39 Results for

Insurance Investigator Jobs in Massachusetts

Jobs

SIU Fraud Investigator Mass General Brigham

Somerville, Massachusetts

$79,560–$115,720.80 / year

Performs case research to include the review, interpretation, and application of payment policies, medical policies, provider manuals, benefits documents, national or local coverage determinations, and other applicable clinical practice parameters, regulations, or guidance pertaining to the submission of claims to health insurance plans. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

30+ days ago

SIU Investigator Allied Universal

Framingham, MA

$28–$34 / hour

Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.

8 days ago

SIU Investigator Centene Corporation Group

$56,200–$101,000 / year

Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.

30+ days ago

SIU Investigator Plymouth Rock Management Company of New Jersey

Boston, MA

$63,000–$91,500 / year

The SIU Investigator is responsible for the accurate detection and in-depth investigation of potentially fraudulent insurance activity, ranging from complex medical and staged accident claims and auto property matters to simpler application fraud issues. The Plymouth Rock Company and its affiliated group of companies write and manage over $2.2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.

6 days ago

SIU Fraud Investigator Brigham and Women's Hospital

Somerville, MA

$79,560–$115,720.80 / year

30+ days ago

Surveillance Investigator VRC Investigations

Boston, Massachusetts

VRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.

30+ days ago

Financial Investigator CONTACT GOVERNMENT SERVICES

Boston, MA

$57,677.01–$78,275.94 / year

Establishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.

30+ days ago

Senior Financial Investigator CONTACT GOVERNMENT SERVICES

Boston, MA

$74,156.16–$107,114.45 / year

30+ days ago

Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICES

Boston, MA

$51,435.30–$66,131.10 / year

Performs sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.

30+ days ago

Fraud Prevention Investigator I Rockland Trust Company

Plymouth, MA

Case Investigations: Conduct thorough and meticulous investigations by analyzing transaction data, customer profiles, and relevant third-party information utilizing fraud detection and case management systems such as Verafin or similar platforms to review alerts and document findings. Liaison and Support: Serve as a knowledgeable resource by providing responsive telephone and email support to internal teams, including Rockland Trust colleagues, as well as customers, external financial institutions, and law enforcement agencies.

26 days ago

Entry-Level Investigator Ethos Risk Services

Boston, MA

Full time
Quick Apply

Our Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! Documentation: Finalize case files by submitting case reports and uploading video footage via personal laptop at the end of the day.

4 days ago

Senior Principal Investigator, Cyber Fraud Unit Financial Industry Regulatory Authority Inc

Boston, MA

The position collaborates extensively with FINRA partners, including Enforcement, Risk and Intelligence, Examinations, and other Regulatory Operations teams, as well as with external regulators, law enforcement agencies, and industry information-sharing organizations, including the SEC, CFTC, Federal Reserve Board, state securities regulators, FBI, and DHS, to stay abreast of evolving fraud and cyber threat trends, inform regulatory strategy, and advance FINRA''s mission of investor protection and market integrity. The role brings specialized expertise in cyber-enabled fraud typologies, including account takeovers, business email compromise, identity-based fraud, ransomware-related extortion, and other cyber threats impacting member firms and investors, applying deep knowledge of cybersecurity frameworks, digital forensics, cyber threat actor tactics, and fraud investigation methodologies to independently assess complex incidents.

8 days ago

Fraud Prevention Investigator I Rockland Trust

Plymouth, MA

26 days ago

FIU BSA Investigator (Temporary Assignment) Rockland Trust Company

Plymouth, MA

Reporting to the FIU Operations Manager, this individual will perform risk-based reviews and investigations to support compliance with BSA, AML, USA PATRIOT Act, Customer Identification Program (CIP), Beneficial Ownership, and OFAC requirements. Founded in 1907 and headquartered in Massachusetts, we proudly serve individuals, families, and businesses throughout New England with a strong emphasis on personal relationships, local decision making, and community impact.

30+ days ago

Investigator Ethos Risk Services

Boston, MA

Part time
Quick Apply

CONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.

30+ days ago

Principal Investigator, Improper Use of Assets Financial Industry Regulatory Authority Inc

Boston, MA

Identify & Escalate Emerging Risks and Threats - Proactively identify notable and emerging fraud-related trends, threats, novel issues, and regulatory risks; escalate matters requiring reprioritization and recommend solutions; stay current on rule changes, interpretations, and industry developments. FINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts.

5 days ago

Principal Investigator, Improper Use Of Assets Financial Industry Regulatory Authority, Inc.

Boston, MA

Identify & Escalate Emerging Risks and Threats- Proactively identify notable and emerging fraud-related trends, threats, novel issues, and regulatory risks; escalate matters requiring reprioritization and recommend solutions; stay current on rule changes, interpretations, and industry developments. FINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts.

5 days ago

FIU BSA Investigator (Temporary Assignment) Rockland Trust

Plymouth, MA

30+ days ago

Principal Investigator, Anti-Money Laundering Financial Industry Regulatory Authority, Inc.

Boston, MA

$112,300–$154,000 / year

Identify & Escalate Emerging Risks and Threats- Proactively identify notable and emerging money laundering-related trends, threats, novel issues, and regulatory risks; escalate matters requiring reprioritization and recommend solutions; stay current on rule changes, interpretations, and industry developments. FINRA employees are required to disclose to FINRA all brokerage accounts that they maintain, and those in which they control trading or have a financial interest (including any trust account of which they are a trustee or beneficiary and all accounts of a spouse, domestic partner or minor child who lives with the employee) and to authorize their broker-dealers to provide FINRA with duplicate statements for all of those accounts.

5 days ago

Ind. Accident Investigator II Commonwealth of Massachusetts

Worcester, MA

Accident Investigator II'',''United States-Massachusetts-100 Front Street - Worcester'',''United States-Massachusetts-100 Front Street - Worcester'',''Compliance and Certification'',''Compliance and Certification'',''Department of Workforce Development'',''Department of Workforce Development'',''Full-time'',''Full-time'',''Day'',''Day'',''Aug 26, 2026, 2:45:39 PM'',''Aug 26, 2026, 2:45:39 PM'',''1'',''1'',''103,497.16'',''73,045.44'',''103,497.16'',''Yearly'',''Karen Haynes-Clifton'',''Karen Haynes-Clifton'',''6176265138'',''01-NAGE - Clerical/Administrative'',''01-NAGE - Clerical/Administrative'',''No'',''No'',''No'',''No'',''false'',''1090861'',''1090861'',''true'',''1090861'',''false'',''Submission for the position: Ind. We work to ensure that those involved have the resources needed to participate by assisting injured workers, employers, insurers, attorneys, and health care providers in following Massachusetts workers' compensation laws and regulations.

30+ days ago

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Insurance Investigator Jobs in Massachusetts

SIU Fraud Investigator Mass General Brigham

SIU Investigator Allied Universal

SIU Investigator Centene Corporation Group

SIU Investigator Plymouth Rock Management Company of New Jersey

SIU Fraud Investigator Brigham and Women's Hospital

Surveillance Investigator VRC Investigations

Financial Investigator CONTACT GOVERNMENT SERVICES

Senior Financial Investigator CONTACT GOVERNMENT SERVICES

Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICES

Fraud Prevention Investigator I Rockland Trust Company

Entry-Level Investigator Ethos Risk Services

Senior Principal Investigator, Cyber Fraud Unit Financial Industry Regulatory Authority Inc

Fraud Prevention Investigator I Rockland Trust

FIU BSA Investigator (Temporary Assignment) Rockland Trust Company

Investigator Ethos Risk Services

Principal Investigator, Improper Use of Assets Financial Industry Regulatory Authority Inc

Principal Investigator, Improper Use Of Assets Financial Industry Regulatory Authority, Inc.

FIU BSA Investigator (Temporary Assignment) Rockland Trust

Principal Investigator, Anti-Money Laundering Financial Industry Regulatory Authority, Inc.

Ind. Accident Investigator II Commonwealth of Massachusetts

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