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Insurance Fraud Investigator Jobs in Boca Raton, FL

MyFlorida

SENIOR INSPECTOR - DC - 70018211

Davie, FL · On-site

$62K/yr

... investigations, audits, and inspections. We aim to detect and prevent fraud, waste, abuse, and ... Comprehensive health insurance and life insurance with accidental death and dismemberment benefits.

MyFlorida

SENIOR INSPECTOR - DC - 70018211

Davie, FL

$62K/yr

... investigations, audits, and inspections. We aim to detect and prevent fraud, waste, abuse, and ... Comprehensive health insurance and life insurance with accidental death and dismemberment benefits.

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All JobsInsurance Fraud Investigator JobsInsurance Fraud Investigator Jobs in Boca Raton, FL

Insurance Fraud Investigator information

See Boca Raton, FL salary details

$14

$29

$50

How much do insurance fraud investigator jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for insurance fraud investigator in Boca Raton, FL is $29.26, according to ZipRecruiter salary data. Most workers in this role earn between $21.01 and $33.51 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 job categories do people searching Insurance Fraud Investigator jobs in Boca Raton, FL look for?

The top searched job categories for Insurance Fraud Investigator jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Insurance Fraud Investigator jobs?

Cities near Boca Raton, FL with the most Insurance Fraud Investigator job openings:

Insurance Fraud Investigator jobs near you
Infographic showing various Insurance Fraud Investigator job openings in Boca Raton, FL as of August 2026, with employment types broken down into 57% Full Time, and 43% Part Time. Highlights an 57% In-person, and 43% Remote job distribution, with an average salary of $60,859 per year, or $29.3 per hour.

Asset Protection Associate - Pembroke Lakes Mall

JCPenney

Pembroke Pines, FL • On-site

$15 - $20/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 hours ago

JCPenney rating

5.6

Company rating: 5.6 out of 10

Based on 677 frontline employees who took The Breakroom Quiz

14th of 21 rated department stores

Job description

Shrink Observer

Observes activities to detect theft, fraud, or suspicious activity; collects investigative evidence utilizing CCTV and observations from the sales floor. Follows AP Directives and Company policy when making apprehensions. Executes required Company investigation routines to identify and resolve theft, and properly documents all stages. Conducts external interviews in accordance with local laws and Company policy with customers and contractors suspected of theft. Reports suspected fraud (i.e., credit / check and refund fraud) and infractions of company policy to AP and/or Store leadership. Creates and manages records using approved Company methods for reporting apprehension, witness statements, retention of evidence, and disposition of recovered merchandise. Based on direction from Asset Protection leadership, will collect evidence and/or monitor associate activity as needed regarding internal investigations and/or serve as an interview witness. Proactively identifies potential acts of theft and fraud by observing associate/customer activity, exception reports and referrals. Investigates suspicious behavior (collects intelligence, documents behavior, etc.). Attends court hearings as required and updates appropriate files with related outcomes; maintains professional relationship with local law enforcement. Travels to stores as necessary. Analyzes intelligence on individuals and booster groups involved in theft. Supports a safety culture through impressions of control, coaching, and recognition. Provides support by aiding store leadership in morning meetings to communicate current shrinkage and safety topics to associates. Provides support by walking the store to identify potential hazards that could result in customer or associate injury; takes initiative to correct minor hazards on floor while reporting larger concerns or consistent issues to leadership. Provides emergency or critical incident response. Assists with incident investigations and completes associated reports. May assist with Asset Protection audits. Coaches associates on keeping work areas and sales floor free of hazards to reduce risk of accidents. Supports stores in cases of critical incidents, business disruptions, natural disasters, etc. Consistently meets established performance standards for the role, including but not limited to service, productivity, and attendance.

AP Associates designated as a part of our AP Shared Services staffing model will require reliable transportation; ability to travel to designated stores, as assigned. 1+ years retail work experience/Asset Protection/Security or equivalent leadership experience/education preferred. High School diploma or equivalent work experience, AA/BA/BS in Criminal Justice or Business Management preferred. Must be age 18+. If eligible, we offer a competitive benefits package including medical/dental/vision, term life insurance, paid vacation/holidays*, and 401(k) with Company match. All associates are eligible for an associate discount on JCPenney merchandise. For paid holidays, associates who are eligible for paid vacation (MTO) are also eligible for eight paid holidays during the calendar year. All store hourly associates scheduled to work on a designated holiday will receive additional compensation. *For paid vacation days, as well as eligibility requirements for other benefits, please visit www.catalystbrandsbenefits.com

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