ZipRecruiter

Log In

1

Insurance Fraud Investigator Jobs (NOW HIRING)

Global Credit Union

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other ...

Massgeneralbrigham

SIU Fraud Investigator

Somerville, MA · On-site

$79K - $115K/yr

... insurance plans. -Obtains investigative evidence by requesting medical and administrative documents and by conducting interviews of providers, members, or other associated parties. -Analyzes and ...

Mass General Brigham

SIU Fraud Investigator

Somerville, MA · On-site

$79K - $115K/yr

... insurance plans. -Obtains investigative evidence by requesting medical and administrative documents and by conducting interviews of providers, members, or other associated parties. -Analyzes and ...

previous pagenext page

Showing results 21-40

All JobsLegal JobsInvestigator JobsInsurance Fraud Investigator Jobs

Insurance Fraud Investigator information

See salary details

$15

$30

$53

How much do insurance fraud investigator jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for insurance fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 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 cities are hiring for Insurance Fraud Investigator jobs?

Cities with the most Insurance Fraud Investigator job openings:

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

The most popular types of Insurance Fraud Investigator jobs are:

Who are the top companies hiring for Insurance Fraud Investigator jobs?

The top employers for Insurance Fraud Investigator jobs are:

What states have the most Insurance Fraud Investigator jobs?

States with the most job openings for Insurance Fraud Investigator jobs include:

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

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

Insurance Fraud Investigator jobs near you
Infographic showing various Insurance Fraud Investigator job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigator I

Anchorage, AK • On-site

Global Credit Union
Finance and Insurance • 1 - 5K employees
Learn more about Global Credit Unionexternal

$63K - $99K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Global Credit Union rating

8.4

Company rating: 8.4 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

Job description

Overview
Reports to: Fraud Operations Officer
Functions Supervised: None
Primary Functions: Carry out detailed investigations concerning potential losses and/or suspected criminal activity. Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters. Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Refer cases to law enforcement for prosecution and restitution. Review cases for accuracy and decide next steps, such as reimbursement, member contact, or government agency follow-up. Demonstrate prudent judgment in decision-making and maintain the highest standards of confidentiality.
Duties and Responsibilities:
  1. Monitor alert queues to help prevent fraudulent activity and reduce losses.
  2. Conduct investigations into fraud claims related to online transactions, pre-authorized drafts, altered checks, forged endorsements, unauthorized third-party transfers, financial exploitation, identity theft, and additional fraudulent activities.
  3. Investigate discrepancies, gather all relevant information, and implement effective measures to mitigate and, when feasible, prevent losses related to fraud and identity theft.
  4. Interview potential victims, suspects, and witnesses involved in financial crimes, often addressing sensitive matters.
  5. Locate video surveillance and review recorded calls to support investigations.
  6. Accurately prepare and document findings based on rules of judicial evidence, ensuring reports are both factual and impartial. Reports may be used in criminal proceedings or civil litigation.
  7. Create and maintain complete and accurate case files, including investigative notes and documentation in the case management system.
  8. Detect, monitor, and analyze fraud patterns and trends.
  9. Participate in root cause analysis reviews of large loss incidents to help identity process gaps and recommend policy changes.
  10. Adhere to all regulations and internal policies and procedures in the timely management of complaints, referrals, and reimbursements.
  11. Report suspicious activity as required by the Bank Secrecy Act.
  12. Handle high-priority and high-risk cases, such as outgoing wires, recovering funds, consumer complaints, large transactions, and potential Bank Secrecy Act or SDN list violations.
  13. Work with all law enforcement, protective agencies, and financial institution contacts for fraud related investigations.
  14. Work in partnership with BSA, Legal, Compliance, Operations, the credit union's insurer, and other relevant credit union departments.
  15. Handle incoming and outgoing calls to deliver information about fraud, identity theft, or the Member Identification Program to branches, the Member Service Center, lending departments, and members.
  16. Ensure compliance with laws, rules, regulations, policies and procedures applicable to assigned departments and related credit union activities
  17. Perform other duties as assigned.

Qualifications
Education: Bachelor's degree in Business Administration, Criminal Justice or related field
Creditable Experience in Lieu of Education: 3-4 years' experience in the area of financial crimes investigations, law enforcement, or related field.
Experience/Skills: Excellent interpersonal skills with the ability to build collaborative relationships with various business units. Strategic and tactical analysis skills. Demonstrates sound discretionary judgment and upholds strict confidentiality. Demonstrates strong proficiency in both oral and written communication. Capacity to work in a fast-paced and dynamic environment with a drive to deliver outstanding results. Thorough familiarity with banking and financial regulations. Experienced in conducting complex investigations related to potential losses and/or suspected criminal activity. Experience with courtroom testimony and legal protocols. Skilled in interview techniques. Experienced in leveraging fraud prevention and detection technologies and tools. Well-versed in strategies for mitigating and investigating Identity Theft, check, card, ACH, and payment fraud. Certified Fraud Examiner (CFE) or equivalent credentials are preferred.
Tenure: Assignment to the Fraud Investigator I (Category 10), or Fraud Investigator II (Category 09) position will be determined by the candidate's education or experience. Advancement requires management recommendation and will be based on the candidate's certifications and/or performance.
Compensation
Starting base salary will be determined based on candidate experience, qualifications, education, and applicable local or state wage requirements, and will fall within the range provided below. In accordance with our Salary Administration policy, new hire base salaries generally fall between the minimum and midpoint of the listed range.
Salary Pay Range: 09
$69,557 - $112,677 annually
Salary Pay Range: 10
$63,233 - $99,908 annually
Benefits
  • Short-term and long-term incentives
  • Comprehensive medical, dental and vision insurance plan that has HSA and FSA options
  • 401(k) plan with a 5% match
  • Employee Assistance Program (EAP)
  • Life and disability coverage
  • Voluntary cash benefits for accident, hospitalization and critical illness
  • Tuition Reimbursement
  • Generous leave programs to include Paid Time Off accrual, Paid Sick Leave, Paid Holidays
  • Click here to view Global's comprehensive Benefits Programs

Equal Opportunity Employer

What Global Credit Union employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply