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Insurance Fraud Investigator Jobs in Raleigh, NC

Ethos Risk Services

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

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

Investigator

Garner, NC

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 ...

ASK Consulting

Be Seen First

Claims Specialist (278635)

Durham, NC · On-site

$18 - $20/hr

... insurance carriers to determine primary and secondary payment responsibility. * Identify potential fraud or abuse and refer suspicious claims to the Special Investigations Unit (SIU) for further ...

Truist

Financial Crimes Analyst III

Raleigh, NC · On-site

... to investigate and research all transactional information to ensure that Financial Crimes ... Truist offers medical, dental, vision, life insurance, disability, accidental death and ...

Parsons

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

TE Connectivity

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 ...

TE Connectivity

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 ...

All JobsInsurance Fraud Investigator JobsInsurance Fraud Investigator Jobs in Raleigh, NC

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 19, 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.

More about Insurance Fraud Investigator jobs
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:
Insurance Fraud Investigator jobs near you
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.
Investigator

Investigator

Ethos Risk Services

Garner, NC • On-site

$30 - $40/hr

Full-time

Re-posted 14 days ago

Job description

ABOUT US: 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 actionable insights that translate into better decision-making for our clients.

JOB SUMMARY:

Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.

KEY RESPONSIBILITIES:

  • Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information.
  • Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets.
  • Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings.
  • Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
  • Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship.


REQUIREMENTS:

  • Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
  • Driver's License: Valid driver's license and proof of automobile insurance.
  • Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows).
  • Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged.
  • Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.
  • Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state).


WORKING CONDITIONS:

  • While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required
  • Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours.
  • Weekends/holidays are common workdays as claimants are more likely to be active.
  • This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions.
  • Must remain alert with no external distractions, ready to use videography equipment to document subjects.


Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.


A background check will be conducted, in accordance to the local state law and regulations.


Job Posted by ApplicantPro