SIU Investigator
Dos Palos, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Dos Palos, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Dos Palos, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
San Fernando, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
New
San Fernando, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
New
Palos Verdes Peninsula, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
New
Palos Verdes Peninsula, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
New
Topanga, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Topanga, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
La Palma, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
La Palma, CA · On-site +1
$56K - $101K/yr
Provide case updates on progress of investigations and coordinate with Health Plans on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Hastings, MN · Remote
$45K/yr
... case bank repossession files. This individual will also engage with external contractors and ... This role is 100% remote. * Work for this role is expected to be full-time (approximately 40 hours ...
Hastings, MN · Remote
$45K/yr
... case bank repossession files. This individual will also engage with external contractors and ... This role is 100% remote. * Work for this role is expected to be full-time (approximately 40 hours ...
Tampa, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Quick apply
Tampa, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Orlando, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Quick apply
Orlando, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Fort Lauderdale, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Quick apply
Fort Lauderdale, FL · Remote
$25 - $50/hr
Professional autonomy in case strategy & scheduling * Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance ...
Olympia, WA · On-site +1
$5K - $6K/mo
Thurston County - Tumwater, WA Job Type: Full Time - Permanent Remote Employment: Flexible/Hybrid ... Through investigative interviews, evidence analysis, legal research, and case development, you'll ...
Olympia, WA · On-site +1
$5K - $6K/mo
Thurston County - Tumwater, WA Job Type: Full Time - Permanent Remote Employment: Flexible/Hybrid ... Through investigative interviews, evidence analysis, legal research, and case development, you'll ...
Peachtree Corners, GA · On-site +1
$69K - $126K/yr
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
Peachtree Corners, GA · On-site +1
$69K - $126K/yr
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
New York, NY · On-site +1
$68K - $118K/yr
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
New York, NY · On-site +1
$68K - $118K/yr
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
Develop and execute efficient, case-specific investigative strategies * Maintain accurate, complete, and timely case documentation within the SIU case management system * Gather, preserve, and ...
Develop and execute efficient, case-specific investigative strategies * Maintain accurate, complete, and timely case documentation within the SIU case management system * Gather, preserve, and ...
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
Omaha, NE · On-site +1
Develop and execute efficient, case-specific investigative strategies * Maintain accurate, complete, and timely case documentation within the SIU case management system * Gather, preserve, and ...
Omaha, NE · On-site +1
Develop and execute efficient, case-specific investigative strategies * Maintain accurate, complete, and timely case documentation within the SIU case management system * Gather, preserve, and ...
$43K - $63K/yr
REMOTE OPTIONS, PHOENIX, TUCSON Categories: Legal/Investigations/Adjustment/Compliance ATTORNEY ... Attend meetings with case attorneys to plan case strategy. • Communicate directly with consumer ...
$43K - $63K/yr
REMOTE OPTIONS, PHOENIX, TUCSON Categories: Legal/Investigations/Adjustment/Compliance ATTORNEY ... Attend meetings with case attorneys to plan case strategy. • Communicate directly with consumer ...
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
New York, NY · On-site +1
$68K - $118K/yr
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
New York, NY · On-site +1
$68K - $118K/yr
Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product ... Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as ...
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
... a case by case basis in order to meet educational standard.) * Bachelors or higher preferred ... Must have employee-provided, high-speed internet that is reliable and accessible at remote office ...
$23.08 - $24.74
18% of jobs
$25.39 is the 25th percentile. Wages below this are outliers.
$24.74 - $26.40
17% of jobs
$26.40 - $28.06
11% of jobs
The median wage is $28.71 / hr.
$28.06 - $29.72
10% of jobs
$29.72 - $31.38
4% of jobs
$31.38 - $33.04
3% of jobs
$33.04 - $34.70
8% of jobs
$35.39 is the 75th percentile. Wages above this are outliers.
$34.70 - $36.36
10% of jobs
$36.36 - $38.02
8% of jobs
$38.02 - $39.69
8% of jobs
$39.69 - $41.35
4% of jobs
$23
$31
$41
A Remote Case Investigator is responsible for researching and analyzing cases, typically related to public health, fraud, insurance claims, or other investigations, while working from a remote location. They conduct interviews, collect and assess data, and document findings to support case resolution. This role requires strong communication, analytical, and organizational skills, as well as proficiency in data entry and report writing. Many positions also require knowledge of relevant laws, regulations, or industry practices.
A typical day for a Remote Case Investigator involves reviewing new cases, gathering and verifying relevant information through research and interviews, and thoroughly documenting findings in digital case management systems. Investigators often interact with clients, witnesses, or stakeholders by phone, email, or video calls to collect additional data and clarify details. The role usually entails independent work but also includes collaborating with supervisors or team members during virtual meetings to discuss complex cases or ensure consistency in case handling. Managing priorities and meeting deadlines are key aspects of the job, as timely and accurate resolution of cases is essential. This workflow provides variety and the opportunity to develop both investigative and remote collaboration skills.
To thrive as a Remote Case Investigator, you need strong analytical abilities, attention to detail, research skills, and experience in case management or investigations, typically backed by a relevant degree or professional background. Familiarity with digital case management platforms, secure communication tools, and data privacy protocols is commonly required. Excellent written communication, critical thinking, time management, and the ability to work independently are standout soft skills in this position. These skills ensure the efficient, accurate, and confidential handling of cases while supporting collaboration with remote teams.

$56K - $101K/yr
Full-time, Part-time
Medical, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
8.4
Based on 384 frontline employees who took The Breakroom Quiz
17th of 869 rated healthcare providers
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
*Please note: Candidates must reside within the state of California*
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Education/Experience: Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience required. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience required.
Pay Range: $56,200.00 - $101,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Saint Louis, MO, US
1984