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Insurance Investigation Jobs (NOW HIRING)

Oscorp Industries

Investigator SrHybrid

Norfolk, VA · Hybrid

Minimum Requirements Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and ...

Allstate Northern Ireland Limited

$70K - $124K/yr

Skills Analytical Thinking, Claims Processing, Critical Thinking, Evidence Gathering, Fraud Investigation, Fraud Investigations, Information Collection, Insurance Claims Investigations, Insurance ...

Allstate

SIU Field Investigator

Chicago, IL · On-site

$70K - $124K/yr

... Insurance Investigation, Investigative Research, Investigative Skills, Researching, Special Investigations, Time Management Compensation Base compensation offered for this role is: Special ...

Allstate

SIU Field Investigator

Chicago, IL · On-site

$70K - $124K/yr

... Insurance Investigation, Investigative Research, Investigative Skills, Researching, Special Investigations, Time Management Compensation Base compensation offered for this role is: Special ...

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Insurance Investigation information

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$13

$25

$38

How much do insurance investigation jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for insurance investigation in the United States is $25.77, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $31.73 per hour, depending on experience, location, and employer.

What is insurance investigation?

Insurance investigation is the process of examining and verifying insurance claims to determine their validity. Investigators look for signs of fraud or exaggeration, collect evidence, interview witnesses, and analyze documentation related to the claim. Their goal is to ensure that claims are legitimate and to protect insurance companies from fraudulent activities. Insurance investigators often work closely with law enforcement and legal professionals during their inquiries.

What are the key skills and qualifications needed to thrive as an insurance investigator?

To thrive as an Insurance Investigator, you need a solid understanding of insurance policies, investigative techniques, and legal compliance, typically supported by a relevant degree or experience in criminal justice or insurance. Familiarity with case management systems, fraud detection software, and public records databases is essential. Strong analytical thinking, attention to detail, and effective communication skills help you gather evidence and present findings. These skills are crucial for detecting fraud, ensuring claim integrity, and protecting company assets.

What are some common challenges faced in an insurance investigation role, and how can they be managed?

Insurance Investigation professionals often encounter challenges such as gathering accurate information from uncooperative parties, detecting fraud, and managing a high caseload with tight deadlines. Staying organized, maintaining strong communication skills, and using specialized investigative tools can help manage these challenges. Collaborating closely with claims adjusters, legal teams, and law enforcement is also essential to ensure thorough and fair investigations.

What is the difference between Insurance Investigation vs Claims Adjuster?

AspectInsurance InvestigationClaims Adjuster
Primary RoleInvestigate insurance claims to determine validity and fraudEvaluate and settle insurance claims by assessing damages and coverage
Required CredentialsOften requires insurance licenses, investigative skills, and sometimes certificationsRequires insurance licenses, claims handling knowledge, and adjuster certifications
Work EnvironmentFieldwork, interviews, report writing, sometimes in offices or on-siteOffice-based with site visits, customer interactions, and claim assessments
Industry UsageCommonly employed in insurance companies, fraud detection unitsUsed by insurance companies, third-party administrators, and claims departments

While both roles involve working within the insurance industry and require similar credentials, Insurance Investigators focus on uncovering fraud and verifying claims, often through fieldwork. Claims Adjusters primarily evaluate damages and determine claim payouts. Understanding these differences helps in choosing the right career path or job search focus.

How much do insurance investigators make in the US?

Insurance investigators in the US typically earn an average annual salary of around $50,000 to $70,000, depending on experience, location, and employer. Experienced investigators or those working in specialized fields can earn higher wages, and some may receive additional benefits or overtime pay.

What do you need to be an insurance investigation?

To become an insurance investigator, you typically need a high school diploma or equivalent, with some roles preferring or requiring a college degree in criminal justice, law enforcement, or a related field. Experience in law enforcement, claims adjusting, or private investigation is often beneficial, along with strong analytical skills and knowledge of insurance policies. Certifications such as the Certified Insurance Fraud Investigator (CIFI) can enhance job prospects.

What does an insurance investigation do?

An insurance investigation involves examining claims to verify their validity, often by gathering evidence, interviewing witnesses, and reviewing documents. Investigators use skills in research, surveillance, and report writing to determine if a claim is legitimate or fraudulent, supporting insurance companies in making informed decisions.
More about Insurance Investigation jobs

What cities are hiring for Insurance Investigation jobs?

Cities with the most Insurance Investigation job openings:

What states have the most Insurance Investigation jobs?

States with the most job openings for Insurance Investigation jobs include:

What are popular job titles related to Insurance Investigation jobs?

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

Insurance Investigation jobs near you
Infographic showing various Insurance Investigation job openings in the United States as of September 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $53,602 per year, or $25.8 per hour.

Surveillance Operations Manager

Sacramento, CA

APEX Investigation
Investigation and Physical Security Services • 51 - 200 employees
Learn more about APEX Investigationexternal

$70K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

About Us
 
APEX Investigation® is a trusted leader in Insurance, Workers' Compensation, Liability, and Human Resource Investigations. For over 40 years, APEX has stood firm in its dedication to reducing insurance risks and combating fraudulent claims. Our commitment to delivering fast, high-quality, and reliable investigations has made us the partner of choice for our clients. APEX Investigation’s mission is to build lasting relationships through trust, integrity and quality investigations. The APEX team lives out that mission by providing constant communication, results you can use, delivered fast at a fair price.
 
The Role
 
The Surveillance Operations Manager serves as the Director of Surveillance's second-in-command and is responsible for the day-to-day operational management of surveillance investigations across California and nationwide. This leadership position ensures investigations are properly planned, assigned, monitored, and completed while providing managerial support to investigators, sales, clients, and internal departments. When the Director is unavailable, this position assumes responsibility for department operations and decision-making.
Job Description

Reports To: Director of Surveillance and COO

Start Date: September

Location: 2424 K Street, Sacramento, CA

Schedule: Tuesday–Saturday, Full-Time Exempt (Salary)

Salary: $70,304 per year

Travel: 10–20% only in California for events, trainings, and meetings

Primary Responsibilities
  • Assist in managing daily Surveillance Department operations.
  • Serve as Acting Director when necessary.
  • Manage out-of-state investigators, vendors, and investigations.
  • Ensure cases are investigation-ready before assignment.
  • Run DMV driver's license and license plate searches; verify vehicle ownership, registration information, and ensure results are accurately entered into CaseLink.
  • Verify medical appointments the day before surveillance.
  • Coordinate investigator schedules, coverage, PTO, and operational support.
  • Resolve investigator access, login, software, and case issues. 
  • Partner with Sales and Client Services on priority cases and client communications.
  • Problem-solve operational issues including cancellations, scheduling conflicts, weather, travel, and staffing.
  • Monitor quality, timeliness, reports, video uploads, and compliance.
  • Develop and improve departmental procedures, workflows, and AI-enabled processes.
Leadership Responsibilities
  • Coach and mentor investigators and case managers.
  • Support hiring, onboarding, and training.
  • Promote accountability, quality, and operational excellence.
  • Recommend process improvements and technology enhancements.
Qualifications
  • 5+ years in insurance investigations or surveillance operations.
  • Leadership or management experience.
  • Strong organizational, communication, and problem-solving skills.
  • Experience coordinating multiple investigations simultaneously.
  • Ability to travel and work from the Sacramento office Tuesday–Saturday.
Key Performance Indicators (KPIs)
  • Case readiness before assignment
  • Medical appointment verification accuracy
  • On-time investigation completion
  • Client and investigator satisfaction
  • Vendor performance
  • Report turnaround time
  • Operational problem resolution
  • Quality assurance scores
Best Practices for Insurance Investigation Case Management
  • Validate objectives, addresses, vehicles, and supporting documents before assignment.
  • Confirm appointments, weather, investigator readiness, and client updates before each surveillance day.
  • Monitor active investigations and resolve issues immediately.
  • Ensure complete reports, video, billing, and follow-up opportunities after surveillance.
  • Balance investigator workloads and maintain staffing readiness.
  • Track metrics and recommend continuous operational improvements.
Benefits
  • Medical
  • Dental
  • Vision
  • PTO
  • FSA
  • Simple IRA Plan
Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to their race, creed, color, disability, sex, sexual orientation, national origin, age, religion, Vietnam era Veteran’s status, political affiliation, or any other non-merit factor. 

After making a conditional offer of employment, the company will conduct a job-related background check. A comprehensive background check may consist of prior employment verification, motor vehicle records, professional reference checks, education confirmation and/or criminal record and credit checks. Third-party services will be hired to perform these checks. Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.

After an offer is made and accepted, the employer will comply with the Immigration and Nationality Act I-9 requirements to establish your identity and employment eligibility.