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Remote Fraud Claims Jobs (NOW HIRING)

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 ...

Allied Benefit Systems

Claims Specialist

Chicago, IL · Remote

... fraud * Process claims in the QicLink System * Review, analyze and add applicable notes to the ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

Allied

Claims Specialist

Chicago, IL · On-site +1

$48K - $50K/yr

... fraud * Process claims in the QicLink System * Review, analyze and add applicable notes to the ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

Aegon

Senior Claims Examiner

Cedar Rapids, IA · On-site +1

$48K - $55K/yr

Monitor claims for fraud and proceed according to each situation, such as engaging the Fraud team ... Remote/Hybrid The Salary for this position generally ranges between$48,000-55,000 annually. Please ...

Allied Benefit Systems

Claims Specialist

Chicago, IL · Remote

... fraud \tProcess claims in the QicLink System \tReview, analyze and add applicable notes to the ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

WPS Health Solutions

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Our Claims Examiner II Receives, researches, and reviews allegations of fraud or abuse by ... Work Location : 100% remote opportunity. Please note that the assigned office for this position is ...

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$30.5K

$64.6K

$90K

How much do remote fraud claims jobs pay per year?

As of Jun 7, 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 job categories do people searching Remote Fraud Claims jobs look for? The top searched job categories for Remote Fraud Claims jobs are:
Remote Fraud Claims jobs near you
FWA Analyst Intern

FWA Analyst Intern

Healthcare Fraud Shield

Chesterfield, MO • On-site, Remote

Internship

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

FWA Analyst Intern
Department: SIU
Employment Type: Internship
Location: Headquarters
Description
Healthcare Fraud Shield is seeking a part-time Fraud, Waste and Abuse (FWA) Analyst Intern for our health care Fraud, Waste and Abuse software platform. You will work with our Special Investigations Unit and IT teams on researching FWA schemes, testing, FWA validation and more. In this role, you should have a keen eye for detail and excellent communication skills. If you are also competent in executing test cases and are passionate about quality then this is the job for you.
Healthcare Fraud Shield provides a competitive salary. Benefits packages are not available to part-time employees.
Key Responsibilities
  • Use knowledge of Fraud, Waste and Abuse (FWA) to research, test and identify effective alerts and algorithms targeting FWA detection and prevention on claims
  • Proactively analyzes and tests output of FWA schemes and enhancements to existing FWA schemes
  • Understanding of pharmacy and medical claims data analysis and quality monitoring
  • Maintain alert and policy knowledgebase
  • Research supporting documentation for knowledgebases by client
  • Execute test cases and analyze results
  • Demonstrated aptitude for problem solving and debugging
  • Identify and troubleshoot issues discovered during testing and reported by customers
  • Work with cross-functional teams to ensure quality throughout the software development lifecycle
  • Satisfies all applicable requirements imposed by applicable Company customers, clients, or business partners, with respect to the relationship and role
  • Understands and complies with all company Privacy and Security standards
  • Other duties as assigned

Skills, Knowledge and Expertise
  • Knowledge of healthcare Fraud, Waste and Abuse (FWA)
  • Knowledge of health care, insurance, medical terminology, CPT, HCPCS, DRG, Revenue, ICD-10
  • Ability to document and troubleshoot errors
  • Excellent communication skills both verbally and written
  • Attention to detail
  • Analytical mind and problem-solving aptitude
  • Excellent troubleshooting and problem solving skills
  • Ability to communicate instructions in a clear and concise manner
  • Comfortable multitasking in fast paced environment
  • Able to work independently as well as part of a dynamic team

Preferred Skills:
  • Strong communication and listening skills
  • Strong analytical skills
  • Strong computer skills
  • Detail oriented

Benefits
  • Medical, Dental & Vision insurance
  • 401(k) retirement savings with employer match
  • Vacation and sick paid time off
  • 8 paid holidays
  • Paid maternity/paternity leave
  • Disability & Life insurance
  • Flexible Spending Account (FSA)
  • Employee Assistance Program (EAP)
  • Professional and career development initiatives
  • Remote work eligible

REMOTE WORK REQUIREMENTS
  • Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

Healthcare Fraud Shield 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.

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