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Insurance Fraud Jobs in Florida (NOW HIRING)

Overview BRMi is seeking a Fraud Management Specialist to support the development and improvement ... Comprehensive Medical, Dental, and Vision Insurance Employer-Paid Life Insurance Employer-Paid ...

SIU Investigator - Tampa Bay Area

Tampa, FL · On-site

$20.25 - $26/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

Job Title: Fraud Management Specialist Location: Pensacola, FL Type: Contract (multi-year ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

Showing results 41-60

Insurance Fraud information

See Florida salary details

$19.4K

$36.2K

$54.6K

How much do insurance fraud jobs pay per year?

As of Sep 15, 2026, the average yearly pay for insurance fraud in Florida is $36,176.00, according to ZipRecruiter salary data. Most workers in this role earn between $29,900.00 and $41,100.00 per year, depending on experience, location, and employer.

What is insurance fraud?

Insurance fraud is the act of intentionally deceiving an insurance company or agent to obtain benefits, payouts, or advantages to which one is not entitled. This can include exaggerating claims, falsifying information on applications, staging accidents, or submitting false documents. Insurance fraud is a serious crime that can result in legal penalties, increased premiums for all policyholders, and reduced trust in the insurance system. Both individuals and organized groups can commit insurance fraud, and it occurs in various types of insurance, including health, auto, and property insurance.

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 thinking, attention to detail, and a background in criminal justice or a related field. Familiarity with investigative software, claims management systems, and sometimes certifications like the Certified Insurance Fraud Investigator (CIFI) credential are typically required. Excellent communication, critical thinking, and interpersonal skills allow you to conduct interviews, write clear reports, and collaborate with law enforcement. These capabilities are crucial for effectively identifying fraudulent claims, ensuring accurate investigations, and protecting organizational assets.

What are some common challenges faced by professionals working in insurance fraud investigation?

Professionals in insurance fraud investigation often face challenges such as distinguishing genuine claims from fraudulent ones, handling sensitive or confrontational interactions with claimants, and keeping up with evolving fraud tactics. The work requires strong attention to detail, persistence in gathering and analyzing evidence, and effective collaboration with law enforcement, legal teams, and other departments. Investigators also need to manage a significant workload while ensuring all cases are handled ethically and in compliance with regulations.

What is the difference between Insurance Fraud vs Insurance Claims Adjuster?

AspectInsurance FraudInsurance Claims Adjuster
Primary RoleDetecting and preventing fraudulent insurance claimsEvaluating insurance claims to determine coverage and settlement
Required CredentialsKnowledge of insurance policies, investigation skillsLicensing, insurance knowledge, sometimes certifications like CPCU
Work EnvironmentInvestigations, office, field inspectionsOffice-based, field visits, interviews
Industry UsageInsurance companies, law enforcementInsurance companies, adjusting firms

Insurance Fraud specialists focus on identifying and preventing fraudulent claims, often working closely with law enforcement. Insurance Claims Adjusters evaluate legitimate claims to determine appropriate payouts. While both roles require insurance knowledge, fraud specialists emphasize investigation skills, whereas adjusters focus on claim assessment and settlement.

Infographic showing various Insurance Fraud job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $36,176 per year, or $17.4 per hour.

Fraud Management Specialist

Pensacola, FL

BRMi
IT Services • 51 - 200 employees

Full-time, Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Job description

Overview

BRMi is seeking a Fraud Management Specialist to support the development and improvement of fraud management policies, processes, reporting, and detection methods to protect the organization from financial fraud. Collaborates with business units and Security to identify fraud trends, improve fraud detection capabilities, resolve fraud cases, and support strategic fraud prevention initiatives. Assists with process improvements, reporting, training, and fraud investigations while working under general supervision.

**Hybrid in Vienna, VA, Pensacola, FL, or Winchester, VA**

**In person interviews will be required for this role**

Shift (Time): 9:00am - 5:30pm (in respective time zones)

6 Month Contract

Benefits: Comprehensive Medical, Dental, and Vision Insurance Employer-Paid Life Insurance Employer-Paid Short-Term and Long-Term Disability Insurance 401(k)  Paid Time Off (PTO) that includes Vacation Leave, Sick Leave, and 11 Paid Holidays Educational Assistance

Salary: 67k-85k (Depends on location)

Click here to learn about BRMi's culture.

Click here to see BRMi's Glassdoor reviews

Responsibilities
  • Identify patterns and trends indicating potential fraud or account abuse.
  • Monitor member account activity to proactively detect fraudulent transactions and suspicious activity.
  • Take immediate corrective or protective action and escalate cases to Security for investigation.
  • Review and analyze potential fraud and forgery cases prior to Security submission.
  • Track and monitor fraud case progress and communicate status updates to appropriate stakeholders.
  • Communicate with internal and external customers regarding fraud issues, account information, and case resolution.
  • Identify opportunities to improve fraud processes, technology, data, and operational procedures.
  • Serve as a subject matter expert on fraud trends and emerging risks.
  • Support fraud detection, prevention, and root cause analysis initiatives.
  • Collect, prepare, maintain, and analyze fraud-related data and reports.
  • Develop and support incident response standards, fraud response processes, and quality procedures.
  • Coordinate or provide training related to fraud processes, change management, and procedural updates.
  • Partner with business units to understand transaction processes and identify fraud risks across operations.
  • Perform other duties as assigned.
Qualifications
  • Bachelor's degree in Business, Finance, or a related field.
  • Experience identifying, analyzing, and resolving fraud-related issues.
  • Knowledge of fraud detection, prevention, and case management practices.
  • Strong analytical, research, and problem-solving skills.
  • Ability to analyze data and identify fraud patterns and trends.
  • Experience preparing reports and maintaining fraud-related documentation.
  • Strong verbal and written communication skills.
  • Ability to manage multiple priorities in both independent and team environments.
  • Effective organizational, planning, and time management skills.
  • Familiarity with databases, spreadsheets, presentation software, and reporting tools.
  • Knowledge of statistical analysis, data querying, forecasting, and operational reporting.
  • Understanding of financial institution operations, lending, and credit union processes.
  • Familiarity with NCUA regulations and fraud investigation practices.
  • Ability to collaborate with cross-functional stakeholders and business leaders.
  • Knowledge of organizational policies, procedures, and fraud prevention standards.

** BRMi will not sponsor applicants for work visas for this position.**

**This is a W2 opportunity only**

EOE/Minorities/Females/Vet/Disabled 

We are an equal opportunity employer that values diversity and commitment at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Employment policies and decisions on employment and promotion are based on merit, qualifications, performance, and business needs. The decisions and criteria governing the employment relationship with all employees are made in a nondiscriminatory manner, without regard to race, religion, color, national origin, sex, age, marital status, physical or mental disability, medical condition, veteran status, or any other factor determined to be unlawful by federal, state, or local statutes. 

Employment Type: OTHER

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About BRMi

Sourced by ZipRecruiter

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Silver Spring, MD, US

Year founded

2004