ZipRecruiter

Log In

1

Insurance Fraud Investigator Jobs in Florida (NOW HIRING)

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

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

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 ...

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 ...

Kemper

SIU Investigator

Miami, FL

This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop computer, cell phone and ...

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 ...

Allied Universal

SIU Investigator - Tampa Bay Area

Tampa, FL · On-site

$21 - $27/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 ...

next page

Showing results 1-20

All JobsInsurance Fraud Investigator JobsInsurance Fraud Investigator Jobs in Florida

Insurance Fraud Investigator information

See Florida salary details

$11

$23

$39

How much do insurance fraud investigator jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for insurance fraud investigator in Florida is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $26.39 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.
More about Insurance Fraud Investigator jobs

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

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

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

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

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

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

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

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

Insurance Fraud Investigator jobs near you
Infographic showing various Insurance Fraud Investigator job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $47,925 per year, or $23 per hour.

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • Remote

Full-time

Posted 23 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

41st of 891 rated healthcare providers

Job description

Bilingual Spanish Junior Healthcare Fraud Investigator:

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.

As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.

What you'll do:

  • Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations

  • Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies

  • Support on-site inspections and patient/provider interviews as necessary

  • Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate

  • Prepare reports to expedite tracking and reporting of investigations

Requirements:

  • Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits

  • Bilingual Spanish

  • A bachelor's degree in a Criminal Justice, or related field

  • 1+ years professional work experience, preferably with health insurance investigations/audit

  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word

  • Excellent verbal and written communication skills, along with ability to effectively manage conflict

  • Keen ability to deal with ambiguity and leverage reasoning skills

  • Possession of a strong desire and demonstrated ability to lead


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

What Cigna Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Cigna logo

About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

FacebookTwitter

View All Cigna Jobs

Apply