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Insurance Investigator Jobs in Raleigh, NC (NOW HIRING)

Investigate and complete site-related exceptions, including minor, major, and critical ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

Ensure full compliance with applicable laws and regulations, by investigating, analyzing and ... Truist offers medical, dental, vision, life insurance, disability, accidental death and ...

We're seeking an experienced and compassionate Principal Investigator (PI) to oversee Phase 2-4 ... Medical, dental, and vision insurance * Generous PTO and paid holidays * Flexible scheduling ...

We're seeking an experienced and compassionate Principal Investigator (PI) to oversee Phase 2-4 ... Medical, dental, and vision insurance * Generous PTO and paid holidays * Flexible scheduling ...

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Insurance Investigator information

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$12

$25

$37

How much do insurance investigator jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for insurance investigator in Raleigh, NC is $25.05, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $30.87 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Investigator, and why are they important?

To thrive as an Insurance Investigator, you need strong analytical skills, attention to detail, and a background in criminal justice, law, or a related field, often supported by a relevant degree or certification. Familiarity with case management software, database research tools, and surveillance equipment is typically required. Excellent communication, critical thinking, and integrity are crucial soft skills for interviewing witnesses and writing clear, objective reports. These abilities ensure accurate fraud detection, effective investigations, and compliance with legal standards in the insurance industry.

What does an insurance investigator do?

An insurance investigator examines insurance claims to verify their validity and detect fraud. They gather evidence, interview witnesses, review documents, and may visit claim sites, often using investigative tools and techniques to assess the legitimacy of claims and support insurance companies' decisions.

What skills do insurance investigators need?

Insurance investigators need strong analytical skills, attention to detail, and good communication abilities to gather and evaluate evidence. They often use interview techniques, surveillance methods, and may require knowledge of insurance policies and legal procedures. Technical skills with databases and reporting tools are also important for documenting findings accurately.

What are some of the common challenges faced by Insurance Investigators, and how can they be managed effectively?

Insurance Investigators often encounter challenges such as dealing with uncooperative claimants, navigating complex regulations, and managing a heavy caseload. Building strong communication and interpersonal skills can help when interviewing witnesses or claimants. Staying organized and up-to-date with the latest industry regulations ensures compliance and efficiency. Collaborating closely with claims adjusters, law enforcement, and legal teams also helps in resolving complex cases and maintaining workflow balance.

What is the highest paying investigator job?

Senior or specialized insurance investigators, such as fraud investigators or forensic investigators, tend to have the highest salaries in the field. These roles often require advanced experience, certifications, and sometimes law enforcement or legal backgrounds, with salaries reaching six figures in some cases.

What is the difference between Insurance Investigator vs Claims Adjuster?

AspectInsurance InvestigatorClaims Adjuster
Required CredentialsLicenses, sometimes certifications in investigation or insuranceLicenses, certifications in claims handling or insurance
Work EnvironmentField investigations, interviews, surveillanceOffice-based, claims assessment, site visits
Employer & Industry UsageInsurance companies, private investigation firmsInsurance companies, third-party administrators
Common Search & ComparisonYesNo

Insurance Investigators focus on uncovering fraud and verifying claims through investigations, often working in the field. Claims Adjusters evaluate and settle insurance claims, primarily working in offices or on-site. While both roles require insurance knowledge and sometimes similar certifications, their daily tasks and work environments differ significantly.

What Do Insurance Investigators Do?

An insurance investigator works for an insurance company looking into insurance claims, usually when the claim may be fraudulent. As an insurance claims investigator, you gather information from the insurance adjuster, law enforcement, witnesses, and the claimant. You also make investigative inquiries to determine if the claim is valid or fraudulent. Your job is to document all evidence and present the case to your employer so that the insurance company is protected from false claims.

How do I become an insurance claims investigator?

To become an insurance claims investigator, candidates typically need a high school diploma or equivalent, with some roles preferring or requiring a bachelor's degree in criminal justice, law enforcement, or a related field. Relevant experience in law enforcement, claims adjusting, or investigations is often beneficial, and obtaining certifications such as the Certified Fraud Examiner (CFE) can enhance job prospects. Strong analytical, communication, and computer skills are also important for success in this role.
What are the most commonly searched types of Insurance Investigator jobs in Raleigh, NC? The most popular types of Insurance Investigator jobs in Raleigh, NC are:
What job categories do people searching Insurance Investigator jobs in Raleigh, NC look for? The top searched job categories for Insurance Investigator jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Investigator jobs? Cities near Raleigh, NC with the most Insurance Investigator job openings:
Infographic showing various Insurance Investigator job openings in Raleigh, NC as of June 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 94% In-person, 2% Hybrid, and 4% Remote job distribution, with an average salary of $52,106 per year, or $25.1 per hour.
Quality Investigator

Quality Investigator

Actalent

Raleigh, NC • On-site

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Job description

Job Title: Quality Investigator
Job Description

The Quality Investigator serves as an individual contributor within the QA Compliance department and works cross‑functionally across the plant to ensure that quality and compliance requirements are consistently maintained. This role leads and documents investigations, identifies root causes, recommends and tracks corrective and preventive actions, and supports audits and continuous improvement initiatives within an FDA‑regulated manufacturing environment.

Responsibilities

  • Investigate and complete site-related exceptions, including minor, major, and critical investigations, in alignment with departmental priorities and timelines.
  • Lead and perform Phase II out-of-specification (OOS) investigations, ensuring thorough, inspection-ready documentation that complies with GMP expectations.
  • Identify true root causes of deviations and non-conformances and recommend appropriate, sustainable corrective and preventive actions (CAPAs) to prevent recurrence.
  • Support external audits and inspections by regulatory agencies and customers, including activities such as document running, documentation pre-review, and acting as a scribe.
  • Assist the department in trending and analyzing quality metrics, including Cost of Poor Quality, Key Performance Indicators, Quality Management Reviews, and data trend analysis.
  • Support data compilation and documentation for site Annual Product Reviews (APRs) and other quality reports as required.
  • Participate as a team member in cross-functional problem-solving and brainstorming initiatives to drive continuous improvement across the site.
  • Revise, update, and create Standard Operating Procedures (SOPs) as needed to reflect current practices and regulatory expectations.
  • Prepare GEMBA plans and conduct GEMBA walks to drive compliance, enhance quality, and improve safety at the site.
  • Track the progress and performance of assigned investigations and tasks through to completion, and meet with management on a regular basis to report status and escalate issues as needed.
  • Make independent decisions and exercise sound personal judgment based on company policies, SOPs, and GMP requirements when executing investigations and quality activities.
  • Utilize SAP and other electronic systems to document investigations, track CAPAs, and manage quality records.
  • Work safely in accordance with applicable regulations, standards, and procedures, and act in a manner that minimizes risk to health and the environment.
  • Promptly notify management of unsafe conditions or practices, unlawful activities, or activities that present unreasonable health or environmental risk, and report all safety or environmental incidents immediately.
  • Support various information requests from corporate and other departments, and collaborate with corporate support groups to help drive global continuous improvement programs.
  • Perform other quality and compliance-related duties as assigned by management.
Essential Skills
  • Proven ability to lead minor, major, and critical quality investigations, including Phase II OOS investigations, using sound judgment and GMP principles.
  • Strong capability in root cause analysis, including the ability to identify true root causes and develop effective, sustainable CAPAs.
  • Deep working knowledge of FDA-regulated environments, including SOPs, cGMP requirements, and inspection expectations.
  • High proficiency in quality documentation, including investigation writing, metric trending, SOP revisions, and audit support, with strong attention to detail and data integrity.
  • Demonstrated ability to work effectively across Operations, Quality, Engineering, Supply Chain, and other functions to gather information, drive investigations, and close actions.
  • Minimum of 3–5 years of experience in a pharmaceutical, biological, or other FDA-regulated industry setting.
  • Good documentation practice skills and strong written and verbal communication skills to support investigations and cross-functional coordination.
  • Ability to work both as an individual contributor and as part of a team, with strong self-organization and follow-through.
  • Proficiency in SAP for quality and documentation-related activities.
Additional Skills & Qualifications
  • Bachelor’s degree in Chemistry, Microbiology, Biology, Engineering, or another science-related discipline is preferred; relevant job experience may be considered in lieu of a degree.
  • Familiarity and skilled competency with computers and common business software.
  • Proficiency with MS Office applications, including Word, Excel, and Outlook.
  • Detail-oriented mindset with a strong focus on accuracy and data integrity.
  • Demonstrated ability to learn new skill sets and adapt to evolving processes and systems.
Work Environment

This is a first-shift position, Monday through Friday, typically from 8:00 a.m. to 4:30 p.m., based on-site at a manufacturing plant. The role primarily operates in an office setting within the plant and involves frequent use of computer systems for documentation, data analysis, and communication. The position requires periodic visits to laboratories, manufacturing areas, warehouses, and other plant locations, which may involve exposure to standard manufacturing noise and typical plant conditions. The role may require periodic gowning and entry into cleanroom-classified production areas in accordance with site procedures. Personal Protective Equipment (PPE) must be worn as required. The position requires the ability to lift, carry, push, or pull up to 40 pounds; frequent use of hands and fingers for typing, operating printers, and reviewing documentation; and the ability to sit, stand, and walk for extended periods. The role requires reliable on-site presence Monday through Friday and may occasionally require weekend work based on business needs.

Job Type & Location

This is a Contract position based out of Raleigh, NC.

Pay and Benefits

The pay range for this position is $45.00 - $49.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Raleigh,NC.

Application Deadline

This position is anticipated to close on Jun 16, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.


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About Actalent

Sourced by ZipRecruiter

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

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