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Workers Comp Fraud Investigator Jobs in Oregon (NOW HIRING)

Working knowledge of OCC enterprise fraud risk management and FFIEC BSA/AML Manual requirements relevant to fraud investigation and suspicious activity reporting * Experience with fraud trend ...

This includes performing fraud investigations and providing regular FWA reporting. Additionally ... Working Conditions Work Environment(s): Indoor/Office Community Facilities/Security Outdoor ...

Fraud Patterns Analyst

OR ยท On-site +1

Candidates should also have experience working closely with product teams to implement risk ... Investigate, conduct root cause analysis, and deploy remediations to prevent future complex and ...

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Workers Comp Fraud Investigator information

What does a workers comp fraud investigator do?

A Workers Comp Fraud Investigator is responsible for investigating suspicious workers' compensation claims to determine if fraud has occurred. They gather evidence, conduct interviews, perform surveillance, and analyze records to verify the legitimacy of claims. Their work helps insurance companies, employers, and law enforcement agencies identify and prevent fraudulent activities, ultimately reducing unnecessary costs and maintaining the integrity of the workers' compensation system. Investigators often prepare detailed reports and may testify in court or administrative hearings regarding their findings.

What are the key skills and qualifications needed to thrive as a workers comp fraud investigator, and why are they important?

To thrive as a Workers Comp Fraud Investigator, you need strong analytical abilities, attention to detail, and a background in criminal justice or insurance investigations, often supported by relevant certifications like Certified Fraud Examiner (CFE). Familiarity with investigative tools, surveillance equipment, claims management software, and legal research databases is typically required. Excellent communication, critical thinking, and interpersonal skills help in interviewing witnesses and compiling clear, concise reports. These skills enable investigators to effectively detect and prevent fraudulent claims, protecting organizations from financial losses and ensuring compliance with legal standards.

What are some typical challenges workers comp fraud investigators face when gathering evidence?

Workers Comp Fraud Investigators often encounter challenges such as uncooperative claimants, limited access to private property, and maintaining strict adherence to legal guidelines during surveillance. They must ensure evidence is collected ethically and will hold up in court, which requires careful documentation and discretion. Additionally, investigators may need to work irregular hours to observe claimants and coordinate closely with insurance adjusters, law enforcement, and sometimes attorneys to build a thorough case.
Infographic showing various Workers Comp Fraud Investigator job openings in Oregon as of August 2026, with employment types broken down into 83% Full Time, 11% Part Time, and 6% Temporary. Highlights an 77% In-person, 6% Hybrid, and 17% Remote job distribution.

Risk Investigator - Third Party/ATO Fraud

Embedded Shishya

Portland, OR โ€ข On-site

$109.50 - $152.10/hr

Other

Posted yesterday

New


Job description

We're looking to hire a Fraud Investigator to join our Account Fraud team, with a focus on Account Takeover (ATO) and other forms of third party fraud. In this role, you'll help protect our customers by investigating suspected account compromise, responding quickly to high-risk security incidents, and serving as the primary point of contact for customers during critical account recovery events. As a member of our Account Fraud team, you'll investigate escalated account takeover cases, assess account security, coordinate containment and recovery efforts, and communicate directly with customers through some of their most stressful moments. You'll balance decisive risk management with empathy, helping customers regain confidence while ensuring the security of their accounts. Many of the cases you'll work will involve complex investigations, cross-functional coordination, and significant customer impact. Some incidents will require communicating with company leadership and cross-functional stakeholders and making strong judgment with discretion. You'll need to develop a deep understanding of how a wide range of businesses operate, recognize the signals of account compromise, and apply investigative thinking to rapidly assess risk and determine the appropriate response with customer experience in mind. This role requires exceptional attention to detail, strong communication skills, and the ability to remain calm and organized while managing multiple high-priority investigations simultaneously.

Here are some things youโ€™ll do on the job
  • Lead complex investigations into suspected account takeover (ATO) incidents, exercising sound judgment to determine risk, containment, and recovery strategies
  • Own end-to-end response for high-impact and executive-visible ATO cases, serving as a primary coordinator across Fraud, Customer Support, Product, Engineering, Compliance, Legal, and Leadership
  • Communicate directly with customers during sensitive account security incidents, providing timely, empathetic guidance throughout the investigation and recovery process
  • Help develop and continuously improve ATO investigation policies, playbooks, and operational workflows to increase consistency, quality, and speed to response
  • Partner with Product, Engineering, and Risk teams to identify detection gaps and recommend improvements to authentication controls, fraud detection systems, and customer security features
  • Escalate emerging account takeover trends, attacker behaviors, and fraud vectors, working with leadership and partner teams to turn findings into actionable operational and product improvements
  • Provide subject matter expertise during critical incidents and help guide investigation strategy for the team's most complex and high-risk cases
  • Identify opportunities to automate repetitive investigative tasks and improve tooling, operational efficiency, and customer experience
  • Maintain clear, defensible investigative documentation that supports internal decision-making, regulatory requirements, and cross-functional collaboration
  • Mentor teammates by sharing investigative best practices, reviewing complex cases, and contributing to onboarding and training materials
You should
  • Have 3+ years of direct experience investigating and responding to account takeover (ATO) fraud incidents within a bank, fintech, payments company, or other financial services organization
  • Demonstrate deep expertise in account takeover methodologies, attacker tactics, authentication systems, identity verification, and account recovery processes
  • Have experience identifying common bank fraud typologies, such as wire fraud, ACH fraud, check fraud, mule accounts, and identity theft
  • Be comfortable leading complex, ambiguous investigations that require balancing customer experience, fraud risk, and operational efficiency
  • Have exceptional customer-facing communication skills and experience managing high-impact or executive-visible customer incidents with professionalism, empathy, and confidence
  • Exercise excellent judgment when making time-sensitive decisions that affect customer access, account security, and financial risk
  • Be skilled at influencing cross-functional partners and collaborating effectively with Product, Engineering, Compliance, Customer Support, and Leadership
  • Communicate complex investigative findings clearly and concisely, both verbally and in writing, to audiences ranging from customers to senior leadership
  • Have a track record of identifying operational inefficiencies and driving meaningful improvements through better processes, tooling, or automation
  • Be highly organized and capable of managing multiple critical investigations while maintaining exceptional attention to detail
  • Enjoy mentoring teammates, raising the quality bar for investigations, and helping build a strong investigative culture
  • Have a strong product mindset and curiosity about evolving fraud threats, authentication technologies, and customer security
  • Be motivated by protecting customers and continuously improving Mercury's ability to detect, investigate, and respond to account takeover threats

The total rewards package at Mercury includes base salary, equity (stock options), and benefits. Our salary and equity ranges are highly competitive within the SaaS and fintech industry and are updated regularly using the most reliable compensation survey data for our industry. New hire offers are made based on a candidateโ€™s experience, expertise, geographic location, and internal pay equity relative to peers. Our target new hire base salary ranges for this role are the following:
US employees in New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $121,700 - $152,100
US employees outside of New York City, Los Angeles, Seattle, or the San Francisco Bay Area: $109,500 - $136,900

Mercury values diversity & belonging and is proud to be an Equal Employment Opportunity employer. All individuals seeking employment at Mercury are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected characteristic. We are committed to providing reasonable accommodations throughout the recruitment process for applicants with disabilities or special needs. If you need assistance, or an accommodation, please let your recruiter know once you are contacted about a role.

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