The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments ...
The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments ...
Fraud Senior - REMOTE
Arlington, VA · On-site +1
$113K - $134K/yr
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Fraud Senior - REMOTE
Arlington, VA · On-site +1
$113K - $134K/yr
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Fraud Senior - REMOTE
Mclean, VA · On-site +1
$99K - $117K/yr
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Fraud Senior - REMOTE
Mclean, VA · On-site +1
$99K - $117K/yr
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Fraud Senior - REMOTE
Mclean, VA · On-site +1
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Fraud Senior - REMOTE
Mclean, VA · On-site +1
Analyze investigative progress, consistently reassessing priorities, leads, and direction in alignment with predetermined goals. Identify and interpret patterns within mortgage fraud referrals.
Investigator
Mclean, VA · On-site +1
$121K - $158K/yr
Support the development and presentation of briefings that keep the DNI fully informed of fraud and ... Ability to lead an investigative team, develop investigation plans, conduct complex investigation ...
Investigator
Mclean, VA · On-site +1
$121K - $158K/yr
Support the development and presentation of briefings that keep the DNI fully informed of fraud and ... Ability to lead an investigative team, develop investigation plans, conduct complex investigation ...
Investigator
Mclean, VA · On-site +1
$121K - $158K/yr
Support the development and presentation of briefings that keep the DNI fully informed of fraud and ... Ability to lead an investigative team, develop investigation plans, conduct complex investigation ...
Investigator
Mclean, VA · On-site +1
$121K - $158K/yr
Support the development and presentation of briefings that keep the DNI fully informed of fraud and ... Ability to lead an investigative team, develop investigation plans, conduct complex investigation ...
Fraud Analyst
Washington, DC · Remote
$78K - $117K/yr
We are looking for a Fraud Analyst to join our Threat Intelligence team! What You'll Do: * Conduct ... Remote
Fraud Analyst
Washington, DC · Remote
$78K - $117K/yr
We are looking for a Fraud Analyst to join our Threat Intelligence team! What You'll Do: * Conduct ... Remote
Support fraud investigators with medical review expertise to detect and address fraudulent activities. * Mentorship : Act as a resource and mentor to other nurse auditors, supporting their ...
Support fraud investigators with medical review expertise to detect and address fraudulent activities. * Mentorship : Act as a resource and mentor to other nurse auditors, supporting their ...
Criminal Investigator
Washington, DC · On-site +1
$102K - $133K/yr
Conducting investigations involving one or more of the following: fraud, bribery and/or public corruption, national security related offenses, cybercrimes, money laundering, violent crimes, domestic ...
Criminal Investigator
Washington, DC · On-site +1
$102K - $133K/yr
Conducting investigations involving one or more of the following: fraud, bribery and/or public corruption, national security related offenses, cybercrimes, money laundering, violent crimes, domestic ...
Cyber Investigator
Washington, DC · Remote
$80K - $105K/yr
Investigations may involve exposure to harmful or disturbing content, including malicious code ... Fully remote, U.S.-based * Health Benefits: Comprehensive health, dental, and vision coverage
Cyber Investigator
Washington, DC · Remote
$80K - $105K/yr
Investigations may involve exposure to harmful or disturbing content, including malicious code ... Fully remote, U.S.-based * Health Benefits: Comprehensive health, dental, and vision coverage
Federal Healthcare Fraud Defense Attorney Washington DC
Washington, DC · On-site +1
$85/hr
Remote Work * Flexible schedule Job Summary We are seeking a Federal Civil/ Criminal Defense ... Respond to subpoenas, civil investigative demands (CID) * Litigation and Trials * Assess health ...
Quick apply
Federal Healthcare Fraud Defense Attorney Washington DC
Washington, DC · On-site +1
$85/hr
Remote Work * Flexible schedule Job Summary We are seeking a Federal Civil/ Criminal Defense ... Respond to subpoenas, civil investigative demands (CID) * Litigation and Trials * Assess health ...
Senior Cyber Investigator
Washington, DC · Remote
$115K - $140K/yr
Detect and investigate malicious uses and cyber abuse, including cases involving scaled data extraction, ransomware, and local and remote exploits * Review and label AI-generated exchanges, and ...
Senior Cyber Investigator
Washington, DC · Remote
$115K - $140K/yr
Detect and investigate malicious uses and cyber abuse, including cases involving scaled data extraction, ransomware, and local and remote exploits * Review and label AI-generated exchanges, and ...
Principal Cyber Investigator
Washington, DC · On-site +1
$150K - $180K/yr
Oversee day-to-day operations of the cyber investigations team, ensuring investigations are ... Fully remote, U.S.-based * Health Benefits: Comprehensive health, dental, and vision coverage
Principal Cyber Investigator
Washington, DC · On-site +1
$150K - $180K/yr
Oversee day-to-day operations of the cyber investigations team, ensuring investigations are ... Fully remote, U.S.-based * Health Benefits: Comprehensive health, dental, and vision coverage
Criminal Investigator (Special Agent)
Alexandria, VA · On-site +1
$102K - $158K/yr
As a Criminal Investigator (Special Agent), you will be responsible for audits, investigations, fraud control, and designated security services to all HUD programs and operations. Learn more about ...
Criminal Investigator (Special Agent)
Alexandria, VA · On-site +1
$102K - $158K/yr
As a Criminal Investigator (Special Agent), you will be responsible for audits, investigations, fraud control, and designated security services to all HUD programs and operations. Learn more about ...
Payment Specialist (Bilingual English and Spanish)
Washington, DC · On-site +1
$27 - $30/hr
Investigate wire delays, rejections, recalls, and work directly with external banks and vendor ... Review remote deposit capture (RDC) activity, flag potential fraud, and resolve discrepancies.
Quick apply
Payment Specialist (Bilingual English and Spanish)
Washington, DC · On-site +1
$27 - $30/hr
Investigate wire delays, rejections, recalls, and work directly with external banks and vendor ... Review remote deposit capture (RDC) activity, flag potential fraud, and resolve discrepancies.
Financial Crime Risk Investigator II - OneTouch (US)
Vienna, VA · Remote
$29.75 - $47.75/hr
Prepares and delivers AML, Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention ... Investigators and others * Identifies, recommends, and effectively executes standard practices ...
Financial Crime Risk Investigator II - OneTouch (US)
Vienna, VA · Remote
$29.75 - $47.75/hr
Prepares and delivers AML, Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention ... Investigators and others * Identifies, recommends, and effectively executes standard practices ...
Financial Crime Risk Investigator II - OneTouch (US)
Vienna, VA · Remote
$29.75 - $47.75/hr
Prepares and delivers AML, Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention ... Investigators and others * Identifies, recommends, and effectively executes standard practices ...
Financial Crime Risk Investigator II - OneTouch (US)
Vienna, VA · Remote
$29.75 - $47.75/hr
Prepares and delivers AML, Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention ... Investigators and others * Identifies, recommends, and effectively executes standard practices ...
Investigator
Washington, DC · On-site +1
$62K - $78K/yr
The Investigator is a core member of American Oversight's Investigations team, leveraging public ... Remote-first work environment * Medical, dental and vision insurance * Generous paid time off
Investigator
Washington, DC · On-site +1
$62K - $78K/yr
The Investigator is a core member of American Oversight's Investigations team, leveraging public ... Remote-first work environment * Medical, dental and vision insurance * Generous paid time off
Investigator
Washington, DC · Remote
$62K - $78K/yr
The Investigator is a core member of American Oversight's Investigations team, leveraging public ... Remote-first work environment * Medical, dental and vision insurance * Generous paid time off
Quick apply
Investigator
Washington, DC · Remote
$62K - $78K/yr
The Investigator is a core member of American Oversight's Investigations team, leveraging public ... Remote-first work environment * Medical, dental and vision insurance * Generous paid time off
Senior Investigative Reporter (Remote)
Washington, DC · Remote
$85K - $100K/yr
Minimum of eight years of experience as an investigator, journalist or demonstrated equivalent ... This position is eligible for remote work from anywhere within the greater Washington, DC ...
Senior Investigative Reporter (Remote)
Washington, DC · Remote
$85K - $100K/yr
Minimum of eight years of experience as an investigator, journalist or demonstrated equivalent ... This position is eligible for remote work from anywhere within the greater Washington, DC ...
Remote Fraud Investigator information
See Reston, VA salary details
$16.26 - $19.80
10% of jobs
$22.91 is the 25th percentile. Wages below this are outliers.
$19.80 - $23.35
17% of jobs
$23.35 - $26.90
18% of jobs
The median wage is $28.19 / hr.
$26.90 - $30.44
12% of jobs
$30.44 - $33.99
10% of jobs
$35.76 is the 75th percentile. Wages above this are outliers.
$33.99 - $37.54
15% of jobs
$37.54 - $41.08
7% of jobs
$41.08 - $44.63
3% of jobs
$44.63 - $48.18
3% of jobs
$48.18 - $51.72
3% of jobs
$51.72 - $55.27
1% of jobs
$16
$32
$55
How much do remote fraud investigator jobs pay per hour?
What is the meaning of remote in one word?
How to make 2000 a week working from home?
What is the difference between Remote Fraud Investigator vs Remote Fraud Analyst?
| Aspect | Remote Fraud Investigator | Remote Fraud Analyst |
|---|---|---|
| Credentials | Typically requires certifications like ACFE or CFE, relevant experience | Often requires similar certifications, focus on data analysis skills |
| Work Environment | Remote, investigative setting, collaborating with law enforcement or financial institutions | Remote, data-driven environment, analyzing transactions and patterns |
| Employer & Industry | Financial institutions, e-commerce, insurance companies | Financial services, banking, e-commerce |
| Search & Comparison Intent | Focus on investigation, case management, and fraud detection | Focus on analyzing data, identifying fraud patterns |
Remote Fraud Investigators and Remote Fraud Analysts share similar credentials and work environments, often within financial or e-commerce sectors. Investigators focus on active case resolution and law enforcement collaboration, while Analysts primarily analyze data to identify fraud trends. Both roles are essential for combating fraud remotely, but their daily tasks and focus areas differ slightly.
What is remote job?
What is a Remote Fraud Investigator?
What is the meaning of the word remote?
What are the key skills and qualifications needed to thrive as a Remote Fraud Investigator, and why are they important?
How do Remote Fraud Investigators typically collaborate with colleagues and other departments while working offsite?
What Does a Remote Fraud Investigator Do?
The primary job duties of a remote fraud investigator involve finding instances of fraud and collecting evidence about each case. In this job, you work from home or otherwise remotely to investigate fraud in the insurance industry, with credit cards, and in other financial services sectors. Depending on the case, you may review records of transactions, perform research related to the finances or actions or a suspect, and interview witnesses. When investigating mail fraud, you often work with members of the post office. In general, you work remotely and/or at investigation sites and then compile a report on your findings for business or legal action.

SIU Healthcare Investigator (Full-time, Remote)
Alexandria, VA • On-site, Remote
Other
Posted 26 days ago
Job description
Job Summary
We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will play a crucial role in ensuring the accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses, and process improvements. The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change in aberrant behavior observed in our healthcare customer's claims and enrollment data. You will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings.
Key Responsibilities
- Identify and conduct investigations into known or suspected FWA with high autonomy
- Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.
- Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity)
- Participate in the development and presentation of FWA-related education for assigned Customers
- Perform coding reviews for flagged claims, to support Coding team (if applicable).
Requirements
Qualifications
- Education:
- Bachelor's degree in Criminal Justice or a related field, OR at least 3 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
- Experience:
- Minimum of 2 years of experience in healthcare claims analysis, auditing, payment integrity, or a related field.
- Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
- Experience handling confidential information and following policies, rules, and regulations
- Experience with commercial, Medicare, or Medicaid claims is highly preferred.
- Skills:
- Strong analytical and problem-solving skills, with attention to detail and accuracy.
- Excellent communication skills, both written and verbal, for effective collaboration with internal teams and external providers.
- Proficiency in Microsoft Office, particularly Excel, and familiarity with claims processing or audit software is a plus.
Preferred Qualifications
- Certifications: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), or similar desired.
- Additional Certifications: Certified Professional Coder (CPC) or similar desired.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009