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Remote Fraud Jobs in Springfield, MO (NOW HIRING)

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Remote Fraud information

See Springfield, MO salary details

$14

$27

$57

How much do remote fraud jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for remote fraud in Springfield, MO is $27.91, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $30.82 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 popular job titles related to Remote Fraud jobs in Springfield, MO? For Remote Fraud jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Remote Fraud jobs in Springfield, MO look for? The top searched job categories for Remote Fraud jobs in Springfield, MO are:
What cities near Springfield, MO are hiring for Remote Fraud jobs? Cities near Springfield, MO with the most Remote Fraud job openings:
Remote Fraud jobs near you
Infographic showing various Remote Fraud job openings in Springfield, MO as of July 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $58,055 per year, or $27.9 per hour.

Associate Claims Representative (Remote)

memployersmins

Springfield, MO • Remote

$16.25 - $21.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Are you an organized, relationshipdriven professional with a passion for helping people navigate important moments in their recovery? MEM Insurance is looking for an Associate Claims Representative to join our dedicated Claims team. In this role, you will independently manage a caseload of workers’ compensation claims—investigating coverage and compensability, coordinating medical care, managing disability and returntowork processes, and supporting fair, well-documented claim resolutions.
 
You’ll work closely with medical providers, policyholders, attorneys, and internal partners to ensure injured workers receive quality care while also protecting the financial wellbeing of our policyholders. This is a professional-level role where you’ll balance analytical decision-making with compassionate customer service—helping people during some of their most challenging times.
 
 Essential Duties and ResponsibilitiesClaims Investigation, Evaluation & Administration
  • Conduct thorough investigations of workers’ compensation claims, including coverage analysis, compensability decisions, and collection of statements and documentation.
  • Identify coverage concerns, subcontractor issues, or other complexities and escalate when appropriate.
  • Maintain wellorganized claim files with clear documentation, action plans, and timely updates.
  • Establish, monitor, and adjust reserves to ensure accuracy and alignment with corporate expectations.
  • Manage claims from initial report through final disposition, prioritizing workload to meet quality and productivity standards.
Medical & Disability Management
  • Oversee the medical aspects of claims, ensuring injured workers receive appropriate, costeffective treatment.
  • Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions.
  • Review and process medical bills with accuracy and timeliness.
  • Secure wage statements, calculate disability benefits correctly, and ensure payments follow statutory requirements.
  • Manage ReturntoWork efforts, educating policyholders on light-duty options and helping employees resume safe, meaningful work.
Fraud Prevention, Subrogation & Loss Recovery
  • Identify potential fraud indicators and collaborate with the Special Investigations Unit as needed.
  • Investigate subrogation opportunities and document third-party liability to maximize recovery.
  • Recognize when field visits or surveillance may be beneficial and coordinate those activities responsibly.
Claim Resolution, Negotiation & Legal Collaboration
  • Obtain required disability ratings and evaluate settlement options within authority limits.
  • Collaborate with internal and external counsel to execute legal strategy, review legal bills, and ensure litigation guidelines are followed.
  • Address Medicare exposure appropriately, securing Medicare Set-Asides when required.
  • Identify opportunities for structured settlements.
Reporting, Communication & CrossFunctional Partnership
  • Communicate claim status to policyholders, producers, and internal stakeholders with professionalism and clarity.
  • Provide claim updates on highprofile or high-dollar cases as requested.
  • Partner with Underwriting, Premium Consultation, and Loss Prevention on risk concerns and claim trends.
  • Support team members when colleagues are out of office.
Professional Development & Mentorship
  • Engage in ongoing learning to stay current with workers’ compensation laws, regulations, and industry practices.
  • Assist in onboarding and supporting new Claims team members.
 Qualifications
  • Education: High school diploma or equivalent experience required; bachelor’s degree preferred.
  • Experience: 1–2 years of claims handling experience with exposure to workers’ compensation preferred.
  • Licenses:
    • Valid driver’s license required
  • Certifications: AIC or other insurance designations preferred.
 
Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
 
 Diversity Statement
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
 
 Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance
 
Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

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