Top 31 Fraud investigator Jobs in Minnesota

Special Investigator
Medica Services Company LLC —Minnetonka, MN
- $62,700 - $107,500 a year
- 5 years
- Research
- Office
- Paid holidays
- Health insurance
8d
Corporate Ethics & Compliance Investigator
Centene —Minnesota
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Surveillance Investigator II
Command Investigations, LLC —Minneapolis, MN
- $25 - $30 an hour
- 8 hour shift
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Senior Data Investigator
UnitedHealthcare —Minnetonka, MN
- $60,200 - $107,400 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Pass drug screening
- Office
7d
Surveillance Investigator
Frasco Inc —Minneapolis, MN
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Senior Compliance Investigator
Centene —Minnesota
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
8d
SIU Investigator - Minneapolis, MN
Delta Group —Minneapolis, MN
- $30 - $40 an hour
- Per diem
- Microsoft Outlook
- Organizational skills
- Senior level
Quick Apply
7d
Field Investigator (FT & PT) – Minneapolis- St. Paul, MN
Origin Investigations Inc —Minneapolis, MN
- $25 - $35 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
13d
Private Investigator - Minneapolis, MN
Delta Group —Minneapolis, MN
- $20 - $30 an hour
- Per diem
- Background check
- 18 years or older
- Clean driving record
- Disability insurance
- Health insurance
Quick Apply
12d
Affirmative Civil Enforcement (ACE) Investigator/Analyst
SGI Global, LLC —Minneapolis, MN
- Full-time
- Microsoft Access
- Microsoft Outlook
- Computer literacy
Quick Apply
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Minnesota
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Surveillance Investigator I - Entry Level
Command Investigations, LLC —Minnesota
- $20 - $30 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Senior AML Analyst – Surveillance & Investigations
Royal Bank of Canada —Minneapolis, MN
- $70,000 - $130,000 a year
- Full-time
- 5 years
- Research
- Office
- Disability insurance
- Health insurance
Minnesota, Minneapolis SIU Investigator PT
Insight Service Group (ISG) —Minneapolis, MN
- $20 - $27 an hour
- Part-time
- Mid-level
- Driver's License
- Travel
Quick Apply
SIU Claims Investigator
Lemieux & Associates LLC —Minneapolis, MN
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Part-Time Surveillance Investigator
The Robison Group —Duluth, MN
- $25 - $30 an hour
- Part-time
- Background check
- Computer literacy
- Pass drug screening
- Mileage reimbursement
Quick Apply
Fraud Prevention Specialist
Nobles County —Worthington, MN
- $28.87 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Part Time SIU Investigator
The Robison Group —Minneapolis, MN
- $30 - $35 an hour
- Part-time
- Background check
- 5 years
- Computer literacy
Quick Apply
Minnesota, Minneapolis Surveillance Investigator
Insight Service Group (ISG) —Minneapolis, MN
- $20 - $27 an hour
- Part-time
- Mid-level
- Analysis skills
- Driver's License
Quick Apply
Claims Investigator - Part Time
Command Investigations, LLC —Minneapolis, MN
- $23 - $30 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply

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Special Investigator

Medica Services Company LLC -
Minnetonka, MN

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Job Details

$62,700 - $107,500 a year
8 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Volunteer time off

Qualifications

Investigative interviewing techniques
Internal investigations

Full Job Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

The Special Investigation Unit (SIU) Investigator III conducts complex investigations into suspected fraud, waste, and abuse involving members, providers, and employees. The role leads in-depth case reviews, performs onsite audits, and evaluates evidence to support regulatory and legal requirements. It works closely with legal teams, law enforcement, and regulatory agencies to advance investigations and ensure timely responses to information requests. This position applies professional expertise with minimal supervision and serves as a resource to others in the Special Investigations Unit.

Key Accountabilities:

Conduct Complex Fraud, Waste, & Abuse Investigations

Gather, evaluate, and document evidence related to suspected fraudulent or abusive activity.
Perform interviews and assessments to determine the validity and extent of concerns.
Analyze claims, medical records, and other data sources to identify patterns or anomalies.
Prepare detailed investigative summaries that support findings and recommended actions.

Perform Onsite Audits & Provider Reviews

Coordinate and conduct onsite inspections in alignment with investigative protocols.
Review documentation, billing practices, and operational processes for compliance.
Communicate findings and required corrective actions to applicable stakeholders.
Maintain accurate records to support audit conclusions and follow-up activities.

Collaborate with Legal, Regulatory, & Law Enforcement Partners

Consult with internal legal counsel regarding case strategy and compliance considerations.
Respond to formal information requests from regulatory agencies and law enforcement.
Share relevant findings to support external investigations or regulatory reviews.
Represent Medica professionally in external meetings or collaborative investigative efforts.

Support SIU Processes, Documentation, & Compliance Requirements

Maintain thorough, organized investigative files in accordance with regulatory standards.
Ensure investigative activities follow internal procedures and applicable laws.
Track case progress and escalate issues that may impact timeliness or outcomes.
Contribute to required reporting and compliance activities for SIU operations.

Provide Expertise & Guidance to Colleagues & Stakeholders

Serve as a resource on investigative methods, fraud indicators, and regulatory expectations.
Share insights and trends that strengthen fraud prevention and detection efforts.
Assist team members with complex cases or procedural questions.
Support training and communication efforts that promote operational integrity.
Performs other duties as assigned.

Required Qualifications:

Bachelor's degree in criminal justice, criminology, healthcare administration or related area of study or equivalent experience in a related field
5+ years of work experience in fact-finding, criminal or fraud detection, investigation and research, interviewing and field investigation and/or claims investigation in a non-health care or health care setting

Preferred Qualifications:

Previous formal training or field experience in law enforcement at the state or federal level, criminal case management or criminal investigation.
Demonstrated ability to investigate complex issues in ambiguous environments, using critical thinking and sound judgment when information is incomplete or conflicting.
Strong investigative mindset characterized by intellectual curiosity, persistence, and a drive to uncover root causes rather than simply validate findings.
Proven ability to identifying fraud trends, patterns, and anomalies through data analysis, including the use of analytical tools and dashboards (e.g., Snowflake).
Experience developing and executing investigative strategies, including determining what evidence is needed to substantiate allegations and advance a case.
Healthcare fraud investigation experience involving government-sponsored healthcare programs, or provider fraud allegations.

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

fraud investigator jobs in minnesota

Special Investigator

Corporate Ethics & Compliance Investigator

Surveillance Investigator II

Senior Data Investigator

Surveillance Investigator

Senior Compliance Investigator

SIU Investigator - Minneapolis, MN

Field Investigator (FT & PT) – Minneapolis- St. Paul, MN

Private Investigator - Minneapolis, MN

Affirmative Civil Enforcement (ACE) Investigator/Analyst

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Surveillance Investigator I - Entry Level

Senior AML Analyst – Surveillance & Investigations

Minnesota, Minneapolis SIU Investigator PT

SIU Claims Investigator

Part-Time Surveillance Investigator

Fraud Prevention Specialist

Part Time SIU Investigator

Minnesota, Minneapolis Surveillance Investigator

Claims Investigator - Part Time

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