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Insurance Fraud Jobs in Massachusetts (NOW HIRING)

Recorded Future

Fraud Analyst

Boston, MA · Remote

$78K - $117K/yr

We are looking for a Fraud Analyst to join our Threat Intelligence team! What You'll Do: * Conduct ... life insurance and 401K. Your recruiter can share more about the specific details of the ...

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 ...

Recorded Future

Fraud Analyst

Boston, MA · On-site

$78K - $117K/yr

We are looking for a Fraud Analyst to join our Threat Intelligence team! What You'll Do: * Conduct ... life insurance and 401K. Your recruiter can share more about the specific details of the ...

Allied Universal

SIU Investigator

Marlborough, MA · On-site

$28 - $34/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.

Allied Universal

SIU Investigator

Marlborough, MA · On-site

$28 - $34/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.

Needham Bank

Fraud Operations Team Lead

Medford, MA

$69K - $90K/yr

The Fraud Team Lead is responsible for leading a team of fraud analysts to detect, prevent, and ... insurance, HRA, 401(k) plan with an 8% bank match, paid time off (PTO), paid holidays, a bonus ...

Needham Bank

Fraud Operations Team Lead

Medford, MA · On-site

$69K - $90K/yr

The Fraud Team Lead is responsible for leading a team of fraud analysts to detect, prevent, and ... insurance, HRA, 401(k) plan with an 8% bank match, paid time off (PTO), paid holidays, a bonus ...

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All JobsInsurance Fraud JobsInsurance Fraud Jobs in Massachusetts

Insurance Fraud information

See Massachusetts salary details

$28.4K

$52.9K

$79.7K

How much do insurance fraud jobs pay per year?

As of Sep 14, 2026, the average yearly pay for insurance fraud in Massachusetts is $52,869.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,700.00 and $60,100.00 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.

Insurance Fraud jobs near you
Infographic showing various Insurance Fraud job openings in Massachusetts as of September 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $52,869 per year, or $25.4 per hour.

Fraud Prevention Analyst

Newburyport, MA • On-site

Institution for Savings
Commercial Banking • 11 - 50 employees
Learn more about Institution for Savingsexternal

$28.50 - $38.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

Fraud Analyst

The Institution for Savings is seeking a full-time in-office Fraud Analyst in our Deposit Operations Office in Newburyport, MA. 


Position Summary

The Fraud Analyst is responsible for reviewing and monitoring account activity and transactions to identify, investigate, and respond to potential fraud. This position requires daily outreach to customers to discuss fraud alerts, documents investigative findings, and supports decisions with clear and well-reasoned analysis. The Fraud Analyst works closely with management, internal departments, customers, and other financial institutions to mitigate risk, recover fraudulent funds, and minimize losses to the Bank and its customers.

Essential Duties and Responsibilities

  • Review and monitor account activity and transactions for indicators of potential fraud, including unusual patterns, suspicious behavior, account takeover, and identity theft.
  • Investigate fraud referrals/incidents and perform necessary research; efficiently evaluate available information and apply sound judgment and arrive at risk-based conclusions to minimize fraud losses.
  • Contact customers to verify activity, gather additional information, and provide guidance regarding steps needed to secure their accounts.
  • Clearly document investigative steps, findings, decisions, and recommended actions.
  • Create and maintain complete, accurate, and well-organized fraud cases, including supporting documentation, customer communications, recovery efforts, and final resolution.
  • Regularly assess fraud detection rules, thresholds and system parameters in fraud software applications to ensure they are appropriately configured and operating. Recommend modifications as necessary. 
  • Take or recommend appropriate action to protect customers and the Bank, including restricting accounts or services, replacing compromised access credentials, and referring matters for further review.
  • Promptly escalate significant, complex, or high-risk situations requiring management attention.
  • Work with other financial institutions to promote recovery of fraudulent funds and mitigate losses.
  • Prepare and send appropriate requests, affidavits, indemnification documents, or other supporting information related to fraud claims and recovery efforts.
  • Maintain awareness of emerging fraud trends, industry developments, regulatory expectations, and changes affecting fraud prevention and investigation and communicate observations and potential risk to management.
  • Assist with the development and improvement of fraud monitoring practices, procedures, controls, reporting, and customer and employee education.
  • Participate in fraud-related training, audits, examinations, projects, and system testing as needed.
  • Successfully completes annual regulatory training as required by the bank and adheres to all applicable regulatory requirements for this position. 
  • Perform additional duties and responsibilities as assigned.


Qualifications:

  • Associate degree or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or combination of education and experience.
  • Working knowledge of fraud detection, account takeover, identity theft, check/ACH/Debit Card fraud and other common financial fraud activities.
  • Strong analytical and critical thinking skills with the ability to identify suspicious activity.
  • Excellent investigative, research, and problem-solving abilities.
  • Ability to handle sensitive and confidential information with professionalism and discretion.
  • Ability to work independently while also collaborating effectively with cross-functional teams. 
  • Knowledge of Jack Henry and Verafin Financial Crime Management Software is helpful


Hourly Range: $28.50-$38.50


The salary range listed is just one component of the Bank’s total compensation package. Other rewards include fully paid medical, dental and vision insurance, as well as dollar-for-dollar 401(k) match up to 10%; life insurance; disability plan; pension plan after 2 years of service; generous vacation and paid-time off; and quarterly incentive. 

The Institution for Savings is an Equal Opportunity Employer. 

Member FDIC. Member DIF.