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Remote Fraud Jobs in Iowa (NOW HIRING)

ePATHUSA Inc

Medical Review Nurse

Clive, IA · Remote

$80K - $90K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex ... of fraud, waste, and abuse. Provides professional assessment, planning, coordination ...

Manulife

Senior Underwriting Consultant

Nevada, IA · Remote

$92K - $109K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... Review underwriting fraud referrals for appropriateness and assist management with book of business ...

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 ...

Genpact

Sr. Associate - BCM - Retirement 5B

Guss, IA · Remote

$15 - $18/hr

... LOMA), Certified Fraud Examiner (CFE) - ACFEACFE, LOMA 280 - Principles of Insurance ... Type - Remote Work Shift - Flex Time (United States of America) The approximate annual base ...

Medix

Remote Service Representative

Dubuque, IA · On-site +1

$18.50 - $21/hr

This remote, seasonal position supports both Voluntary Benefits (VB) and core benefits teams. Key Responsibilities * Respond to incoming calls from clients, members, providers, and employer groups ...

Afni, Inc.

Remote Customer Service Representative

IA · On-site +1

$15.50 - $21.25/hr

What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular) * 25Mbps Download/10Mbps Upload * Ping Rate - Less than 100 ms * A ...

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All JobsRemote Fraud JobsRemote Fraud Jobs in Iowa

Remote Fraud information

See Iowa salary details

$14

$28

$59

How much do remote fraud jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for remote fraud in Iowa is $28.82, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $31.83 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals working in remote fraud detection roles?

Professionals in remote fraud detection roles often face challenges such as staying updated on rapidly evolving fraud tactics and maintaining effective communication with team members across different locations. Working remotely can require extra diligence in accessing secure systems and handling sensitive data safely. Additionally, collaborating with cross-functional teams such as IT, legal, and customer support is crucial to investigate and resolve complex fraud cases efficiently. Staying proactive and adaptable is key to success in a fast-paced, ever-changing fraud landscape.

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

To thrive as a Remote Fraud Analyst, you need strong analytical skills, attention to detail, and a background in finance, business, or a related field. Familiarity with fraud detection software, data analysis tools, and relevant certifications such as Certified Fraud Examiner (CFE) are commonly required. Excellent problem-solving, communication, and decision-making abilities set top performers apart in this position. These skills are crucial for accurately identifying fraudulent activity, minimizing financial risk, and ensuring organizational security in a remote work environment.

What Are Remote Jobs in Fraud Investigations?

A fraud investigation service investigates potential instances of fraud, most typically as related to insurance or financial fraud. Fraud investigation services employ professionals with various roles, each with their own duties and responsibilities. For example, as a remote investigator, you work from home to collect evidence to determine whether or not the subject of the investigation committed fraud. Your duties include documenting your findings for potential civil or criminal litigation. Fraud investigation services sometimes employ remote customer service representatives whose responsibilities involve gathering information relevant to the fraud complaint from customers and updating them on the progress of their case.

What are remote fraud jobs?

Remote fraud jobs involve working from a location outside of a traditional office to detect, investigate, and prevent fraudulent activities in various industries such as banking, e-commerce, and insurance. Professionals in these roles use digital tools and data analysis to identify suspicious transactions, review customer activity, and protect organizations from financial losses. They may also collaborate with law enforcement and other departments to respond to incidents of fraud. Remote fraud specialists must have strong analytical skills, attention to detail, and knowledge of cybersecurity or financial regulations.

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

AspectRemote FraudRemote Fraud Analyst
CredentialsTypically requires knowledge of fraud prevention, certifications like CFE or CFCS beneficialRequires similar certifications, often with experience in fraud detection and analysis
Work EnvironmentRemote, often part of a fraud prevention or security team within a companyRemote, usually within a security or risk management department
Industry UsageUsed broadly across finance, e-commerce, banking, and insurance sectorsCommonly found in finance, banking, and online retail industries

Remote Fraud refers to the broader role of preventing and managing fraud remotely across various industries. Remote Fraud Analyst is a specific position focused on analyzing fraud cases, detecting patterns, and implementing prevention strategies. While both roles require similar skills and certifications, the Fraud Analyst typically performs detailed investigations and analysis, whereas Remote Fraud may encompass broader responsibilities in fraud prevention strategies.

More about Remote Fraud jobs
What are the most commonly searched types of Fraud jobs in Iowa? The most popular types of Fraud jobs in Iowa are:
What are popular job titles related to Remote Fraud jobs in Iowa? For Remote Fraud jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Remote Fraud jobs in Iowa look for? The top searched job categories for Remote Fraud jobs in Iowa are:
What cities in Iowa are hiring for Remote Fraud jobs? Cities in Iowa with the most Remote Fraud job openings:
Remote Fraud jobs near you
Medical Review Nurse

Medical Review Nurse

ePATHUSA Inc

Clive, IA • Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 23 days ago

Job description

This is a remote position.

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinical review judgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Medical Review Accuracy Contract (MRAC).

Essential Functions

  • Perform complex medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
  • Accurately enter medical review data into the medical review system.
  • Apply clinical review judgment, based on clinical experience when applicable and review completeness of documentation to determine if documentation supports claim as billed.
  • Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
  • When performing Program Integrity (PI) reviews, assess investigative allegations and medical review findings, and/or other claims data to determine patterns and detect potential indicators of fraud, waste and abuse (FWA).
  • Accurately identify additional findings in the review of evidence of potential FWA not detected by the Medical Review Contractor.
  • Consistently meet or exceed productivity and accuracy standards of 98% minimum


Requirements
  • Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
  • A Bachelor’s Degree in Nursing (BSN) or other related field is preferred.
  • Certification in coding highly preferred.
  • A minimum of five (5) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
  • A minimum of three (3) or more years’ experience in medical review for payment accuracy, particularly with Medicare Part A, Skilled Nursing Facility, and/or Home Health
  • Minimum of 2 (two) years’ experience in the medical review processes of MACs, SMRC, and/or UPICs.
  • Desired experience performing medical review for fraud, waste, and abuse (FWA) investigations.
  • Knowledgeable of ICD-9-CM, ICD-10, CPT-4 and HCPCS coding.
  • One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred.


Benefits

Benefit Package includes:

  • Paid Sick Time
  • Insurance for Medical, Dental, Vision and Life Available
  • 401(k) including Employer Match
  • HSA, Short-term & Long-term Disability Available
  • We are an EEO/Veterans/Disabled employer.