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Insurance Investigator Jobs in Raleigh, NC (NOW HIRING)

Liberty Health

REGIONAL RISK MANAGER

Raleigh, NC · On-site

... 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 ...

LibertyHealth System

REGIONAL RISK MANAGER

Raleigh, NC · On-site

... 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 ...

North Carolina

Insurance Consumer Analyst I

Raleigh, NC · On-site

$19.50 - $26.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

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.

NCSU

Insurance and Risk Management Manager

Raleigh, NC

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Accenture

Commercial Insurance Analyst

Raleigh, NC · On-site

$23.13 - $48.13/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The primary responsibility of the Commercial Insurance Analyst is to ensure compliance with the ... an investigation, proceeding, hearing, or action, including an investigation conducted by the ...

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All JobsInsurance Investigator JobsInsurance Investigator Jobs in Raleigh, NC

Insurance Investigator information

See Raleigh, NC salary details

$12

$25

$37

How much do insurance investigator jobs pay per hour?

As of Aug 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 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.

More about Insurance Investigator jobs

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 are popular job titles related to Insurance Investigator jobs in Raleigh, NC?

For Insurance Investigator jobs in Raleigh, NC, the most frequently searched job titles 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:

Insurance Investigator jobs near you
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.

REGIONAL RISK MANAGER

Liberty Health

Raleigh, NC • On-site

Full-time

Re-posted 11 days ago

Job description

There’s no place like
Liberty Healthcare Management

Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced:

REGIONAL RISK MANAGER
Job Summary:
  • Administers/Implements the Risk Management Program for all operating divisions of Liberty Healthcare Group (including Home care, hospice, LTC, and Senior Living)
  • Assesses operating risks involving clinical (patient care and regulatory), business (safety/WC), and legal (claims processing/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 establishment of comprehensive policies, procedures, ongoing audits, best practices, and consistent quality improvement
  • Implements systems, policies, and procedures for the identification, collection, and analysis of risk-related information
  • Educates leadership, staff and business associates, and helps to define their respective roles in supporting the risk management program
  • Leads facilities, and advices departments in designing risk management programs within their own departments
  • Collects, evaluates, and maintains data concerning patient injuries and care metrics, liability claims, worker’s compensation, and other risk related data
  • Investigates and analyses root causes, patterns, or trends that could result in compensatory or sentinel events.  Helps to identify and implement corrective action where appropriate
  • Provides timely reports to Director of Risk Management on incidents, site visits, claims and claims payments
  • Works with legal counsel to coordinate investigation, processing, and defenses to claims made against the organization
  • Actively participates in facilities committees related to risk management, safety, and quality improvement
Job Requirements:
  • Registered Nurse with a bachelor’s degree or related clinical or allied health field (NP, FNP, GNP, or PA)
  • Prior experience in LTC, home care, and/or hospice environment and current certification as a nursing home administrator preferred
  • Certified Risk Manager or capable of attaining professional certification within 12 months of employment
  • A minimum of 5 years’ experience in one or more of the following fields; Risk Management, QI/QA, Healthcare Administration, Insurance investigation/Settlement.  7 years of direct risk management experience in a healthcare environment is preferred

Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.

Apply