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Insurance Fraud Investigator Jobs in California (NOW HIRING)

Fraud Investigator

San Jose, CA · On-site

$121K - $208K/yr

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

SIU Investigator

San Diego, CA · On-site

$30 - $38/hr

Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ... Special Investigative Unit (SIU) Compliance knowledge * Ability to type 40+ words per minute with ...

SIU Investigator

San Diego, CA · On-site

$30 - $38/hr

Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest ... Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ...

SIU Investigator

Fresno, CA · On-site

$30 - $38/hr

Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest ... Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ...

SIU Investigator

Los Angeles, CA · On-site

$30 - $38/hr

Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest ... Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ...

Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ... Special Investigative Unit (SIU) Compliance knowledge * Ability to type 40+ words per minute with ...

Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance ... Special Investigative Unit (SIU) Compliance knowledge * Ability to type 40+ words per minute with ...

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Insurance Fraud Investigator information

See California salary details

$15

$30

$52

How much do insurance fraud investigator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for insurance fraud investigator in California is $30.43, according to ZipRecruiter salary data. Most workers in this role earn between $21.83 and $34.86 per hour, depending on experience, location, and employer.

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.

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 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.

How much do insurance fraud investigators earn?

Insurance fraud investigators typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and employer. Advanced skills, certifications, and investigative tools can lead to higher earnings in this field.

What are the most commonly searched types of Insurance Fraud Investigator jobs in California?

The most popular types of Insurance Fraud Investigator jobs in California are:

What cities in California are hiring for Insurance Fraud Investigator jobs?

Cities in California with the most Insurance Fraud Investigator job openings:

Infographic showing various Insurance Fraud Investigator job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $63,292 per year, or $30.4 per hour.

Fraud Investigator

San Jose, CA • On-site


TikTok
Arts, Entertainment, and Recreation • 1 - 5K employees

8.2

Company rating: 8.2 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

108th of 246 rated software companies

People enjoy working here

Good employer

Respectful managers


$121K - $208K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 6 days ago


Job description

Responsibilities
About the Team GLI is a team dedicated to identifying and addressing potential misconduct, legal violations, and ethical breaches. By detecting issues early, the GLI program helps minimize reputational damage, mitigate legal risks, and ensure compliance. Our efforts help protect the Company's integrity and build trust, by uncovering and managing problems before they escalate. Responsibilities - Conduct investigations of policy violations, data leakage, fraud and financial abuse occurring within the company and develop internal procedures and data-led fraud monitoring and identification systems that enable easy identification of financial inadequacies. - Identify, obtain, and analyze financial, operational, and other data relevant to the investigation of allegations of misconduct and the assessment of enterprise risks. - Interview employees associated with an investigation, obtain and analyze evidence, draw relevant conclusions, and recommend control enhancements. - Build cases to substantiate allegations of fraudulent activity by requesting and compiling witness statements and evidence from employees that were involved in transactions that resulted in a potential loss. - Prepare reports and communicate findings to Leadership, HR, Ethics and Legal departments, and recommend corrective action relating to internal control failures. - Prepare work papers to adequately document investigations with supporting evidence for all forensic findings. - Collaborate with various levels of the organization internally, including Leadership, Employment Relations, Ethics, Legal Counsel, and DPO as well as with various external organization legal counsel, and law enforcement in fraud and other financial mismanagement cases. - Assess internal fraud risk by conducting platform monitoring and undertaking deep-dive projects. - Identify any possible threats to company and take appropriate actions to avoid them promptly.
Qualifications
Minimum Qualification(s) - Bachelor's degree in Criminal Justice, Crime Investigation, Finance, Business Management, or a related discipline. - Significant experience conducting financial crime investigations, including analyzing large datasets to identify trends and typologies related to financial fraud, money laundering, bribery, and corruption within a large organization. - Proven experience building and developing internal investigation case-management systems, including allegation triage, root-cause analysis, and remediation processes. - Experience performing internal fraud risk assessments and implementing effective remediation and control measures within a business environment. - Strong background investigating and advising on internal misconduct matters across an organization Preferred Qualification(s) - Managed end-to-end workplace investigations in a fast-paced social media environment, ensuring compliance with internal policies and legal requirements.
Job Information
[For Pay Transparency]Compensation Description (Annually)
The base salary range for this position in the selected city is $121600 - $208800 annually.
Compensation may vary outside of this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience, and location. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units.
Benefits may vary depending on the nature of employment and the country work location. Employees have day one access to medical, dental, and vision insurance, a 401(k) savings plan with company match, paid parental leave, short-term and long-term disability coverage, life insurance, wellbeing benefits, among others. Employees also receive 10 paid holidays per year, 10 paid sick days per year and 17 days of Paid Personal Time (prorated upon hire with increasing accruals by tenure).
The Company reserves the right to modify or change these benefits programs at any time, with or without notice.
For Los Angeles County (unincorporated) Candidates:
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Our company believes that criminal history may have a direct, adverse and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
1. Interacting and occasionally having unsupervised contact with internal/external clients and/or colleagues;
2. Appropriately handling and managing confidential information including proprietary and trade secret information and access to information technology systems; and
3. Exercising sound judgment.
About TikTok
TikTok is the leading destination for short-form mobile video. At TikTok, our mission is to inspire creativity and bring joy. TikTok's global headquarters are in Los Angeles and Singapore, and we also have offices in New York City, London, Dublin, Paris, Berlin, Dubai, Jakarta, Seoul, and Tokyo.
Why Join Us
Inspiring creativity is at the core of TikTok's mission. Our innovative product is built to help people authentically express themselves, discover and connect - and our global, diverse teams make that possible. Together, we create value for our communities, inspire creativity and bring joy - a mission we work towards every day.
We strive to do great things with great people. We lead with curiosity, humility, and a desire to make impact in a rapidly growing tech company. Every challenge is an opportunity to learn and innovate as one team. We're resilient and embrace challenges as they come. By constantly iterating and fostering an "Always Day 1" mindset, we achieve meaningful breakthroughs for ourselves, our company, and our users. When we create and grow together, the possibilities are limitless. Join us.
Diversity & Inclusion
TikTok is committed to creating an inclusive space where employees are valued for their skills, experiences, and unique perspectives. Our platform connects people from across the globe and so does our workplace. At TikTok, our mission is to inspire creativity and bring joy. To achieve that goal, we are committed to celebrating our diverse voices and to creating an environment that reflects the many communities we reach. We are passionate about this and hope you are too.
TikTok Accommodation
TikTok is committed to providing reasonable accommodations in our recruitment processes for candidates with disabilities, pregnancy, sincerely held religious beliefs or other reasons protected by applicable laws. If you need assistance or a reasonable accommodation, please reach out to us at


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