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Insurance Fraud Jobs in Michigan (NOW HIRING)

NJ CURE

Insurance Defense Attorney

Southfield, MI · On-site

$100K - $160K/yr

Voluntary benefits such as legal services, pet insurance, and identity & fraud protection * 24/7 Employee Assistance Program (EAP) for employees and their families * Fun, engaging in-office events ...

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Insurance Fraud information

See Michigan salary details

$22.7K

$42.2K

$63.6K

How much do insurance fraud jobs pay per year?

As of Sep 14, 2026, the average yearly pay for insurance fraud in Michigan is $42,193.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,900.00 and $47,900.00 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.

What cities in Michigan are hiring for Insurance Fraud jobs?

Cities in Michigan with the most Insurance Fraud job openings:

Insurance Fraud jobs near you
Infographic showing various Insurance Fraud job openings in Michigan as of September 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 88% In-person, 6% Hybrid, and 6% Remote job distribution, with an average salary of $42,193 per year, or $20.3 per hour.

Fraud Strategy & Tools Analyst

Royal Oak, MI • Hybrid

First Merchants Bank
Finance and Insurance • 1 - 5K employees
Learn more about First Merchants Bankexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 hours ago

Key responsibilities

  • Optimize and oversee fraud detection tools by understanding their capabilities, monitoring system changes, and identifying opportunities for enhancement.

  • Coordinate with line of business teams and document fraud practices, control effectiveness, and tool configurations to support decision-making and maintain records.

  • Identify and analyze fraud trends across channels and products, participate in fraud triage, and provide recommendations for system tuning and configuration.

First Merchants Bank rating

7.8

Company rating: 7.8 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

First Merchants Bank is seeking a Fraud Strategy & Tools Specialist to join our team! As part of the External Fraud Working Group’s strategic initiative, this role is designed to centralize and enhance the bank’s use of fraud prevention and detection tools and technologies. The Fraud Strategy & Tools Specialist will be responsible for fully understanding, optimizing, and aligning fraud tools with business goals, while proactively identifying trends and recommending improvements. This role will serve as a key liaison between fraud operations, line of business (LOB) teams, and external vendors. This role is approved for a hybrid work schedule within our operational footprint.

Essential Duties and Responsibilities: 

  • Tool Optimization & Oversight 
    • Attend vendor and user group meetings to stay current on tool capabilities and updates. 
    • Monitor system changes and assess their impact—both positive and negative—on fraud detection and prevention.
    • Fully understand the capabilities of existing fraud tools and identify opportunities for enhancement.
  • Strategic Coordination & Documentation 
    • Understand fraud practices and control effectiveness. 
    • Coordinate with LOBs to support decision-making related to fraud tools and strategies. 
    • Document current state, key decisions, and maintain up-to-date records of tool configurations and usage.
    • Research and recommend leading practices in fraud prevention and technology utilization.
  • Fraud Intelligence & Triage
    • Identify and analyze fraud trends across channels and products. 
    • Participate in the fraud triage team to support rapid response and resolution.
    • Provide recommendations for ongoing tuning and configuration of fraud detection systems.
  • Proactive Engagement & Business Alignment
    • Bring forward ideas and recommendations to improve fraud prevention strategies. 
    • Align fraud tool usage with broader business goals and risk appetite. 
    • Serve as a proactive partner to internal stakeholders and external vendors.

To be successful in this position, we require the following: 

  • Bachelor’s degree in business, finance, information systems, or related field. 
  • A minimum of three (3) years of experience in fraud prevention, risk management, or financial technology.
  • Fraud Analytics Experience with one or more fraud detection tools or platforms such as NICE/Actimize, Q2 Sentinel, FICO, Abrigo BAM+, Vertifi, TrueChecks, Alloy, etc.

The following would be a plus: 

  • Strong analytical and problem-solving skills.
  • Excellent communication and collaboration abilities.
  • Experience working with cross-functional teams.
  • Knowledge of fraud typologies and emerging threats.
  • • Ability to translate technical capabilities into business value. 
  • Detail-oriented with strong documentation and organizational skills.

First Merchants offers the following:

  • Base Pay PLUS Bonuses
  • Medical, Dental and Vision Insurance
  • 401k
  • Health Savings and Flexible Spending Accounts
  • Vacation/Sick Time
  • Paid Holidays
  • Paid Parental Leave
  • Tuition Reimbursement
  • Additional Benefits

A little about us:

First Merchants is guided by a genuine philosophy of being a meaningful place to work and having a prosperous impact across all walks of life throughout the communities we serve, including consumers, businesses and other organizations. Our Vision, Mission and Team statement reflect and reinforce that authentic service philosophy.

Our Vision is:

To enhance the financial wellness of the diverse communities we serve.

Our Mission is:

To be the most responsive, knowledgeable, and high-performing financial organization for our clients, teammates, and shareholders.

Our Team:

"We are a collection of dynamic colleagues with diverse experiences and perspectives who share a passion for positively impacting lives. We are genuinely committed to attracting and engaging teammates of diverse backgrounds. We believe in the power of inclusion and belonging."

Apply today to begin your career with us!

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