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Become A Fraud Investigator

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Working As A Fraud Investigator

  • Getting Information
  • Analyzing Data or Information
  • Processing Information
  • Communicating with Supervisors, Peers, or Subordinates
  • Identifying Objects, Actions, and Events
  • Mostly Sitting

  • Repetitive

  • $79,000

    Average Salary

What Does A Fraud Investigator Do At NASA Federal Credit Union

* include the following.
* Other duties may be assigned.
* Fraud Investigator I: Remains cognizant of and adheres to credit union policies and procedures, and regulations pertaining to the Bank Secrecy Act, OFAC and the Right to Financial Privacy Act.
* Monitors fraud detection systems/reports for suspicious or fraudulent account activity, and investigates such activity.
* Communicates with members, as appropriate.
* Investigates suspicious account and loan applications, new account fraud, loan fraud, check fraud, ID theft, and other unauthorized or suspicious account activity, and uses software to track cases.
* Works cooperatively with other departments.
* Responds to calls/contacts from other Credit Union employees asking for assistance with members with suspicious or fraudulent activity on their accounts.
* Contacts members via phone and in writing as part of investigations, and responds to member inquiries appropriately.
* Assists with the preparation of police reports for fraud losses.
* Prepares suspicious activity reports (SARs) and submits to manager for review and approval.
* Meets required timeframes.
* Provide case status reports to manager on a regular basis.
* Establishes good working relationships with local, state and federal law enforcement personnel, and other financial institutions to facilitate the investigation of suspected fraud and other violations of law.
* Participates in continuing education to maintain proficiency with fraud trends and related laws and regulations affecting financial institutions.
* Acts as a back-up for the following, when needed: Fingerprinting of new employees and preparation and issuance of employee ID badges Assist with issuing spare office/furniture keys Assist with urgent physical security issues (alarms, locks, keys, etc.) during the workday Assist with greeting visitors to Corporate Office and issuing temporary badges (due to proximity of Security Office).
* Fraud Investigator II: Includes all responsibilities of Fraud Investigator I and the following: Responds to subpoenas and meets required timeframes.
* Represents the Credit Union in court when required by subpoena.
* Processes and submits Notices of Loss to the Credit Union s insurance company for fraud losses, when needed.
* Prepares and conducts training classes on approved security topics (e.g.
* Robbery, Check Fraud, Loan Fraud, Counterfeit Currency, etc.) Evaluates case files for potential criminal charges.
* Prepares and files police reports, and communicates with law enforcement throughout the investigations.
* Mentors Fraud Investigator I and other junior Security Department staff.
* Fraud Investigator III: Includes all responsibilities of Fraud Investigator II and the following: Identifies and evaluates fraud trends identified during investigations and develops and implements process changes and fraud detection solutions to reduce potential fraud losses.
* Manages or assists in investigations of incidents of criminal activity, including robbery, larceny, vandalism, employee dishonesty, fraud or embezzlement.
* Develops and distributes the annual Financial Crime Trends reports to management outlining issues/trends and accomplishments in fraud prevention and physical security.
* Assists supervisor with managing the Credit Union s ID Theft Prevention Program, including the annual ID Theft Risk Assessment and the annual report for senior management/Board.
* Mentors Fraud Investigator II and other junior Security Department staff.
* Participates in Credit Union presentations to members.
* May have Team Lead responsibilities

What Does A Fraud Investigator Do At North American Bancard

* Identify and investigate high risk transactions with Card Issuing Banks, consumers, merchants, and all relevant parties.
* Daily communication with merchants being audited.
* Potential to speak to agents and merchant customers to complete a merchant audit.
* Make decisions regarding merchant payments and reserve requirements.
* Consult with appropriate law enforcement agencies when required.
* Communicate to merchants account restrictions and cancellations.
* Utilize Internet tools to gather information useful in determining account risk.
* Other related duties assigned by management

What Does A Fraud Investigator Do At Greensky

* Leads and organizes overall external and internal Investigations for GreenSkyResponsible for the supervision of a team of Fraud InvestigatorsResearches, analyzes, and links high risk transactions to identify possible cases of fraud and identify fraud ring activity
* Identifies appropriate mitigation strategies to mitigate fraud activity
* Assists analysts with identifying high risk application activity
* Interacts with internal and external customers to recommend and perform appropriate actions required to mitigate losses and to provide a positive customer experience
* Documents and evaluates results of actions to support fraud trending and reporting and ensures that best practices are followed
* Identify fraud patterns and communicate observations to analyst(s)
* Comply with all applicable federal regulations in decision process
* Apply expanded knowledge base of fraud schemes to assist in handling of specialized fraud functions such as identity theft, synthetic identities, bust-outs, and cross-channel fraud
* Provide exceptional service to internal and external customers, including support all branches and customer contact centers
* Identify control issues/policy violations and propose actions to mitigate reoccurrence
* Interface with federal, state, and local law enforcement agencies to ensure current knowledge of current fraud trends
* Assist with more complex assignments as requested
* Location: Atlanta, Georgia Travel: Less than 10% Organizational: This position is a member of the Customer Protection team and reports to the Vice President of Risk.
* This position has leadership responsibilities for the Investigation function

What Does A Fraud Investigator Do At Travelers

* Analyzes and summarizes highly technical information related to multiple complex case investigations with regional and national implications.
* Conducts thorough and timely complex field investigations while managing resources with a focus on uncovering potential fraudulent medical aspects of a claim.
* Applies the techniques of critical thinking to prioritizes and develop medical investigations that have complex allegations and/or significantly financial impact to multiple claims and/or organized ring activity spanning across multiple lines of business and potentially across several states.
* Makes key decisions regarding the structure and organization of major medical case investigations involving multiple claims and/or organized ring activity with regional and national implications.
* Provides exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life of each investigation.
* Acts as a liaison with local/state/federal law enforcement personnel, industry advocates and other companies Serves as the subject matter expert (liaison) on medical fraud to business and industry partners.
* Applies rules of evidence; recognizes evidence and determines its value to specific claim, evidence collection and interpretation.
* Establishes and maintains a professional network in the medical anti-fraud industry (e.g., National Insurance Crime Bureau, National Healthcare Anti
* Fraud Association, local fraud agencies, law enforcement, etc.).
* Identifies cases for potential insurance fraud prosecution and submits questionable claims to the National Insurance Crime Bureau Analyzes, transforms and conveys emerging trends in the medical fraud arena into actionable investigative strategies Proactively collaborates with supporting business partners (e.g., claim, legal, nurses, analytical unit etc.) to implement anti-fraud and medical defense strategies.
* Responsible for strengthening technical capabilities within claim to identify potential medical fraud.
* Assists in the identification and communication of trends to manager of the program.
* Conducts post-mortems on cases closed or status reviews of cases in progress.
* Prepares and conducts technical training in detecting and applying techniques to multiple medical complex cases.
* Testifies to findings.
* Other duties as assigned

What Does A Fraud Investigator Do At NCI

* Review incoming leads to determine if further investigation is warranted.
* Conduct independent reviews resulting from the discovery of situations that potentially involve fraud, waste, or abuse.
* Utilize basic data analysis techniques to detect aberrancies in Medicare claims data
* Complete written referrals to the PI Supervisor as needed on potential investigations derived from complaint reviews.
* Review information contained in standard claims processing system files (e.g., claims history, provider files) to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in Medicare policies and initiates appropriate action.
* Make potential fraud determinations by utilizing a variety of sources such as the ZPIC internal guidelines, Medicare provider manuals, Medicare regulations, and the Social Security Act.
* Compile and maintain various documentation and other reporting requirements

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Fraud Investigator Career Paths

Fraud Investigator
Investigator Supervisor Branch Manager
Manager, Assistant Vice President
7 Yearsyrs
Investigator Supervisor Vice President
Vice President And Manager
10 Yearsyrs
Investigator Supervisor Account Manager
Relationship Manager
6 Yearsyrs
Manager Office Manager Human Resources Manager
Human Resource Officer
6 Yearsyrs
Manager Property Manager Compliance Manager
Compliance Director
12 Yearsyrs
Manager Vice President Chief Finance Officer
Chief Administrative Officer
11 Yearsyrs
Assistant Manager Assistant Branch Manager
Banking Center Manager
5 Yearsyrs
Assistant Manager Sales Manager Team Manager
Call Center Manager
6 Yearsyrs
Assistant Manager Operations Manager Operations Director
Assistant Vice President Operations
8 Yearsyrs
Analyst Team Leader Customer Service Manager
Collections Manager
5 Yearsyrs
Analyst Customer Service Manager Collections Manager
Credit And Collection Manager
7 Yearsyrs
Analyst Underwriter Credit Manager
Risk Manager
8 Yearsyrs
Senior Investigator Team Leader Executive Team Leader
Loss Prevention Manager
5 Yearsyrs
Team Leader Executive Team Leader Loss Prevention Manager
District Loss Prevention Manager
7 Yearsyrs
Loss Prevention Manager Regional Loss Prevention Manager
Director-Loss Prevention
9 Yearsyrs
Loss Prevention Manager Director-Loss Prevention
Security Director
10 Yearsyrs
Compliance Analyst Office Manager Administrative Manager
Administrative Operations Manager
6 Yearsyrs
Criminal Investigator Securities Consultant
Corporate Security Manager
11 Yearsyrs
Compliance Analyst Operations Manager Distribution Center Manager
Corporate Operations Manager
7 Yearsyrs
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Do you work as a Fraud Investigator?

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Do you work as a Fraud Investigator?

Fraud Investigator Demographics

Gender

Female

47.9%

Male

42.5%

Unknown

9.5%
Ethnicity

White

60.6%

Hispanic or Latino

17.3%

Black or African American

11.4%

Asian

7.2%

Unknown

3.4%
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Foreign Languages Spoken

Spanish

64.9%

French

7.6%

Russian

3.5%

German

2.9%

Cantonese

2.3%

Italian

2.3%

Portuguese

2.3%

Japanese

2.3%

Arabic

1.8%

Hmong

1.2%

Mandarin

1.2%

Korean

1.2%

Thai

1.2%

Carrier

1.2%

Chinese

1.2%

Romanian

0.6%

Hindi

0.6%

Bosnian

0.6%

Croatian

0.6%

Albanian

0.6%
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Fraud Investigator Education

Schools

University of Phoenix

24.1%

John Jay College of Criminal Justice of the City University of New York

7.5%

Kaplan University

5.8%

Utica College

5.1%

Arizona State University

5.1%

The Academy

4.9%

Strayer University

4.9%

Wilmington University

4.7%

University of Cincinnati

4.7%

Ohio State University

4.5%

Virginia Commonwealth University

3.6%

Ashford University

3.2%

Saint John's University - New York

3.0%

Florida State University

3.0%

American InterContinental University

2.8%

Capella University

2.8%

University of South Florida

2.6%

University of Nebraska at Omaha

2.6%

University of North Texas

2.6%

Broward College

2.6%
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Majors

Criminal Justice

29.3%

Business

24.2%

Accounting

5.3%

Psychology

4.0%

Finance

3.5%

Law

3.3%

Management

3.1%

Legal Support Services

2.7%

Nursing

2.6%

Communication

2.5%

Health Care Administration

2.4%

Political Science

2.1%

Sociology

2.1%

Criminology

2.0%

Public Administration

2.0%

Human Resources Management

2.0%

General Studies

1.9%

Liberal Arts

1.9%

Computer Science

1.6%

History

1.5%
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Degrees

Bachelors

40.8%

Other

23.2%

Masters

16.3%

Associate

11.3%

Certificate

4.6%

Doctorate

2.1%

Diploma

1.4%

License

0.3%
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Job type you want
Full Time
Part Time
Internship
Temporary
Average Yearly Salary
$79,000
View Detailed Salary Report
$42,000
Min 10%
$79,000
Median 50%
$79,000
Median 50%
$79,000
Median 50%
$79,000
Median 50%
$79,000
Median 50%
$79,000
Median 50%
$79,000
Median 50%
$150,000
Max 90%
Best Paying Company
Gemini
Highest Paying City
Fargo, ND
Highest Paying State
North Dakota
Avg Experience Level
3.7 years
How much does a Fraud Investigator make at top companies?
The national average salary for a Fraud Investigator in the United States is $79,622 per year or $38 per hour. Those in the bottom 10 percent make under $42,000 a year, and the top 10 percent make over $150,000.

Real Fraud Investigator Salaries

Job Title Company Location Start Date Salary
Fraud Investigator Engineer Appnexus, Inc. New York, NY Oct 06, 2014 $102,000
Fraud Investigation and Dispute Services Senior MA Ernst & Young LLP New York, NY Aug 01, 2010 $83,100 -
$375,000
Fraud Investigation & Dispute Services Senior Ernst & Young U.S. LLP Chicago, IL Apr 18, 2011 $71,282 -
$125,000
Fraud Investigation and Dispute Services Senior Ernst & Young U.S. LLP Washington, DC Aug 20, 2011 $60,900 -
$130,000
Fraud Investigations and Dispute Services-Manage Ernst & Young U.S. LLP New York, NY Feb 25, 2011 $60,300 -
$200,000
Fraud Investigating & Dispute Services Senior Ernst & Young U.S. LLP New York, NY Nov 19, 2010 $60,300 -
$143,000
Fraud Investigation & Dispute Services Senior Ernst & Young Us LLP Dallas, TX Nov 24, 2010 $60,300 -
$143,000
Fraud Investigative and Dispute Services Senior Ernst & Young U.S. LLP New York, NY Dec 09, 2010 $60,300 -
$143,000
Fraud Investigation and Dispute Services Staff Ernst & Young U.S. LLP New York, NY Oct 01, 2011 $57,782 -
$92,700
Fraud Investigation and Dispute Services Staff Ernst & Young U.S. LLP New York, NY Jun 27, 2011 $57,782 -
$92,700
Fraud Investigation & Dispute Services Staff Ernst & Young LLP New York, NY Aug 30, 2010 $57,304 -
$105,000

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Top Skills for A Fraud Investigator

  1. Criminal Investigations
  2. Law Enforcement
  3. Financial Institutions
You can check out examples of real life uses of top skills on resumes here:
  • Conducted possible criminal investigations for residents suspected of fraudulent activity involving high dollar amounts from the state and federal programs.
  • Coordinated fraud investigations and prosecutions with local, state and federal law enforcement and judicial agencies.
  • Performed telephone interviews with customers, financial institutions and law enforcement agencies, along with assisting law enforcement in identifying suspects.
  • Report fraudulent and suspicious activity to governmental agencies within allotted time-frame to ensure compliance standards were met.
  • Conduct overt and covert criminal surveillance using MARCS radio, undercover surveillance equipment.

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