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Remote Case Investigator Jobs (NOW HIRING)

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 ...

SIU Investigator

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

SIU Investigator

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

SIU Investigator

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 ...

SIU Investigator

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 ...

$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 ...

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Remote Case Investigator information

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$23

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How much do remote case investigator jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for remote case investigator in the United States is $31.71, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $36.06 per hour, depending on experience, location, and employer.

What is a Remote Case Investigator job?

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.

What does the typical day-to-day workflow look like for a Remote Case Investigator?

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.

What are the key skills and qualifications needed to thrive in the Remote Case Investigator position, and why are they important?

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.

More about Remote Case Investigator jobs
What cities are hiring for Remote Case Investigator jobs? Cities with the most Remote Case Investigator job openings:
What are the most commonly searched types of Case Investigator jobs? The most popular types of Case Investigator jobs are:
What states have the most Remote Case Investigator jobs? States with the most job openings for Remote Case Investigator jobs include:
Infographic showing various Remote Case Investigator job openings in the United States as of May 2026, with employment types broken down into 80% Full Time, 15% Part Time, and 5% Contract. Highlights an 5% In-person, and 95% Remote job distribution, with an average salary of $65,950 per year, or $31.7 per hour.
SIU Investigator

SIU Investigator

Centene

Dos Palos, CA • On-site, Remote

$56K - $101K/yr

Full-time, Part-time

Medical, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Centene rating

8.4

Company rating: 8.4 out of 10

Based on 384 frontline employees who took The Breakroom Quiz

17th of 869 rated healthcare providers


Job description

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.

  • Conduct investigations of potential waste, abuse, and fraud
  • Document activity on each case and refer issues to the appropriate party
  • Perform data mining and analysis to detect aberrancies and outliers in claims
  • Develop new queries and reports to detect potential waste, abuse, and fraud
  • Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
  • Assist with complex allegations of healthcare fraud
  • Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
  • Complete various special projects and audits
  • Performs other duties as assigned
  • Complies with all policies and standards

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 year

Centene 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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See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions

PandoLogic. Keywords: SIU Investigator, Location: Dos Palos, CA - 93620

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