H-1B Visa Fraud Investigator Jobs
Fraud Investigator roles qualify for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree in criminal justice, finance, or a related field. Employers in financial services, insurance, and federal contracting regularly file LCAs for these positions, making them a reliable target for H-1B candidates with investigative credentials.
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Get Access To All JobsINTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES: (Percentage shows approximate portion of the working time spent on that responsibility)
- Gather all relevant facts to drive investigations (30%)
- Utilize appropriate systems to monitor and document status of investigation (30%)
- Collaborate with clinical coding consultants and SMES to determine the validity of aberrances (10%)
- Collaborate with a variety of external sources to identify current and emerging patterns and schemes related for FWA to ensure additional TIP submission (5%)
- Perform member and provider interviews, and review medical documentation as needed (10%)
- Communicate clear rationale for investigation processes and outcome with legal, clients and stakeholders as needed (5%)
- Recommend next steps for each case (10%)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- High school diploma/GED
- 2+ years of experience working with law enforcement or legal entities with fraud or healthcare investigations
- Demonstrated intermediate proficiency in Microsoft Excel (pivot tables and macros) and Word (documents)
PREFERRED QUALIFICATIONS:
- Healthcare fraud experience
- Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar credentials
- Familiar with CPT code terminology
- Experience with computer research
- Experience with data analysis and manipulating data for analysis
- Experience in conducting interviews
- Experience in investigating fraud in behavioral health, durable medical equipment, laboratory or interoperative neuromonitoring cases
- Experience in conducting case presentations
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Salary Range: $60,200 to $107,400 annually based on full-time employment
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES: (Percentage shows approximate portion of the working time spent on that responsibility)
- Gather all relevant facts to drive investigations (30%)
- Utilize appropriate systems to monitor and document status of investigation (30%)
- Collaborate with clinical coding consultants and SMES to determine the validity of aberrances (10%)
- Collaborate with a variety of external sources to identify current and emerging patterns and schemes related for FWA to ensure additional TIP submission (5%)
- Perform member and provider interviews, and review medical documentation as needed (10%)
- Communicate clear rationale for investigation processes and outcome with legal, clients and stakeholders as needed (5%)
- Recommend next steps for each case (10%)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- High school diploma/GED
- 2+ years of experience working with law enforcement or legal entities with fraud or healthcare investigations
- Demonstrated intermediate proficiency in Microsoft Excel (pivot tables and macros) and Word (documents)
PREFERRED QUALIFICATIONS:
- Healthcare fraud experience
- Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar credentials
- Familiar with CPT code terminology
- Experience with computer research
- Experience with data analysis and manipulating data for analysis
- Experience in conducting interviews
- Experience in investigating fraud in behavioral health, durable medical equipment, laboratory or interoperative neuromonitoring cases
- Experience in conducting case presentations
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
COMPENSATION
- Salary Range: $60,200 to $107,400 annually based on full-time employment
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location, and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
See all H-1B Visa Fraud Investigator Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Fraud Investigator
Frame your credentials around specialty occupation
USCIS requires your degree field to directly relate to fraud investigation. A finance, accounting, or criminal justice degree maps cleanly. If yours is adjacent, document how your coursework and certifications like CFE support the specialty occupation standard.
Target sectors with consistent LCA filing history
Financial services, insurance carriers, and federal contractors file LCAs for Fraud Investigator roles far more reliably than retail or hospitality employers. Filter your search by industry on Migrate Mate to surface employers with verified H-1B filing history in this occupation.
Check prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for your work location and experience level. Run your job title and SOC code through the OFLC Wage Search before accepting any offer so you enter salary discussions with the wage floor already confirmed.
Ask employers about E-Verify enrollment upfront
Federal contractors and subcontractors are required to use E-Verify, which affects onboarding timelines after your I-94 is issued. Confirm enrollment status early so you know whether your start date needs to account for the E-Verify verification window.
Use O*NET to build a specialty occupation argument
The O*NET profile for Fraud Investigators documents the degree requirements, knowledge areas, and analytical skills USCIS evaluates in RFEs. Pull the job zone and education data from O*NET and reference it directly in your employer's support letter.
File during the cap season with premium processing
H-1B petitions for fraud roles are cap-subject unless your employer qualifies as cap-exempt. Submit in the April cap season and request premium processing through USCIS so you get a decision within 15 business days rather than waiting through standard adjudication.
H-1B Visa Fraud Investigator: Frequently Asked Questions
Does a Fraud Investigator role qualify as an H-1B specialty occupation?
Yes, as long as the position requires at least a bachelor's degree in a specific field such as finance, accounting, criminal justice, or a directly related discipline. Generic investigator roles where any degree qualifies can attract RFEs, so the job description and support letter must clearly establish that the degree requirement is a minimum, not a preference.
Which employers most commonly sponsor H-1B visas for Fraud Investigators?
Banks, insurance companies, payment processors, and federal contractors file LCAs for Fraud Investigator positions with the most consistency. Government-adjacent roles in anti-money-laundering and insurance fraud units tend to have structured sponsorship processes. You can filter by employer and occupation on Migrate Mate to find companies with active H-1B filing history for this role.
What SOC code applies to Fraud Investigator roles on the LCA?
Most Fraud Investigator positions are filed under SOC 13-1041 (Compliance Officers) or 33-3021 (Detectives and Criminal Investigators), depending on the employer's industry and the role's primary duties. The SOC code determines the prevailing wage level, so confirming the correct code with your employer before the LCA is filed protects you from wage compliance issues later.
Can I transfer my H-1B to a new fraud investigation employer mid-status?
Yes. Under H-1B portability rules, you can start working for a new employer as soon as the transfer petition is filed, without waiting for approval, provided you've maintained valid status. The new employer must file a fresh LCA and I-129 petition. If the role or SOC code changes significantly, USCIS may treat it as a new petition rather than a transfer.
Does a Certified Fraud Examiner designation strengthen an H-1B petition for this role?
It does, though it's supplementary rather than a substitute for the degree requirement. The CFE credential demonstrates specialized expertise that supports the specialty occupation argument, particularly when the role involves complex financial fraud schemes. Including the CFE alongside your degree in the employer's support letter gives the petition a stronger evidentiary foundation during USCIS adjudication.