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Insurance Fraud Investigator Jobs in Raleigh, NC

Investigator

Garner, NC · On-site

$30 - $40/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 is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Investigator

Garner, NC · On-site

$30 - $40/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 ...

Lead internal and external investigations into theft, fraud, and policy violations, conducting ... Must possess a valid driver's license and active auto insurance. Preferred Job Required Knowledge ...

New

Insurance Consumer Analyst I

Raleigh, NC · On-site

$19.50 - $26.50/hr

Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department.

New

... fraud investigation, and more. At DomainTools, you will work as part of a collaborative team of ... vision insurance premiums, a 401k retirement plan with company matching, basic life insurance ...

... fraud investigation, and more. At DomainTools, you will work as part of a collaborative team of ... vision insurance premiums, a 401k retirement plan with company matching, basic life insurance ...

... fraud investigation, and more. At DomainTools, you will work as part of a collaborative team of ... vision insurance premiums, a 401k retirement plan with company matching, basic life insurance ...

Roadway Engineer II

Raleigh, NC · Hybrid

$74K - $130K/yr

Perform field investigations, roadway/highway design, grading and drainage, utilities, green ... To learn more about recruitment fraud and how to report it, please refer to

MATERIAL HANDLER I

Fuquay Varina, NC · On-site

$33K - $50K/yr

Investigate variances and report material discrepancies. * Picking products to deliver to ... EOE, Including Disability/Vets IMPORTANT NOTICE REGARDING RECRUITMENT FRAUD TE Connectivity has ...

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Insurance Fraud Investigator information

See Raleigh, NC salary details

$15

$29

$51

How much do insurance fraud investigator jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for insurance fraud investigator in Raleigh, NC is $29.97, according to ZipRecruiter salary data. Most workers in this role earn between $21.49 and $34.33 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.

How to become a certified insurance fraud investigator?

To become a certified insurance fraud investigator, candidates typically need a background in law enforcement, insurance, or criminal justice, along with relevant experience. Certification programs such as the Certified Fraud Examiner (CFE) or specialized insurance fraud investigator certifications are often pursued, which require passing exams and demonstrating professional experience in fraud detection and investigation. Continuing education and familiarity with investigative tools and legal procedures are also important for certification and career advancement.

How can I become a fraud investigator?

To become an insurance fraud investigator, typically a high school diploma or equivalent is required, with many employers preferring candidates with a bachelor's degree in criminal justice, law enforcement, or a related field. Relevant experience in law enforcement, insurance, or investigations, along with strong analytical skills and attention to detail, are important. Certifications such as the Certified Fraud Examiner (CFE) can enhance job prospects and credibility in the field.

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.

How much do fraud investigators earn?

Insurance fraud investigators typically earn between $45,000 and $75,000 annually, depending on experience, location, and employer. Advanced skills, certifications, and investigative tools can influence salary levels within this range.

What does an insurance fraud investigator do?

An insurance fraud investigator examines insurance claims to detect and prevent fraudulent activities. They review documentation, interview claimants and witnesses, analyze evidence, and collaborate with law enforcement when necessary, often using specialized software and investigative techniques. Their work helps ensure the integrity of insurance processes and may require knowledge of legal procedures and industry regulations.

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 most commonly searched types of Insurance Fraud Investigator jobs in Raleigh, NC? The most popular types of Insurance Fraud Investigator jobs in Raleigh, NC are:
What are popular job titles related to Insurance Fraud Investigator jobs in Raleigh, NC? For Insurance Fraud Investigator jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Fraud Investigator jobs in Raleigh, NC look for? The top searched job categories for Insurance Fraud Investigator jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Fraud Investigator jobs? Cities near Raleigh, NC with the most Insurance Fraud Investigator job openings:
Infographic showing various Insurance Fraud Investigator job openings in Raleigh, NC as of July 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 60% In-person, and 40% Hybrid job distribution, with an average salary of $62,338 per year, or $30 per hour.

Surveillance Agent - Full-time or Part-time

MARSHALL INVESTIGATIVE GROUP LLC

Raleigh, NC • Remote

$22 - $32/hr

Full-time

Posted 9 days ago


Job description


Marshall Investigative Group (MIG), the industry's leading investigative firm, seeks self-motivated individuals with experience in surveillance and mobile investigations to assist in researching insurance fraud claims involving monetary, bodily injury, theft, and property damage claims.

We are currently hiring Surveillance Agents to conduct stationary/mobile surveillance across the country. Over the years, our current team of by-the-book agents have conducted thousands of successful insurance investigations. Innumerable hours of obtained video, capturing claimant activities from day-to-day errands, to construction, to sky diving, have been provided to our clients – saving millions of dollars on fraudulent claims.

This is an excellent way for an individual to grow their experience in the surveillance and security fields. With over 15 years of experience, our highly trained investigators have conducted thousands of successful insurance claim investigations by obtaining innumerable hours of claim-disputing documentation, saving our clients millions of dollars on fraudulent claims.

Qualifications

  • Must have a current, valid Driver's License
  • Current Private Investigator (PI) License and mobile surveillance experience strongly preferred
    • Experience working at a licensed PI firm may be accepted instead of holding a Private Investigator License
  • Must have or be able to obtain Auto Insurance with 100/300/100 coverage limits before employment
    • $100k Maximum Bodily Injury per Person
    • $300k Maximum Bodily Injury per Accident
    • $100k Maximum Property Damage per Accident
  • Personal Computer with MS Word Required
  • Personal Digital Surveillance Camera Required
  • Proficiency in utilizing surveillance equipment, technology, and platforms
  • A High School Diploma or equivalent is required
  • Associate's or Bachelor's Degree in Criminal Justice, Security Management, or related field preferred
  • Previous experience in mobile surveillance is highly desirable
  • Traveling is required for Full-Time Employees
  • Ability to work independently with minimal supervision
  • Observing and conducting surveillance 8-10 hours per day
  • Weekend work is required as needed for surveillance subjects
  • Keen observational skillset with attention to detail, focusing on individuals for long periods of time
  • Strong verbal and written communication skills with the ability to articulate findings and observations clearly and effectively
  • Demonstrated integrity, professionalism, and discretion in handling confidential information and sensitive situations

General Duties

  • Follow established protocols and procedures for conducting surveillance operations in compliance with all legal and regulatory requirements
  • Maintain a vigilant and discreet presence, avoiding detection, while observing subjects and their daily actions
  • Document and report findings, incidents, and observations accurately and promptly
  • Conduct mobile surveillance operations utilizing various monitoring equipment, including cameras and specialized devices
  • Operate surveillance equipment and technology proficiently, troubleshooting technical issues as needed
  • Maintain confidentiality and discretion regarding sensitive information obtained during the preparation for and during surveillance operations
  • Prepare, review, and submit detailed reports of findings, incidents, and investigations within 48 hours
  • Reports must be concise, grammatically correct, easy to follow, and include all supporting documentation within 48 hours of surveillance completion
  • Participate in training programs and professional development activities to enhance surveillance skills and stay updated on industry best practices
  • Perform other duties as assigned by management and support the organization's overall security and safety objectives

At the Marshall Investigative Group (MIG), our hourly rates, flexible day scheduling benefits, and expense/mileage reimbursements exceed the industry. All expenses are covered, including training, licensing, and testing fees. Comprehensive benefits are available for Full-Time agents. This position may require travel within your investigative region to accommodate full-time hours and client needs.

Marshall Investigative Group is an equal opportunity employer that values diversity within our company culture. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.