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Remote Fraud Investigator Jobs (NOW HIRING)

Cypress HCM

Cyber Fraud Investigations Analyst

Chicago, IL · Remote

$40 - $49.14/hr

Cyber Fraud Investigations Analyst Job Details * Cyber Fraud Investigations Analyst (Contract) * Location: Chicago IL 60611 * Duration: 11/10/2025 to 11/09/2026 * Team: Global Payments and Billings ...

Treliant LLC

AML Investigator

$65/hr

Treliant is hiring experienced AML/BSA Analysts and Investigators for project-based client ... All work will be 100% remote. Responsibilities While the scope of each project may be different ...

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How much do remote fraud investigator jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is the difference between Remote Fraud Investigator vs Remote Fraud Analyst?

AspectRemote Fraud InvestigatorRemote Fraud Analyst
CredentialsTypically requires certifications like ACFE or CFE, relevant experienceOften requires similar certifications, focus on data analysis skills
Work EnvironmentRemote, investigative setting, collaborating with law enforcement or financial institutionsRemote, data-driven environment, analyzing transactions and patterns
Employer & IndustryFinancial institutions, e-commerce, insurance companiesFinancial services, banking, e-commerce
Search & Comparison IntentFocus on investigation, case management, and fraud detectionFocus 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 a Remote Fraud Investigator?

A Remote Fraud Investigator is a professional who investigates fraudulent activities, such as financial fraud, identity theft, or cybercrime, while working from a remote location. They analyze data, review transactions, and gather evidence to identify and prevent fraudulent behavior. These investigators often work for banks, insurance companies, government agencies, or private organizations. Their work may involve interviewing witnesses, collaborating with law enforcement, and preparing reports to support legal action. The remote aspect allows them to conduct their duties using digital tools and secure communication platforms.

What are the key skills and qualifications needed to thrive as a Remote Fraud Investigator, and why are they important?

To thrive as a Remote Fraud Investigator, you need strong analytical abilities, attention to detail, and a background in finance, criminal justice, or a related field. Familiarity with fraud detection software, case management systems, and relevant certifications such as CFE (Certified Fraud Examiner) are highly valuable. Excellent communication, critical thinking, and the ability to work independently are essential soft skills for this role. These competencies are crucial for accurately identifying fraudulent activity, efficiently managing cases remotely, and effectively collaborating with teams and stakeholders.

How do Remote Fraud Investigators typically collaborate with colleagues and other departments while working offsite?

Remote Fraud Investigators often collaborate closely with colleagues in compliance, risk management, and customer service teams through secure digital communication platforms. They participate in regular video meetings, share case updates via internal systems, and often work on joint investigations with other investigators or analysts. Effective communication skills and timely documentation are essential to ensure everyone stays aligned on case progress and regulatory requirements. Building strong virtual relationships helps maintain a coordinated approach to detecting and preventing fraudulent activities.

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.

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Remote Fraud Investigator jobs near you
Infographic showing various Remote Fraud Investigator job openings in the United States as of May 2026, with employment types broken down into 6% As Needed, 61% Full Time, 22% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.
Investigator, Special Investigative Unit Coding (Remote)

Investigator, Special Investigative Unit Coding (Remote)

Molina Healthcare

Long Beach, CA • Remote

Full-time

Posted 18 hours ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims. 
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
  • Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments. 
  • Manages documents and prioritizes caseloads to ensure timely turnaround. 
  • Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
  • Devises clinical summary post-review.
  • Communicates and participates in meetings related to cases.
  • Completes medical review to facilitate referral to law enforcement or payment recovery. 
  • Supports investigation work as necessary and required by the regulatory agency.
Job Requirements
  • At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
  • Critical-thinking, problem-solving and analytical skills. 
  • Ability to prioritize and manage multiple tasks.
  • Ability to work in a team setting.
  • Strong verbal/written communication skills, and presentation skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
  • In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements). 
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Ability to research and interpret regulatory requirements.
Preferred Qualifications
  • Certified Professional Compliance Officer (CPCO). 
  • Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). 
  • Experience working in group health insurance, particularly within claims processing or operations. 
  • Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). 
  • Experience with claims processing systems. 
  • Ability to use Microsoft Excel/Access platforms working with large quantities of data. 
  • Ability to answer questions, identify trends and patterns, and present findings. 
 #PJCorp
#LI-AC1
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.  
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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