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Insurance Fraud Investigator Jobs (NOW HIRING)

centralins

Anti-Fraud Manager

Dublin, OH · On-site +1

Senior Claims Law Associate Designation, Certified Insurance Fraud Investigator Designation, and ... Certified Fraud Examiners Designation. * Familiarity with anti-fraud analytics programs as it ...

TikTok

Fraud Investigator

San Jose, CA · On-site

$121K - $220K/yr

Responsibilities - Conduct investigations of policy violation, data leakage, fraud and financial ... Employees have day one access to medical, dental, and vision insurance, a 401(k) savings plan with ...

SCCU

Fraud Investigator I

Miramar, FL · On-site

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

SCCU

Fraud Investigator I

Melbourne, FL · Hybrid

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

SCCU

Fraud Investigator I

Melbourne, FL · On-site

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

SCCU

Fraud Investigator I

Miramar, FL · Hybrid

$28.13 - $29.79/hr

As a Fraud Investigator I, you will help protect the credit union and its members by investigating ... Medical, dental, and vision insurance, plus an Employee Assistance Program. * Financial Perks ...

Global Credit Union

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other ...

ORIGIN INVESTIGATIONS

SIU Investigator

Houston, TX · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

Origin Investigations Inc

SIU Investigator

Las Vegas, NV · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

ORIGIN INVESTIGATIONS

SIU Investigator

Las Vegas, NV · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

Origin Investigations Inc

SIU Investigator

Houston, TX · On-site

$25 - $40/hr

This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...

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Insurance Fraud Investigator information

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How much do insurance fraud investigator jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for insurance fraud investigator 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 are some common challenges faced by insurance fraud investigators in their daily work?

Insurance Fraud Investigators often encounter challenges such as distinguishing between legitimate and fraudulent claims, managing heavy caseloads, and keeping up with evolving fraud tactics. They must remain objective and detail-oriented while conducting interviews and gathering evidence, sometimes under tight deadlines. Working collaboratively with law enforcement, attorneys, and claims adjusters is also essential, requiring strong communication and interpersonal skills.

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

AspectInsurance Fraud InvestigatorClaims Adjuster
Required CredentialsTypically requires a background in criminal justice, law enforcement, or related certificationsRequires insurance licenses and sometimes adjuster certifications
Work EnvironmentInvestigates suspected fraud cases, often in an office or field settingEvaluates insurance claims, interacts with claimants, and assesses damages
Employer & Industry UsageEmployed by insurance companies, law enforcement, or specialized fraud unitsEmployed by insurance companies, public agencies, or independent adjusting firms

Insurance Fraud Investigators focus on detecting and preventing fraudulent claims, often working in investigative or law enforcement settings. Claims Adjusters handle the assessment and processing of insurance claims, ensuring proper payout. While both roles are vital in the insurance industry, their primary functions, credentials, and work environments differ significantly.

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

To thrive as an Insurance Fraud Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice or a related field, often supported by a bachelor's degree. Familiarity with case management software, data analysis tools, and knowledge of legal regulations and investigative procedures is typically required, and certifications like CIFI (Certified Insurance Fraud Investigator) can be advantageous. Excellent communication, critical thinking, and interpersonal skills help build trust, conduct thorough interviews, and present findings effectively. These skills are crucial for detecting fraudulent activity, ensuring accurate claims processing, and protecting company resources.

What does an insurance fraud investigator do?

As an insurance fraud investigator, your job is to investigate an insurance claim on behalf of your firm to determine whether or not fraud has occurred in any given case. In this role, you may examine the damaged property, coordinate with law enforcement, interview the claimant, and gather information about any casualty that's occurred. Insurance fraud is a crime, but most fraud investigators are not police officers, and you are not expected to arrest fraudsters. Instead, you may be asked to write up a report summarizing your findings and send it to a law enforcement agency. Insurance fraud investigators frequently travel to examine claim sites in person, and you may be asked to do so on short notice.

How much do insurance fraud investigators make?

Insurance fraud investigators in California typically earn between $50,000 and $80,000 annually, depending on experience, certifications, and the employer. Advanced skills and specialized training can lead to higher salaries in this field.
More about Insurance Fraud Investigator jobs
What cities are hiring for Insurance Fraud Investigator jobs? Cities with the most Insurance Fraud Investigator job openings:
What are the most commonly searched types of Insurance Fraud Investigator jobs? The most popular types of Insurance Fraud Investigator jobs are:
What states have the most Insurance Fraud Investigator jobs? States with the most job openings for Insurance Fraud Investigator jobs include:
What job categories do people searching Insurance Fraud Investigator jobs look for? The top searched job categories for Insurance Fraud Investigator jobs are:
Insurance Fraud Investigator jobs near you
Infographic showing various Insurance Fraud Investigator job openings in the United States as of July 2026, with employment types broken down into 7% Locum Tenens, 2% As Needed, 74% Full Time, 16% Part Time, and 1% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Anti-Fraud Manager

centralins

Dublin, OH • On-site, Remote

Other

Medical, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX
Work Model: Hybrid or Remote based on location 
Position type: Full time - salary 

We’re a team of employees passionate about delivering best-in-class customer service and innovation in the industry. Integrity, relationships, and excellence are at the heart of everything we do.

Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do!

Fraud prevention is at the heart of protecting our customers and our business—and that’s where this role makes an impact. As Anti-Fraud Manager, you’ll lead front-line investigative efforts, tackle complex and high-impact cases, and partner with a wide network of internal teams and external agencies. This is an opportunity to shape strategy, develop talent, and bring modern tools and analytics into real-world fraud detection and deterrence.

 Key Responsibilities of the Role  

  • Supervises the day-to-day investigative activity of SIU field/desk investigations and support activities throughout regions. 
  • Acts as the direct liaison with the various Claims Staff, Departments of Insurance and other regulatory agencies, NICB and other industry investigative representatives.
  • Monitors and evaluates the quality of performance and key results through ongoing audits and review of results of both direct adjuster and advanced cutting edge analytic referrals of both artificial intelligence and machine learning.
  • Reviews and evaluates all available information to assess the appropriateness of referrals for prosecution and/or recovery. 
  • Ensures that all SIU investigation files include a concise and complete summary of the investigation, including the investigators findings regarding the suspected insurance fraud and the basis for their findings and ensure that all investigative cases are thoroughly, promptly, and efficiently investigated and referred to the proper authority within the timeframe as mandated. 
  • Works with all members of the Claims Management, Underwriting and Marketing Teams, Claim Support Staff, Independent Vendors, Defense Counsel, and all other entities as may be required, to ensure effective implementation of fraud detection and deterrent protocols.
  • Assists with the training of Central Mutual Insurance anti-fraud personnel and Claims Staff in fraud detection, prevention, and suspect claim handling measures.  
  • Represents the Company at various industry, state and local organizations which focus on anti-fraud activities.
  • Coordinates investigation of complex suspect claims and assignments as warranted ensuring proper resolution and documentation within case management system.  
  • Collaborates with the SIU Director on all matters of the SIU function to include, but not limited to; investigation, investigative strategy, training and other department matters.
  • Oversees reporting of all suspected fraudulent insurance transactions to the appropriate departments of insurance within the required time frames for their team. 
  • Establishes and maintains relationships with law enforcement, Department of Insurance officials and insurance industry personnel and assist them when required.
  • Selects, trains, and develops new employees
  • Sets expectations with regards to performance
  • Communicates with, motivate and recognize employees
  • Evaluates performance and conducts weekly check-ins and performance reviews
  • Manages staff and other resources appropriately 

Required Qualifications  

  • Bachelor’s Degree in Criminal Justice, Criminology, or Fraud Management and 2 years relevant experience 
  • Or 4 years of relevant SIU investigator/SIU Supervisor experience  


Preferred Qualifications  

  • Licensure & Certification: None required; One or more of the following certifications/designations are desirable: Senior Claims Law Associate Designation, Certified Insurance Fraud Investigator Designation, and Certified Fraud Examiners Designation.
  • Familiarity with anti-fraud analytics programs as it relates to fraud prevention and identification 

 
Knowledge, Skills, and Abilities  

  • SIU Supervisor needs to have significant knowledge and experience in all levels of P&C claim fraud investigation and reporting requirements to the various fraud bureaus.  
  • Advanced practical knowledge of conducting medical and property investigations in the field is necessary
  • Good working knowledge of Word, Excel, and PowerPoint applications
  • Demonstrated ability to build and maintain collaborative relationships with internal and external partners and business areas.
  • Proven management skills
  • Ability to demonstrate monthly productive outcomes from investigations assigned to the SIU team
  • Excellent leadership, team building, communication and strategic thinking skills
  • Ability to prepare and present training sessions
  • Successful track record in facilitating and managing projects and teams
  • Attain and be very proficient at the SIU protocols and procedures that would include SIU compliance to the specific states the company operates in
  • Possess in-depth knowledge of insurance policies and procedures related to SIU investigations
  • As a Team Member at Central Mutual Insurance, you will be part of a growing SIU Team that continues to evolve to be a Best in Class SIU group utilizing state of the art analytic programs. Three keys words guide this unit, Unique, Innovative and Creative
  • Ability to understand Central Insurance’s policies and processes 

Total Rewards

Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits

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