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Insurance Fraud Investigator Jobs in Decatur, GA

Ethos Risk Services

Investigator

Atlanta, GA

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Atlanta, GA · On-site

$35 - $45/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Atlanta, GA

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Atlanta, GA · On-site

$35 - $45/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Atlanta, GA · On-site

$35 - $45/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Atlanta, GA · On-site

$35 - $45/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Elevance Health

Investigator II

Atlanta, GA · Hybrid

Fraud certification from CFE, AHFI, AAPC or coding certificates preferred. * Knowledge of Plan ... Health insurance, law enforcement experience preferred. Job Level: Non-Management Exempt Workshift:

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Insurance Fraud Investigator information

See Decatur, GA salary details

$15

$30

$51

How much do insurance fraud investigator jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for insurance fraud investigator in Decatur, GA is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $21.59 and $34.52 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, and why are they important?

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?

An Insurance Fraud Investigator is responsible for examining suspicious or questionable insurance claims to determine if fraud has occurred. They gather evidence, interview witnesses, analyze documents, and work closely with law enforcement and legal teams. Their goal is to prevent insurance companies from paying out fraudulent claims, thereby reducing costs and maintaining the integrity of the insurance system. Investigators may specialize in various types of insurance, such as health, auto, or property. They play a critical role in protecting both companies and honest policyholders from the impact of fraud.

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.

More about Insurance Fraud Investigator jobs
What are popular job titles related to Insurance Fraud Investigator jobs in Decatur, GA? For Insurance Fraud Investigator jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Insurance Fraud Investigator jobs in Decatur, GA look for? The top searched job categories for Insurance Fraud Investigator jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Insurance Fraud Investigator jobs? Cities near Decatur, GA with the most Insurance Fraud Investigator job openings:
Insurance Fraud Investigator jobs near you
Infographic showing various Insurance Fraud Investigator job openings in Decatur, GA as of May 2026, with employment types broken down into 45% Full Time, and 55% Part Time. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $62,614 per year, or $30.1 per hour.
Experienced Covert Surveillance Investigator - Full Time - Atlanta, GA

Experienced Covert Surveillance Investigator - Full Time - Atlanta, GA

Meridian Investigative Group, Inc.

Atlanta, GA • On-site

$32/hr

Full-time

Posted 25 days ago

Job description

Job Type
Full-time
Description
JOB PURPOSE
Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud.
DUTIES AND RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Conduct covert field surveillance via both stationary and mobile surveillance.
  • Obtain professional quality video and photographic documentation of subjects.
  • Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations.
  • Upload video, photographs, audio files, and documents into the case management system.
  • Conduct scene investigations, interviews, recorded statements, etc.
  • Prepare written and recorded Statements from in-person interviews.
  • Provide legal testimony.
  • Other duties as assigned

Requirements
SKILLS AND QUALIFICATIONS
  • Minimum two years experience working as an investigator.
  • Ability to conduct covert field surveillance assignments.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to gather data, compile information, and prepare reports.
  • Ability to provide legal depositions and testimony.
  • Ability to gather and organize evidence.
  • Ability to investigate and analyze information.
  • Knowledge of legal documentation procedures and requirements.

LICENSES /CERTIFICATIONS REQUIREMENTS
  • Valid state-issued driver's license.
  • Current auto insurance.

REQUIRED EQUIPMENT
  • A reliable vehicle.
  • Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher.
  • Laptop computer with Microsoft Word, Windows, and wireless Internet connection.
  • Digital video camera with upload capability and accurate time and date stamp.
  • Covert camera.

WORKING CONDITIONS
  • As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays.
  • The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
  • The worker is subject to outside environmental conditions: No effective protection from weather.
  • The worker is subject to both environmental conditions: Activities occur inside and outside.

PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl.
  • The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds.
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
  • Work involves individuals to stay seated/sedentary for long periods of time.
  • Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work.

Salary Description
Up to $32.00 per hour based on experience

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