fraud and mitigate associated risks.
HOW YOU WILL MAKE AN IMPACT
1. Fraud Investigation:
Investigate Indirect Identity Theft claims, and block notifications of fraud related to new and existing accounts, referred by the Credit Dispute team.
Account review for potential Identity Theft/authenticity assessment Interview victims, suspects, dealers, and other relevant parties, identifying patterns, gathering evidence, and ensuring effective resolution while upholding the organization's integrity and compliance standards.
2. Analysis & Documentation:
Gather and analyze facts and document all investigative activities to present culpability determination and next steps.
Prepare written reimbursement claims for dealer buybacks and support the buyback process through to payment receipt.
3. Regularly communicate and coordinate cross-departmental fraud detection and investigative issues with teams such as Collections, Customer Service, Credit, Funding, Sales and Marketing, and Legal. Collaborate with and assist local, state, and federal authorities when possible.
4. Assist in investigating all types of fraud claims within the organization, as well as external cases and other disputes, including ad hoc reviews of accounts, dealer fraud, dealer mistakes, and lien imperfections as needed.
5. Assist in identifying the best course of action to minimize losses to the company.

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