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Insurance Investigator Jobs in Rochester, NY (NOW HIRING)

Easterseals

Quality Improvement Specialist

Rochester, NY · On-site

$20 - $23/hr

Documenting investigations in a systematic manner and make regulatory recommendations to ensure the ... Life/Accident insurance * Short-term Disability insurance * Long-term Disability insurance

CME Associates

Civil Field Engineer EIT

Rochester, NY · On-site

$24 - $30/hr

Summary Seeking a detail-oriented Civil Field Engineer to lead on-site investigations, perform ... Health, Dental, Vision, 401K, Health Savings Account, Supplemental Insurance Products, and Paid ...

System One

Clinical Research Nurse

Rochester, NY · On-site

$40 - $50/hr

Ensure Serious Adverse Events (SAE's) are reported to Principal Investigator, Sponsor, and IRB ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One

Clinical Research Nurse

Rochester, NY · On-site

$40 - $50/hr

Ensure Serious Adverse Events (SAE's) are reported to Principal Investigator, Sponsor, and IRB ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One

Clinical Research Nurse

Rochester, NY · On-site

$40 - $50/hr

Ensure Serious Adverse Events (SAE's) are reported to Principal Investigator, Sponsor, and IRB ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One

Clinical Research Nurse

Rochester, NY · On-site

$40 - $50/hr

Ensure Serious Adverse Events (SAE's) are reported to Principal Investigator, Sponsor, and IRB ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

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All JobsInsurance Investigator JobsInsurance Investigator Jobs in Rochester, NY

Insurance Investigator information

See Rochester, NY salary details

$13

$25

$37

How much do insurance investigator jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for insurance investigator in Rochester, NY is $25.43, according to ZipRecruiter salary data. Most workers in this role earn between $21.59 and $31.30 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.

How to become an insurance investigator?

To become an insurance investigator, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant experience in law enforcement, insurance, or criminal justice. Developing skills in interviewing, report writing, and investigation techniques is essential, and obtaining certifications such as the Certified Insurance Fraud Investigator (CIFI) can enhance job prospects. The role often requires a background check and may involve working irregular hours or in the field.

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. Proficiency with computers and report writing is 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?

The highest paying investigator jobs are often senior or specialized roles such as corporate security investigators, fraud examiners, or private investigators with advanced certifications and extensive experience. These positions typically offer higher salaries due to the complexity of cases and required expertise, with some earning over $100,000 annually. Factors like industry, location, and level of specialization influence compensation levels for investigators.

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 Rochester, NY? The most popular types of Insurance Investigator jobs in Rochester, NY are:
What are popular job titles related to Insurance Investigator jobs in Rochester, NY? For Insurance Investigator jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Insurance Investigator jobs in Rochester, NY look for? The top searched job categories for Insurance Investigator jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Insurance Investigator jobs? Cities near Rochester, NY with the most Insurance Investigator job openings:
Insurance Investigator jobs near you
Infographic showing various Insurance Investigator job openings in Rochester, NY as of July 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 88% In-person, 2% Hybrid, and 10% Remote job distribution, with an average salary of $52,887 per year, or $25.4 per hour.
Quality Improvement Specialist

Quality Improvement Specialist

The Fedcap Group

Rochester, NY • On-site

$20 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

What You'll Do

As Quality Improvement Specialist you will help foster a culture of continuous improvement and innovation within the organization through collaboration across departments. You will help enhance the standard of services we provide by analyzing current practices and identifying areas for improvement. You will help to develop strategies to boost the efficiency and effectiveness of those practices.  

Your Responsibilities Will Include:

  • Participating in a team approach to implement corrective action, individual protections, and safeguards to address root cause issues and potential deficiencies discovered through the investigative process.
  • Documenting investigations in a systematic manner and make regulatory recommendations to ensure the requirements of program procedures.
  • Providing training and conducting verification assessments to ensure quality of services, systems maintenance, and processes compliance according to State certification/licensing standards, agency policies, other governing agencies guidelines, and contractual obligations.
  • Managing projects to ensure that they are completed within the required time schedule, as required per Agency Policy.
  • Conducting internal audits and observation to assist and support program services to prepare for regulatory audits.
  • Preparing investigation statistics and trending reports, as requested.
  • Utilizing trend data to develop quality services and enhance staff performance
  • Working within a team approach to develop and implement best practices for compliance.
  • Conducting, coordinating, writing, tracking and managing investigations per regulatory procedures
  • Assisting with on-boarding and training of new employees and in annual trainings. 

You're a great fit for this role if you have:

  • Bachelor's degree in Social Work, Management, Human Services, or a related field.
  • Two (2) years of experience working with individuals with disabilities.
  • Knowledge of Intermediate Care Facility (ICF) Regulations is preferred.
  • Must be able to work occasional weekend and evening hours as well as the ability to provide weekend and evening on-call services, on a rotating schedule.
  • Valid driver's license and reliable transportation.

Compensation & Benefits:

  • Compensation:  $20-$23/hr
  • Benefits
    • Health insurance (Medical, Dental, Vision)
    • Paid time off (Vacation, Sick, Floating)
    • Retirement plan 403(b)
    • Flexible Spending Account (FSA)
    • Commuter Benefits
    • Life/Accident insurance
    • Short-term Disability insurance 
    • Long-term Disability insurance
    • Employee Assistance Plan (EAP)

Who We Are

The mission of Easterseals New York is to spread help, hope, and answers. We operate programs that enable people with special needs to achieve equality, dignity, and independence in their own communities. We provide exceptional services to ensure that all people with disabilities or special needs and their families have equal opportunities to live, learn, work and play in their communities. We change the way the world defines and views disability by making profound, positive differences in people's lives every day. In Rochester, NY, we operate The Kessler Center, an approved private special education (853) school offering both residential (CRP) and day placements for students with developmental disabilities. The Kessler Center is an available option for school districts seeking an out-of-district placement for students who need an alternative educational path due to their developmental disabilities. The Kessler Center has broad expertise working with students across the entire range of developmental disabilities, including autism spectrum disorders, as well as with children who struggle with behavioral challenges. In addition to The Kessler Center, we operate a dayhab program and provide respite care.
Easterseals New York joined The Fedcap Group in 2015.    
Website: www.Easterseals.com/newyork

The Fedcap Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We are an EEO employer committed to diversity.

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