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Remote Fraud Claims Jobs (NOW HIRING)

Humana

Fraud and Waste Investigator

Understanding of healthcare industry, claims processing and investigative process development ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Fraud and Waste Investigator

Understanding of healthcare industry, claims processing and investigative process development ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Weekday AI

Insurance Claims Management AI Expert

$100 - $120/hr

US, UK, Canada, France, Portugal (remote) We are seeking a highly motivated and detail-oriented ... You will work closely with cross-functional teams including underwriting, fraud detection, legal ...

Missouri Employers Mutual

$72K - $109K/yr

In this pivotal role, you'll manage high-exposure workers' compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You'll be ...

Humana

Fraud and Waste Investigator

Understanding of healthcare industry, claims processing and investigative process development ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

York Risk Services

... Claims Advisor (Remote) Are you looking for an opportunity to join a global industry leader where ... Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ...

Sedgwick

... Claims Advisor (Remote) Are you looking for an opportunity to join a global industry leader where ... Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case ...

TopDog Law

Claims Verification Supervisor

$64K - $92K/yr

We are a fully remote team that share trust, open communication, and a commitment to doing great ... Enforce verification standards and internal controls to minimize fraud, waste, and abuse Reporting ...

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All Jobsremote JobsFinance and Insurance JobsRemote Fraud Claims Jobs

Remote Fraud Claims information

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$30.5K

$64.6K

$90K

How much do remote fraud claims jobs pay per year?

As of Sep 6, 2026, the average yearly pay for remote fraud claims in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Fraud Claims vs Remote Fraud Analysts?

AspectRemote Fraud ClaimsRemote Fraud Analysts
CredentialsTypically requires claims processing or insurance certificationsUsually requires analytical or investigative certifications
Work EnvironmentCustomer service and claims processing platformsData analysis and fraud detection tools
Industry UsageInsurance, finance, e-commerceBanking, finance, e-commerce
Job FocusHandling claims related to fraud incidentsIdentifying and investigating fraudulent activities

Remote Fraud Claims roles focus on processing and managing claims related to fraud, often requiring claims or insurance certifications. Remote Fraud Analysts concentrate on analyzing data to detect and prevent fraud, needing analytical skills and certifications. Both roles operate remotely within finance and e-commerce sectors but differ in their core responsibilities and required credentials.

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What cities are hiring for Remote Fraud Claims jobs?

Cities with the most Remote Fraud Claims job openings:

What are the most commonly searched types of Fraud Claims jobs?

The most popular types of Fraud Claims jobs are:

What states have the most Remote Fraud Claims jobs?

States with the most job openings for Remote Fraud Claims jobs include:

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The top searched job categories for Remote Fraud Claims jobs are:

Remote Fraud Claims jobs near you
Infographic showing various Remote Fraud Claims job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

GL Claims Specialist - Remote

Selective Insurance Company of America

Remote

$83K - $108K/yr

Full-time

Medical, Retirement, PTO

Re-posted 7 days ago

Selective Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

72nd of 315 rated insurance

Job description

About Us
At Selective, we don't just insure uniquely, we employ uniqueness.
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Selective is seeking a skilled General Liability Claims Specialist for this fully remote position to handle claims throughout Selective's footprint. It is preferred that the ideal candidate has experience handling General Liability claims for Selective's Southern Region.
This role provides direct ownership of a diverse portfolio of non-litigated General Liability claims. The General Liability Claim Adjuster applies sound claims judgment and strong technical expertise to analyze coverage, conduct thorough investigations, evaluate exposures, negotiate resolutions, and bring claims to timely disposition.
With meaningful responsibility for claim outcomes, the adjuster delivers high-quality service to customers and business partners while managing claims in accordance with company policies, procedures, prescribed authority, and applicable legal and regulatory requirements. This position offers the opportunity to build deep General Liability expertise, make informed decisions, and contribute directly to efficient, fair, and effective claim resolution.
Responsibilities
  • Manage a portfolio of General Liability claims from initial report through resolution.
  • Investigate coverage, liability, and damages by gathering information from insureds, claimants, witnesses, attorneys, and other relevant parties.
  • Analyze policy coverage and issue required claim correspondence in accordance with applicable laws, regulations, and company guidelines.
  • Evaluate claim exposures, establish and maintain appropriate reserves, and negotiate fair and timely settlements within delegated authority.
  • Coordinate with defense counsel, experts, and other service providers on litigated or complex claim matters.
  • Identify recovery opportunities, including contribution and subrogation, when applicable.
  • Maintain accurate and timely claim documentation, payments, and expense approvals in the claims management system.
  • Partner effectively with insureds, agents, underwriters, and internal teams to deliver a responsive and high-quality claims experience.
  • Recognize potential fraud indicators and refer matters in accordance with company procedures.

Qualifications
Knowledge and Requirements
  • Strong verbal and written communication skills.
  • Effective organization, time management, and prioritization skills.
  • Sound analytical, problem-solving, negotiation, and claim-resolution abilities.
  • Demonstrated judgment and decision-making within delegated authority.
  • Ability to work independently and collaborate effectively with business partners.
  • Proficiency with standard business software and claims management systems.
  • Applicable state claims adjuster licensure preferred.

Education and Experience
  • Bachelor's degree preferred.
  • Five or more years of commercial General Liability claims handling experience preferred.
  • Experience evaluating and resolving bodily injury and third-party property damage claims preferred.
  • Experience handling GL Claims in the Southern jurisdictions, preferred.

Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $83,000.00 - USD $108,000.00 /Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
For Massachusetts Applicants
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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