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Worker Compensation Fraud Investigator Jobs (NOW HIRING)

Fraud Investigator

Flint, MI

$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 ...

Working knowledge and understanding of Retail Banking and Lending products and services, and core ... Total compensation may also include variable incentives, bonuses, commissions, or other awards as ...

Working knowledge and understanding of Retail Banking and Lending products and services, and core ... Total compensation may also include variable incentives, bonuses, commissions, or other awards as ...

As a Fraud Investigator, you'll play an important role in protecting our customers and our ... Compensation & Benefits * Targeted starting salary range (based on experience): $30.34- 35.69

Fraud Investigator

Tampa, FL · Hybrid

$65K - $80K/yr

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

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 ...

Fraud Investigator I

Greenville, SC · On-site

$38K - $57K/yr

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 ...

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 Intern

Boston, MA · On-site

$18 - $24.91/hr

Non-Exempt Grade: 4 Salary Range: $18.00 - $24.91 Actual compensation within the pay range will be ... The Fraud Investigator Intern supports the Financial Intelligence Unit (FIU), by assisting with the ...

Fraud Investigator II

Tampa, FL · Remote

$60K - $80K/yr

Overview Compensation: $60,000 - $80,000 based on experience and credentials Location Type: Remote (Candidate must reside in FL) Position Type: Full Time The Financial Fraud Investigator II is a ...

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

Miramar, FL · On-site

$28.13 - $29.79/hr

Fraud Investigator I Compensation: * Starting Salary: $28.13 - $29.79 hourly * Bonus Opportunity: Eligible for ONE SCCU Annual Bonus. Work Schedule * Hybrid and Flexible Schedule Options : This ...

Fraud Investigator I

Anchorage, AK · On-site

$63K - $99K/yr

Conduct investigations into fraud claims related to online transactions, pre-authorized drafts ... Compensation Starting base salary will be determined based on candidate experience, qualifications ...

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Worker Compensation Fraud Investigator information

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

As of Jul 27, 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 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.

What is a Worker Compensation Fraud Investigator job?

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.

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:
What job categories do people searching Worker Compensation Fraud Investigator jobs look for? The top searched job categories for Worker Compensation Fraud Investigator jobs are:
Infographic showing various Worker Compensation Fraud Investigator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.
Fraud Investigator

$35.60 - $39.47/hr

Other

Posted 13 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. 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.