1

Worker Compensation Fraud Investigator Jobs (NOW HIRING)

Fraud Investigator I

Rocky Mount, NC

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

BSA Fraud Investigator

Lakeville, CT · On-site

$21.29 - $28.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to multi-task, working multiple inquiries/investigations simultaneously. Tasks Performed ... Total Rewards NBT recognizes and rewards your contributions with competitive compensation ...

Fraud Investigator I

Miramar, FL · On-site

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Melbourne, FL · Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Fraud Investigator I

Miramar, FL · Hybrid

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Melbourne, FL · On-site

$28.13 - $29.79/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

BSA Fraud Investigator

Lakeville, CT · On-site

$21.29 - $28.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to multi-task, working multiple inquiries/investigations simultaneously. Tasks Performed ... Total Rewards NBT recognizes and rewards your contributions with competitive compensation ...

Investigator - Medicaid Fraud Job Requisition ID: JR0000000386 Number of Openings: 1 Shift ... Day (United States of America) Compensation Details: STARTING IN THE $50'S (COMMENSURATE WITH ...

Showing results 21-40

Worker Compensation Fraud Investigator information

See salary details

$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, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Job description

Join Our Team-Where Protection, Investigation, and Purpose Matter

At BM Technologies, protecting our customers and safeguarding their financial well-being is a responsibility we take seriously. Our Fraud Investigators play a critical role in identifying suspicious activity, investigating fraud claims, mitigating losses, and helping strengthen our fraud prevention efforts. If you're analytical, detail-oriented, and motivated by solving complex problems, this role offers meaningful impact and professional growth.

Why You'll Love This Role

  • You'll play a direct role in protecting customers and the organization from fraud-related losses.
  • You'll be trusted to investigate complex situations and make informed decisions.
  • You'll work alongside Fraud Prevention, Compliance, Risk Management, Operations, and other key business partners.
  • You'll continuously learn about emerging fraud schemes, trends, and prevention strategies.
  • You'll have opportunities to develop your expertise within a growing fintech and banking environment.
  • You'll be recognized for critical thinking, sound judgment, and attention to detail.

This role is ideal for someone who enjoys investigating issues, uncovering patterns, and helping protect customers through thoughtful analysis and action.

Where You'll Spend Time

  • Investigating allegations and suspicions of customer fraud activity.
  • Reviewing account activity, transaction details, supporting documentation, and fraud indicators.
  • Communicating with customers, merchants, and internal partners regarding fraud claims and investigations.
  • Researching cases using fraud tools, reporting systems, and available resources.
  • Identifying fraud trends, patterns, and opportunities to reduce future risk.
  • Collaborating with Fraud Prevention, Compliance, Risk Management, and Operational teams to improve controls and processes.

Work is performed in a fast-paced, investigative environment that values critical thinking, accuracy, accountability, and customer protection.

What Makes You a Great Fit

  • You are analytical, curious, and naturally inclined to investigate problems.
  • You can evaluate information objectively and make sound decisions.
  • You pay close attention to detail and maintain a high level of accuracy.
  • You communicate clearly and professionally with both internal and external stakeholders.
  • You remain organized while managing multiple priorities and deadlines.
  • You enjoy collaborating with others while maintaining ownership of your work.
  • You thrive in environments that require accountability, professionalism, and adaptability.

What You'll Do (Highlights)

  • Investigate fraud claims involving customer accounts, transactions, and related activity.
  • Analyze documentation and account information to determine appropriate case resolution.
  • Evaluate chargeback eligibility and support recovery efforts where appropriate.
  • Document investigative findings thoroughly and accurately.
  • Identify fraud trends and escalate emerging risks to management.
  • Take timely action to help prevent future fraud while minimizing customer impact.
  • Support fraud reporting, case management, and departmental initiatives.
  • Assist with projects and additional responsibilities as assigned.

Qualifications

Required

  • Minimum of 3 years of fraud investigation experience, preferably within financial services.
  • Strong understanding of fraud investigation practices and procedures.
  • Excellent verbal and written communication skills.
  • Strong analytical, organizational, and problem-solving abilities.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Ability to exercise sound judgment and maintain confidentiality.
  • Willingness to adapt, learn, and support other areas as business needs evolve, with or without reasonable accommodation.

Preferred

  • Experience in banking, fintech, financial services, or another regulated industry.
  • Knowledge of banking systems, fraud detection tools, and case management platforms.
  • Experience with fraud reporting, risk mitigation, and customer protection activities.
  • Proficiency in Microsoft Word, Excel, and Outlook.
  • Associate or Bachelor's degree in Criminal Justice, Finance, Business, Risk Management, or a related field (or equivalent experience).

Benefits

  • Competitive total compensation
  • Comprehensive medical, dental, and vision insurance
  • Retirement savings plans with company match
  • Paid time off and company-observed holidays
  • Professional development and training opportunities
  • Employee assistance programs
  • Opportunities to serve and support our communities

Risk Management Requirements

This position requires adherence to Workplace Policies, Code of Conduct, privacy and information security standards, and all applicable Anti-Money Laundering, Bank Secrecy Act, and USA PATRIOT Act requirements. Employees are expected to operate within authorized limits, follow established controls, and actively support risk mitigation efforts to protect customers, partners, and the organization.

Why Fraud Professionals Choose BM Technologies

Fraud prevention is constantly evolving, and so are we. At BM Technologies, you'll investigate complex cases, identify emerging fraud trends, and help protect our customers and business. You'll partner across the organization, influence meaningful outcomes, and continue building your expertise in a dynamic fintech environment.

Our core values guide everything we do:

  • Enterprising - We proactively identify risks and pursue innovative solutions.
  • Intentional - We investigate thoroughly, act thoughtfully, and hold ourselves accountable.
  • Responsive - We move quickly to address threats, support customers, and mitigate risk.
  • Considerate - We lead with professionalism, integrity, and respect in every interaction.

If you're passionate about protecting others, solving complex problems, and making a difference, you'll find a rewarding career at BM Technologies.