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Remote Certified Fraud Examiner Jobs (NOW HIRING)

Centene

Senior Pharmacy SIU Investigator

$70K - $126K/yr

Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior SIU Investigator

$70K - $126K/yr

Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Fin

Risk Analyst

New York, NY · On-site +1

$100K - $175K/yr

Certifications such as Certified Fraud Examiner (CFE), Certified Risk Manager (CRM), or CAMS. * Experience with machine learning models for fraud detection and predictive analytics. * Familiarity ...

Fin

Risk Analyst

New York, NY · Remote

$100K - $175K/yr

Certifications such as Certified Fraud Examiner (CFE), Certified Risk Manager (CRM), or CAMS. * Experience with machine learning models for fraud detection and predictive analytics. * Familiarity ...

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How much do remote certified fraud examiner jobs pay per year?

As of Aug 22, 2026, the average yearly pay for remote certified fraud examiner in the United States is $147,203.00, according to ZipRecruiter salary data. Most workers in this role earn between $144,500.00 and $150,000.00 per year, depending on experience, location, and employer.

What does a remote certified fraud examiner do?

A Remote Certified Fraud Examiner (CFE) is a professional who investigates and prevents financial fraud, such as embezzlement, money laundering, and other white-collar crimes, while working from a remote location. CFEs analyze financial records, conduct interviews, and use various tools to detect fraudulent activities. They often work with businesses, government agencies, or law enforcement to identify and address fraud risks. Remote CFEs use secure technology to collaborate with teams and access sensitive information safely from anywhere.

What are the key skills and qualifications needed to thrive as a remote certified fraud examiner?

To thrive as a Remote Certified Fraud Examiner, you need expertise in fraud detection, forensic accounting, investigative techniques, and a CFE (Certified Fraud Examiner) credential. Familiarity with data analysis software, case management systems, and tools like ACL, IDEA, or SQL is typically required. Strong analytical thinking, attention to detail, and effective communication skills set top professionals apart in this role. These skills ensure thorough investigations, accurate reporting, and the ability to collaborate remotely to prevent and detect fraud.

What are the biggest challenges faced by remote certified fraud examiners and how can they be addressed?

Remote Certified Fraud Examiners often face challenges such as limited immediate access to physical evidence and the need to verify information virtually. To overcome these challenges, it's important to leverage secure digital tools for document analysis and maintain clear communication with clients and team members. Regular collaboration with IT and legal departments also helps ensure thorough investigations. Staying updated on the latest fraud schemes and remote investigation techniques is essential for success in this role.

What is the difference between Remote Certified Fraud Examiner vs Remote Fraud Analyst?

AspectRemote Certified Fraud ExaminerRemote Fraud Analyst
CertificationsCertified Fraud Examiner (CFE)Typically no specific certification, but may hold certifications like ACFE or related
Work EnvironmentInvestigations, audits, compliance in various industriesData analysis, monitoring, and reporting in finance or security sectors
Industry UsageFinance, insurance, government, corporate complianceBanking, finance, insurance, and risk management

The Remote Certified Fraud Examiner focuses on detecting and preventing fraud through investigations and certifications like the CFE. In contrast, a Remote Fraud Analyst primarily analyzes data to identify suspicious activities. While both roles work remotely and in related fields, the CFE role emphasizes investigative expertise and certification, whereas the Fraud Analyst centers on data analysis and monitoring.

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Remote Certified Fraud Examiner jobs near you
Infographic showing various Remote Certified Fraud Examiner job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 75% Full Time, 15% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $147,203 per year, or $70.8 per hour.

Senior Investigator - Pre-Pay (Healthcare FWA)

Cotiviti

Remote

$70K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

52nd of 225 rated it services

Job description

Overview
As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role.
This role aligns with our pre-pay Fraud Waste & Abuse team.
Responsibilities
  • Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse.
  • Proactively monitors provider activity to identify patterns, anomalies, and emerging trends that may warrant further investigation.
  • Utilizes data analytics, claims review, and industry intelligence to detect potential fraud, waste, abuse, or non-compliance.
  • Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse.
  • Analyze information gathered by investigation and report findings and recommendations as a written summary and/or presentation.
  • Conducts investigation-related training.
  • Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions.
  • Maintain current knowledge of relevant laws, regulations and standards.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
Qualifications
  • Bachelor's Degree in related discipline, or the equivalent combination of education, professional training and work experience.
  • 5-8 years of related healthcare FWA investigative experience.
  • Experience in proactive data mining.
  • Advanced level skills in Excel required.
  • Experience using Cotiviti FWA tools (preferred) - Sentinel, Commander, and/or Informant (Stars Solutions).
  • Excellent verbal and written communication skills.
  • Strong listening and observation skills.
  • Attention to detail and high level of accuracy.
  • Effective organizational and prioritization skills with multi-tasking ability.
  • Preferred certifications:
    • Accredited Healthcare Fraud Investigator (AHFI),
    • Certified Fraud Specialist (CFS),
    • Certified Fraud Examiner (CFE),
    • Certified Forensic Interviewer (CFI), or
    • Certified in Healthcare Compliance (CHC).

Job Demands:
  • This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided).
  • Must be able to sit and use a computer keyboard for extended periods of time.
  • Travel up to 15%.
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • After hours and/or weekend work is required where necessary for major deliverables/deadlines (not consistent).

Mental Requirements:
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $70,000 to $90,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 5/15/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/15/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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