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Remote American Express Fraud Investigation Jobs

USAA

SIU Investigator Intermediate - Field

Los Angeles, CA · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Apply knowledge and understanding of fraud schemes and investigation strategies on any questionable ...

Centene

SIU Investigator

La Palma, CA · On-site +1

$56K - $101K/yr

... fraud investigation experience required. Pay Range: $56,200.00 - $101,000.00 per year Centene ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Sylmar, CA · On-site +1

$56K - $101K/yr

... fraud investigation experience required. Pay Range: $56,200.00 - $101,000.00 per year Centene ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Topanga, CA · On-site +1

$56K - $101K/yr

... fraud investigation experience required. Pay Range: $56,200.00 - $101,000.00 per year Centene ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Palos Verdes Estates, CA · On-site +1

$56K - $101K/yr

... fraud investigation experience required. Pay Range: $56,200.00 - $101,000.00 per year Centene ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

SIU Investigator

Dos Palos, CA · On-site +1

$56K - $101K/yr

... fraud investigation experience required. Pay Range: $56,200.00 - $101,000.00 per year Centene ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

BioCatch

Threat Analyst

$140K - $170K/yr

BioCatch's Client Innovation Board, an industry-led initiative including American Express, Barclays ... fraud investigators. This role is unique in the industry and to be successful, you must be a ...

BioCatch

Threat Analyst, NAM

New York, NY · On-site +1

BioCatch's Client Innovation Board, an industry-led initiative including American Express, Barclays ... fraud investigators. This role is unique in the industry and to be successful, you must be a ...

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All JobsRemote American Express Fraud Investigation Jobs

Remote American Express Fraud Investigation information

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How much do remote american express fraud investigation jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for remote american express fraud investigation in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

How much does American Express pay for work from home?

American Express fraud investigators working remotely typically earn between $15 and $25 per hour, depending on experience and location. Salaries can also include benefits such as health insurance and paid time off, with some roles offering additional performance bonuses.

Is fraud investigation a good career?

Fraud investigation is a viable career that involves analyzing financial data and identifying suspicious activity, often requiring skills in data analysis, attention to detail, and knowledge of financial regulations. It can offer job stability and opportunities for advancement, especially in financial institutions or large corporations. The role may require certifications such as Certified Fraud Examiner (CFE) and typically involves a structured work environment with regular hours.

Does American Express allow remote work?

American Express offers remote work opportunities for roles such as Fraud Investigation, allowing employees to perform their duties from home. Remote positions often require strong communication skills and familiarity with fraud detection tools, and may involve flexible schedules depending on the role and team needs.

What is the salary of suspect fraud analyst in American Express?

The salary for a Fraud Analyst at American Express typically ranges from $50,000 to $70,000 annually, depending on experience and location. These roles often require strong analytical skills and familiarity with fraud detection tools.
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Remote American Express Fraud Investigation jobs near you
Infographic showing various Remote American Express Fraud Investigation job openings in the United States as of June 2026, with employment types broken down into 93% Full Time, 4% Part Time, and 3% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.
Investigator, Special Investigative Unit Coding (Remote)

Investigator, Special Investigative Unit Coding (Remote)

Molina Healthcare

Long Beach, CA • On-site, Remote

$19.64 - $42.55/hr

Full-time

Posted 25 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description


JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims.
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
  • Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments.
  • Manages documents and prioritizes caseloads to ensure timely turnaround.
  • Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
  • Devises clinical summary post-review.
  • Communicates and participates in meetings related to cases.
  • Completes medical review to facilitate referral to law enforcement or payment recovery.
  • Supports investigation work as necessary and required by the regulatory agency.

Job Requirements
  • At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
  • Critical-thinking, problem-solving and analytical skills.
  • Ability to prioritize and manage multiple tasks.
  • Ability to work in a team setting.
  • Strong verbal/written communication skills, and presentation skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
  • In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Ability to research and interpret regulatory requirements.

Preferred Qualifications
  • Certified Professional Compliance Officer (CPCO).
  • Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI).
  • Experience working in group health insurance, particularly within claims processing or operations.
  • Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.).
  • Experience with claims processing systems.
  • Ability to use Microsoft Excel/Access platforms working with large quantities of data.
  • Ability to answer questions, identify trends and patterns, and present findings.

To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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