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Worker Compensation Fraud Investigator Jobs (NOW HIRING)

Fraud Investigator

Flint, MI · On-site

$35.60 - $39.47/hr

... workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The ...

Fraud Investigator

Silver Spring, MD · Hybrid

$69K - $108K/yr

  • Medical

  • Retirement

Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...

Fraud Investigator

Silver Spring, MD · On-site

$69K - $108K/yr

  • Medical

  • Retirement

Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...

... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...

New

Fraud Investigator

Ogden, UT · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Fraud Investigator is responsible for detecting, investigating, and preventing fraudulent ... The position requires strong analytical ability, sound judgment, and a working understanding of ...

Fraud Investigator

Tampa, FL · Hybrid

$65K - $80K/yr

  • Medical

  • Retirement

  • PTO

The Investigator will complete fraud investigations to ensure that potentially suspicious ... compensation. Additionally, our Total Rewards program provides colleagues with a competitive ...

Fraud Investigator

San Jose, CA · On-site

$121K - $220K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Responsibilities - Conduct investigations of policy violation, data leakage, fraud and financial ... Compensation may vary outside of this range depending on a number of factors, including a candidate ...

Provider Fraud Investigator

Lincoln, NE · On-site

$25.61/hr

  • Life

  • Retirement

  • PTO

Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...

New

Provider Fraud Investigator

Lincoln, NE

$25.61/hr

  • Life

  • Retirement

  • PTO

Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...

New

Fraud Investigator I

Rocky Mount, NC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Our Fraud Investigators play a critical role in identifying suspicious activity, investigating ... Competitive total compensation * Comprehensive medical, dental, and vision insurance * Retirement ...

New

Fraud Investigator I

Newport News, VA · On-site

$52K - $79K/yr

The Fraud Investigator plays a key role in the Credit Union's fraud prevention and compliance ... This is not an all-inclusive list of the responsibilities, skills, working conditions or essential ...

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... Presentation/PowerPoint, Programming Languages, Spreadsheet WORKING CONDITIONS Periodically exposed ...

Fraud Investigator will be relied upon to exercise discretion in their direct contact with ... Presentation/PowerPoint, Programming Languages, Spreadsheet WORKING CONDITIONS Periodically exposed ...

Fraud Investigator I

Greenville, SC · On-site

$19.10 - $28.52/hr

Working in a fast-paced environment, the Fraud Investigator I partners with customers and internal teams to resolve fraud cases, maintain regulatory compliance, and identify emerging fraud trends and ...

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Worker Compensation Fraud Investigator information

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$15

$30

$53

How much do worker compensation fraud investigator jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for worker compensation fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is a worker compensation fraud investigator?

A Worker Compensation Fraud Investigator is responsible for identifying and investigating potential fraudulent claims related to workers’ compensation. They review medical records, conduct surveillance, interview witnesses, and collaborate with legal professionals to determine the validity of claims. Their goal is to prevent fraudulent activities that could lead to financial losses for employers and insurance companies. By gathering evidence and reporting their findings, they help ensure that workers' compensation benefits go to those who truly need them.

What are the main daily responsibilities of a worker compensation fraud investigator?

As a Worker Compensation Fraud Investigator, your day-to-day tasks typically include reviewing claim files, gathering evidence through interviews and field surveillance, analyzing medical and employment records, and preparing detailed investigative reports. You may also collaborate closely with insurance adjusters, legal teams, and sometimes law enforcement to validate findings and support potential legal action. While much of the work is independent, teamwork is important for sharing insights and coordinating complex investigations. Maintaining a high degree of confidentiality and professionalism is essential throughout the process. This dynamic combination of investigative work, documentation, and collaboration makes each day in the role both challenging and rewarding.

What are the key skills and qualifications needed to thrive in the worker compensation fraud investigator position, and why are they important?

To thrive as a Worker Compensation Fraud Investigator, you need a background in investigative techniques, detailed knowledge of workers' compensation laws, and experience in fact-finding or law enforcement. Familiarity with case management software, digital databases, surveillance equipment, and sometimes relevant certifications such as Certified Fraud Examiner (CFE) is highly valued. Strong analytical thinking, attention to detail, effective communication, and integrity distinguish top performers in this position. These skills are critical for accurately identifying fraudulent claims, compiling thorough case reports, and collaborating with insurers or legal teams to protect organizational resources.

More about Worker Compensation Fraud Investigator jobs

What cities are hiring for Worker Compensation Fraud Investigator jobs?

Cities with the most Worker Compensation Fraud Investigator job openings:

What are the most commonly searched types of Worker Compensation Fraud Investigator jobs?

The most popular types of Worker Compensation Fraud Investigator jobs are:

What states have the most Worker Compensation Fraud Investigator jobs?

States with the most job openings for Worker Compensation Fraud Investigator jobs include:

Infographic showing various Worker Compensation Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigator

City of Flint

Flint, MI • On-site

$35.60 - $39.47/hr

Full-time

Re-posted 4 days ago


Job description

Pre-Employment Requirements Employment is contingent upon successful completion of all applicable pre-employment screenings and verification of eligibility to work in the United States, in accordance with applicable laws, civil service rules, and collective bargaining agreements. GENERAL STATEMENT OF DUTIES Under general direction, performs advanced professional investigative work involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, misuse of City assets, procurement irregularities, payroll fraud, workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The Fraud Investigator is responsible for planning and conducting confidential administrative investigations; gathering and preserving evidence; interviewing complainants, witnesses, employees, contractors, and other involved parties; analyzing investigative findings; preparing comprehensive written reports; and presenting investigative conclusions and recommendations to City leadership.

Work requires the exercise of independent judgment, discretion, objectivity, and sound investigative practices. Performs related work as required. DUTIES AND RESPONSIBILITIES Conducts confidential administrative investigations involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, conflicts of interest, residency violations, payroll and workers' compensation fraud, procurement irregularities, misuse of City assets, and other violations of City policies and applicable laws.

Plans and conducts investigations using accepted investigative practices. Interviews complainants, witnesses, employees, contractors, supervisors, and other involved parties; obtains written statements and supporting documentation. Collects, reviews, analyzes, and preserves documentary, financial, electronic, and physical evidence while maintaining proper chain of custody.

Reviews payroll, personnel, purchasing, financial, attendance, electronic communications, surveillance, GPS, and other records relevant to investigations. Prepares comprehensive investigative reports documenting findings, evidence, conclusions, and recommendations. Presents investigative findings to City leadership and coordinates investigations with legal counsel, law enforcement, regulatory agencies, and other governmental entities as appropriate.

Provides testimony during administrative hearings, arbitration proceedings, court proceedings, unemployment hearings, and other legal or administrative proceedings. Recommends improvements to internal controls, policies, and procedures to reduce fraud and organizational risk. Maintains strict confidentiality of investigative information and performs related work as assigned.

MINIMUM ENTRANCE REQUIREMENTS Bachelor's degree from an accredited college or university in Criminal Justice, Accounting, Finance, Public Administration, Business Administration, Human Resources, Law Enforcement, or a closely related field. Three to five years of progressively responsible professional experience conducting fraud investigations, administrative investigations, internal investigations, compliance investigations, internal auditing, human resources investigations, law enforcement investigations, or other closely related investigative work. Equivalent combinations of education, training, and experience that provide the required knowledge, skills, and abilities may be considered.

NECESSARY SPECIAL REQUIREMENT(S): Possession of a valid Michigan driver's license. SUPPLEMENTAL INFORMATION Thorough knowledge of modern investigative principles, practices, and techniques. Thorough knowledge of administrative investigations involving employee misconduct and fraud.

Knowledge of labor relations principles, collective bargaining agreements, employment law, and personnel practices. Knowledge of financial investigations and internal controls. Knowledge of evidence collection, documentation, preservation, and chain of custody requirements.

Knowledge of applicable federal, state, and local laws governing employment, public records, ethics, and fraud investigations. Ability to objectively investigate sensitive and confidential matters. Ability to analyze complex information, identify inconsistencies, and draw sound conclusions.

Ability to conduct effective interviews involving employees, management, complainants, and witnesses. Ability to prepare clear, concise, and comprehensive investigative reports. Ability to communicate effectively both orally and in writing.

Ability to establish and maintain effective working relationships with elected officials, department directors, employees, labor representatives, law enforcement agencies, and the public. Ability to maintain confidentiality and exercise sound professional judgment. Ability to testify effectively during administrative and judicial proceedings.

Ability to organize multiple investigations and meet deadlines with minimal supervision. Ability to successfully complete a comprehensive background investigation. Ability to obtain and maintain access to confidential investigative systems and records.

Must maintain strict confidentiality regarding investigative activities and information. Submitting an application does not guarantee that you will be contacted for further consideration. Applicants selected for an interview will be contacted directly by the hiring department.

Due to varying hiring timelines and recruitment processes, not all applicants may receive notification of the final hiring decision. Equal Employment Opportunity Statement The City of Flint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, veteran status, or any other legally protected status.

Americans with Disabilities Act (ADA) Notice Applicants requiring reasonable accommodation to participate in the hiring or selection process should contact the Human Resources Department.