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Remote Fraud Nurse Investigator Jobs (NOW HIRING)

Fraud Operations Specialist

Boston, MA · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Fraud Operations Specialist

Denver, CO · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

New

Fraud Operations Specialist

Austin, TX · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Fraud Operations Specialist

Boston, MA · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

New

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

New

Fraud Operations Specialist

Austin, TX · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

New

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

New

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Fraud Operations Specialist

Denver, CO · Remote

$81K - $90K/yr

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions. Fraud Operations is a division of Wealthfront ...

Fraud Analyst

Englewood, CO · Remote

$52K - $60K/yr

Fraud Analyst - Remote / Colorado Applicants only Salary range: $52,000 to $60,000 annually The ... Monitor alerts and communications from various sources to identify and investigate suspicious ...

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Remote Fraud Nurse Investigator information

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$15

$30

$53

How much do remote fraud nurse investigator jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote fraud nurse 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 are some common challenges faced by remote fraud nurse investigators, and how can they be addressed?

Remote Fraud Nurse Investigators often encounter challenges such as limited access to in-person medical records, difficulty verifying the authenticity of claims, and navigating complex healthcare regulations across different states. To overcome these obstacles, strong analytical skills, attention to detail, and proficiency with digital investigation tools are essential. Regular communication with colleagues and claims professionals, as well as ongoing training in emerging fraud schemes, can help ensure accurate assessments and effective teamwork even in a remote setting.

What are the key skills and qualifications needed to thrive as a remote fraud nurse investigator?

To thrive as a Remote Fraud Nurse Investigator, you need a strong clinical background, experience in medical claims review, and an active RN license. Familiarity with medical coding systems, healthcare claims software, and investigative tools such as SIU platforms is typically required. Critical thinking, attention to detail, and strong written communication skills are essential soft skills in this role. These competencies enable accurate detection and reporting of fraudulent activity, ensuring compliance and protecting healthcare resources.

What is the difference between Remote Fraud Nurse Investigator vs Remote Insurance Claims Nurse?

AspectRemote Fraud Nurse InvestigatorRemote Insurance Claims Nurse
CertificationsRN license, fraud investigation trainingRN license, claims processing certification
Work EnvironmentInvestigating fraud cases, analyzing claimsReviewing insurance claims, assessing validity
Employer & IndustryInsurance companies, healthcare fraud unitsInsurance providers, healthcare organizations
Search & Comparison IntentFraud detection, investigation rolesClaims review, insurance nurse roles

Remote Fraud Nurse Investigators focus on detecting and investigating insurance fraud, requiring specialized training in fraud detection. Remote Insurance Claims Nurses primarily review and process insurance claims, ensuring accuracy and compliance. While both roles require nursing credentials and work within the insurance industry, their core responsibilities differ—investigation versus claims processing.

What is a remote fraud nurse investigator?

A Remote Fraud Nurse Investigator is a registered nurse who works remotely to identify, investigate, and help prevent healthcare fraud, waste, and abuse. They review medical claims, patient records, and provider billing practices to detect discrepancies or suspicious activities that may indicate fraudulent behavior. Their work often involves collaborating with insurance companies, law enforcement, and healthcare providers to ensure compliance with regulations and protect patients and payers from fraud. Remote roles allow these professionals to conduct investigations, interviews, and audits using secure digital platforms. This position requires strong analytical, clinical, and investigative skills.
More about Remote Fraud Nurse Investigator jobs
What cities are hiring for Remote Fraud Nurse Investigator jobs? Cities with the most Remote Fraud Nurse Investigator job openings:
What are the most commonly searched types of Fraud Nurse Investigator jobs? The most popular types of Fraud Nurse Investigator jobs are:
What states have the most Remote Fraud Nurse Investigator jobs? States with the most job openings for Remote Fraud Nurse Investigator jobs include:
Infographic showing various Remote Fraud Nurse Investigator job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Operations Specialist

Wealthfront

Boston, MA • Remote

$81K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 5 days ago


Job description

Wealthfront is currently hiring a fully remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation functions.  Fraud Operations is a division of Wealthfront Brokerage and works closely with Brokerage Operations, Compliance, and all other divisions of Wealthfront Corporation, including the engineering and product teams.

Responsibilities
Fraud Investigations
  • Assist in the identification of unusual financial activity indicative of money laundering, financial fraud and/or financial crime. 
  • Conduct complex investigations aimed at identifying criminal activities and preventing fraud on our platform. 
  • Perform data-driven analysis to identify vulnerabilities and/or proactively determine potential issues or areas of improvement.
  • Perform thorough analyses of account and transaction history to detect and elaborate on established patterns related to fraud and anti-money laundering (AML) typologies.
  • Conduct holistic account and transaction monitoring in support of Wealthfront's BSA/AML and Sanctions programs.
  • Coordinate fraud investigations and recoveries with contra firms.
  • Present findings of investigations to different stakeholders within the firm. 
  • Create, implement, and update policies and procedures to further develop Wealthfront's anti-financial crime and transaction monitoring program.
  • Research fraud, identity and user behavior to contribute to rules, models and other detection systems.
  • Maintain subject matter expertise and ensure work completed adheres to applicable regulations, policies, and procedures.
  • Assist in the identification of process improvements and automation opportunities.
 
Cross Functional
  • Coordinate with Financial Crimes Compliance to ensure fraud and non-fraud-related cases are properly escalated for investigation and SAR filing consideration.
  • Partner with Engineering teams to implement automated solutions.
  • Work with other product areas to develop new data driven controls for optimizing user experience while detecting and preventing fraud.
  • Work with our support team to resolve client inquiries.
 
Requirements
  • 1-3 years of fraud investigations experience in the financial services industry. 
  • Strong research and investigation skills, including synthesizing large amounts of information and evaluating  transaction data.
  • Experience investigating fraud typologies such as Wire, ACH, Debit Card, Online Account Takeover, Identity Theft, Elder Financial Exploitation, and New Account Fraud.
  • Ability to manage competing priorities and adapt quickly in a dynamic, fast-paced environment. 
  • Strong attention to detail and ability to produce accurate, well-documented work.
  • Ability to make sound, risk-based decisions with limited information.
  • Excellent written and verbal communication skills. 
  • Strong collaboration skills and ability to work effectively with cross-functional teams.
  • Embody the qualities of being a true team player - curiosity, humility, intelligence, and openness to both positive and constructive feedback.
  • Demonstrated curiosity and a proactive approach to identifying patterns and emerging risks.
Preferred Qualifications
  • Experience with disputes and knowledge of Reg E.
  • Familiarity with Anti-Money Laundering (AML), Anti-Threat Finance (ATF), OFAC, Financial Intelligence analysis and Counter-Intelligence analysis.
  • Experience with SQL, dashboard creation, and/or other data analysis tools.
  • Knowledge of FINRA, NACHA, SEC and MSRB rules and regulations.

Estimated annual salary range: $81,000 - $90,000 USD plus Equity.

Plus benefits include medical, vision, dental, 401K plan, generous time off, parental leave, wellness reimbursements, professional development, employee investing discount, and more!

About Wealthfront

Here at Wealthfront, our mission is to create a financial system that favors people, not institutions. We do this by leveraging technology to build powerful, low-cost, and easy-to-use financial products that help modern investors grow and manage their money.

We started with the ambition to transform the investment advisory business. By automating strategies typically reserved for the wealthy, we unlocked access to high quality investment advice for a digitally-native generation that was underserved by traditional institutions. Since then, we've expanded to a full suite of products designed to help our clients turn their savings into long-term wealth, including:

A Cash Account that, through our partner banks, offers one of the highest annual percentage yields on uninvested cash in the industry, while providing instant and secure access to your money with no account fees and a full suite of checking features.

A zero-commission Stock Investing Account with 50+ handpicked collections that help DIY investors discover new companies and make smarter investing decisions.

Multiple automated investing portfolios designed to unlock tax savings through sophisticated strategies like fixed income, tax-loss harvesting, and direct indexing-which we offer at industry-leading low costs and accessible minimums.

Our award-winning products have attracted over 1 million clients who trust us with more than $90 billion of their hard earned savings-and we're far from done. If you're inspired to help us reshape the financial industry as we create our next chapter, let's talk!

For more information please visit www.wealthfront.com.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


Please review our candidate privacy notice. 


Disclosures: All investing involves risk, including the possible loss of principal. Tax-Loss Harvesting benefits vary depending on the client's entire tax and investment profile. Wealthfront doesn't provide tax advice. The Cash Account is offered by Wealthfront Brokerage LLC ("Wealthfront Brokerage"), Member of FINRA/SIPC. Wealthfront Brokerage is not a bank. We convey funds to partner banks who accept and maintain deposits, provide the variable interest rate, and provide access to FDIC pass-through insurance. Investment management and advisory services-which are not FDIC insured-are provided by Wealthfront Advisers LLC ("Wealthfront Advisers"), an SEC-registered investment adviser. The checking features offered in the Wealthfront Cash Account are provided by Green Dot Bank, Member FDIC. Fees and Eligibility requirements may apply to certain checking features, please see the Deposit Account Agreement for details.


By "award-winning products", please refer to www.wealthfront.com/reviews for more information. Wealthfront Corporation oversees Total Client Assets and Trusted Clients through Wealthfront Advisers and Wealthfront Brokerage. Wealthfront Advisers and Wealthfront Brokerage are wholly owned subsidiaries of Wealthfront Corporation.  
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