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Insurance Investigator Jobs in Raleigh, NC (NOW HIRING)

... investigation) risk exposures and liabilities * Serves as a liaison with corporate management, employees, insurance companies, and regulatory/legal agencies to minimize asset losses through the ...

... investigation) risk exposures and liabilities * Serves as a liaison with corporate management, employees, insurance companies, and regulatory/legal agencies to minimize asset losses through the ...

... investigation) risk exposures and liabilities * Serves as a liaison with corporate management, employees, insurance companies, and regulatory/legal agencies to minimize asset losses through the ...

... investigation) risk exposures and liabilities * Serves as a liaison with corporate management, employees, insurance companies, and regulatory/legal agencies to minimize asset losses through the ...

Insurance Consumer Analyst I

Raleigh, NC ยท On-site

$19.50 - $26.50/hr

Our agency licenses insurance agents, adjusters, bail bondsmen and more, along with investigating fraud matters involving insurance consumers and any entity or individual regulated by the Department.

The Insurance operation encompasses the entire university population, operations, programs and real ... Manage claims, negotiate settlements, and support investigations related to liability, property ...

Showing results 41-60

Insurance Investigator information

See Raleigh, NC salary details

$12

$25

$37

How much do insurance investigator jobs pay per hour?

As of Aug 9, 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 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 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.

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 August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $52,106 per year, or $25.1 per hour.

Senior Specialist -Complex Investigations

Amgen

Holly Springs, NC โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago


Job description

Career CategoryManufacturingJob Description

HOW MIGHT YOU DEFY IMAGINATION?

If you feel likeyou'repart of something bigger,it'sbecause you are. At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies. We are global collaborators who achieve together-researching, manufacturing, and delivering ever-better products that reach over10 million patientsworldwide.It'stime for a career you can be proud of.

Be part of Amgen's newest and most advanced drug substance manufacturing plant. When completed, the AmgenFleXbatch facility will combine the latest in single use technologies with traditional stainless steel equipment to allow for maximum flexibility in operations TheFleXBatch facility will not only feature the best in-class drug substance manufacturing technologies with embedded industry 4.0 capabilities, but it will also integrate sustainability innovations to reduce carbon and waste, as part of Amgen's plan to be a carbon-neutral company by 2027.

Senior Specialist -Complex Investigations

Live

What you will do

Let'sdo this.Let'schange the world.In this vital role, you will serve as the site expert responsible for leading the most critical, high-risk, and complex investigations within the Amgen North Carolina Biologics Drug Substance Manufacturing plant. You will partner with Manufacturing, Quality, Process Development, Engineering, Automation, Microbiology, and site leadership to investigate significant quality events, recurring deviations, product-impacting events, and systemic compliance issues.
This positionis responsible forensuring the site's most consequential investigations are conducted with scientific rigor, thorough root cause determination, effective corrective and preventive actions, and clear communication to senior leadership. The role serves as the escalation point for investigations that present elevated product quality, patient safety, compliance, or regulatory risk.

Responsibilities include:

  • Lead the site's most complexand cross-functionaldeviation investigations.

  • Servesasa technical resourcefor investigations involvingcomplexquality,microbiology,manufacturing, orcomplianceissues.

  • Assemblesand leadscross-functional investigation teams through advanced root cause analysis and risk assessment activities.

  • Apply advanced investigation methodologies including Kepner-Tregoe, Quality Risk Management, 5-Why, Fishbone Analysis, and data-driven problem solving.

  • Drivedevelopmentof robust CAPAs andevaluate the effectivenessof implemented actions.

  • Identifysystemicopportunitiesand recurring trends across quality events and drive site-wide improvement initiatives.

  • Provide expert technical guidance and coaching to investigators and functional SMEs.

  • Present investigation status, findings, risks, and recommendations to site leadership and governance teams.

  • Support regulatory inspections and internal audits by presenting investigation strategies,outcomes, andassociated remediation activities.

  • Partner with Quality, Manufacturing, Engineering, Process Development, and Microbiology organizations to ensuretimelyand compliantinvestigationclosure.

  • Develop andmaintainmetrics that assessinvestigationquality, effectiveness, and timeliness.

  • Drive continuous improvement of investigation processes, tools, and standards across the site.

  • Author and review technically complex investigation reports, risk assessments, and executive summaries.

  • Mentor investigators on investigation excellence, technical writing, and root cause analysis.

  • Influence site-wide investigation practices through knowledge sharing, process optimization, and implementation of industry best practices.

Win

What we expect of you

The collaborative investigator weseekhas extensive experience leading complex investigations in a regulated biotechnology or pharmaceutical environment anddemonstratesexceptional technical, analytical, and leadership capabilities.

Basic Qualifications:

Doctorate degree &2year ofdirectly relatedexperience
Or
Master's degree &4years ofdirectly relatedexperience
Or
Bachelor's degree &6years ofdirectly relatedexperience
Or
Associate's degree & 10 years ofdirectly relatedexperience
Or
High school diploma / GED & 12 years ofdirectly relatedexperience

Preferred Qualifications:

  • 7+ years of biotechnology or pharmaceutical industry experience with progressively increasing responsibility.

  • Extensive experience leading complex, cross-functional investigations involving quality systems, manufacturing processes, microbiology, contamination control, or compliance-related issues.

  • Demonstratedexpertisein advanced root cause analysis methodologies and quality risk management.

  • Strong understanding of GMP regulations, quality systems, deviation management, CAPA systems, and regulatory expectations.

  • Experience serving as a lead presenter or SME during regulatory inspections and internal audits.

  • Experience using Veeva QMS for investigations and CAPA management.

  • Demonstrated ability to influence cross-functional teams and senior leadership.

  • Strong project management and organizational skills.

  • Exceptional technical writing and verbal communication skills.

  • Degree in Science or Engineering (Microbiology, Biology, Chemical Engineering, Biochemistry, or related discipline preferred).

  • Ability to navigate ambiguity and provide structured, data-driven decision making.

  • Demonstrated ability to mentor investigators and influence investigation practices across multiple functional areas.

Thrive

What you can expect of us

In addition to the base salary, Amgen offers a Total Rewards Plancomprisinghealth and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:

  • Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.

  • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan

  • Stock-based long-term incentives

  • Award-winning time-off plans and bi-annual company-wide shutdowns

  • Flexible work models, including remote work arrangements, where possible

Apply now

for a career that defies imagination

Objects in your future are closer than they appear. Join us.

careers.amgen.com

Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

We will ensure that individuals with disabilities are provided reasonable accommodation toparticipatein the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

#AmgenNorthCarolina

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Salary Range

137,263.10USD -185,708.90USD