Fraud Investigator
Manhattan, NY · Remote
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Manhattan, NY · Remote
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Manhattan, NY · Remote
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Manhattan, NY · Remote
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Manhattan, NY · Remote
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
Bilingual Spanish Junior Healthcare Fraud Investigator: Are you ready to launch your Healthcare ... Prepare evidence package for referral to third parties including contract holders, state insurance ...
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
REMOTE - MUST be based in the United States Type: Contract/Freelance based opportunity We are ... investigations are completed efficiently and resolutions are clearly communicated. Identify fraud ...
Senior Healthcare Fraud Investigator / OSINT Analyst Company: Navanti Group, LLC Location ... Remote Employment Type: Part-Time / Consultant Security Clearance: Active Top Secret clearance ...
Senior Healthcare Fraud Investigator / OSINT Analyst Company: Navanti Group, LLC Location ... Remote Employment Type: Part-Time / Consultant Security Clearance: Active Top Secret clearance ...
Miami, FL · Remote
This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...
New
Quick apply
Miami, FL · Remote
This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...
New
Los Angeles, CA · Remote
This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...
New
Quick apply
Los Angeles, CA · Remote
This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are particularly interested ...
New
Houston, TX · Remote
$62K - $92K/yr
This job does not have supervisory duties. #LI-AS Skills Analytical Thinking, Complex Claims, Fraud Investigations, Healthcare Fraud Prevention, Insurance Claims Investigations, Insurance Fraud ...
Houston, TX · Remote
$62K - $92K/yr
This job does not have supervisory duties. #LI-AS Skills Analytical Thinking, Complex Claims, Fraud Investigations, Healthcare Fraud Prevention, Insurance Claims Investigations, Insurance Fraud ...
Concord, NC · Remote
$62K - $92K/yr
This job does not have supervisory duties. #LI-AS Skills Analytical Thinking, Complex Claims, Fraud Investigations, Healthcare Fraud Prevention, Insurance Claims Investigations, Insurance Fraud ...
Concord, NC · Remote
$62K - $92K/yr
This job does not have supervisory duties. #LI-AS Skills Analytical Thinking, Complex Claims, Fraud Investigations, Healthcare Fraud Prevention, Insurance Claims Investigations, Insurance Fraud ...
Remote (Occasional Travel May Be Required) Clearance: Ability to obtain and maintain a Public Trust ... insurance, healthcare programs, disaster relief funding, or other large-scale public-sector ...
Remote (Occasional Travel May Be Required) Clearance: Ability to obtain and maintain a Public Trust ... insurance, healthcare programs, disaster relief funding, or other large-scale public-sector ...
OR · On-site +1
Investigating and analyzing cases of suspected fraud affecting Veriff's customers. * Monitoring ... USA (Remote) Why Veriff? We are the preferred identity verification platform partner for the world ...
OR · On-site +1
Investigating and analyzing cases of suspected fraud affecting Veriff's customers. * Monitoring ... USA (Remote) Why Veriff? We are the preferred identity verification platform partner for the world ...
San Antonio, TX · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
San Antonio, TX · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Phoenix, AZ · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Phoenix, AZ · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Colorado Springs, CO · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Colorado Springs, CO · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Washington, DC · On-site +1
$130K - $176K/yr
Preferred Certifications Certified Insurance Fraud Investigator (CIFI) - IASIU. Physical Demands ... The work is generally performed in an office or remote setting. Travel Requirements • Travel may ...
Washington, DC · On-site +1
$130K - $176K/yr
Preferred Certifications Certified Insurance Fraud Investigator (CIFI) - IASIU. Physical Demands ... The work is generally performed in an office or remote setting. Travel Requirements • Travel may ...
Washington, DC · On-site +1
$130K - $176K/yr
Preferred Certifications Certified Insurance Fraud Investigator (CIFI) - IASIU. Physical Demands ... The work is generally performed in an office or remote setting. Travel Requirements • Travel may ...
Washington, DC · On-site +1
$130K - $176K/yr
Preferred Certifications Certified Insurance Fraud Investigator (CIFI) - IASIU. Physical Demands ... The work is generally performed in an office or remote setting. Travel Requirements • Travel may ...
Charlotte, NC · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Charlotte, NC · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... insurance fraud involving insureds, third party claimants and service providers. Develops ...
New
Investigating and analyzing cases of suspected fraud affecting Veriff's customers. * Monitoring ... USA (Remote) Why Veriff? We are the preferred identity verification platform partner for the world ...
Investigating and analyzing cases of suspected fraud affecting Veriff's customers. * Monitoring ... USA (Remote) Why Veriff? We are the preferred identity verification platform partner for the world ...
$15.63 - $19.03
10% of jobs
$22.02 is the 25th percentile. Wages below this are outliers.
$19.03 - $22.44
17% of jobs
$22.44 - $25.85
18% of jobs
The median wage is $27.09 / hr.
$25.85 - $29.26
12% of jobs
$29.26 - $32.67
10% of jobs
$34.38 is the 75th percentile. Wages above this are outliers.
$32.67 - $36.08
15% of jobs
$36.08 - $39.49
7% of jobs
$39.49 - $42.90
3% of jobs
$42.90 - $46.31
3% of jobs
$46.31 - $49.72
3% of jobs
$49.72 - $53.13
1% of jobs
$15
$30
$53
| Aspect | Remote Insurance Fraud Investigator | Remote Insurance Claims Adjuster |
|---|---|---|
| Required Credentials | Certifications in fraud detection, insurance investigations | Adjuster licenses, insurance claims certifications |
| Work Environment | Investigations, data analysis, interviews | Claims assessment, policy review, settlement processing |
| Employer & Industry Usage | Insurance companies, fraud prevention firms | Insurance carriers, third-party claims services |
| Common Search & Comparison | Yes | Yes |
While both roles work within the insurance industry, Remote Insurance Fraud Investigators focus on detecting and preventing fraudulent claims through investigations and data analysis. In contrast, Remote Insurance Claims Adjusters handle the assessment and settlement of legitimate claims. Both positions require relevant certifications and are often employed remotely by insurance companies or third-party firms.
Full-time
This job post has expired today. Applications are no longer accepted.
Location: REMOTE – MUST be based in the United States Type: Contract/Freelance based opportunity We are actively seeking bilingual and multilingual professionals fluent in one or more of the following languages: Thai, Japanese, Korean, Mandarin, German, French, Vietnamese, or Hindi If you are fluent in any of these languages and have strong analytical and problem-solving skills, this is a high-impact opportunity to join a fast-paced eCommerce risk and fraud operations team. This position supports eCommerce operations by resolving seller-related issues and identifying potential fraud through Risk Operations workstreams and fraud detection activities. You will play a critical role in protecting marketplace, supporting global sellers, and improving operational processes. Your language skills will be heavily utilized to investigate cases, communicate with international sellers, and identify region-specific risk trends. Key Responsibilities Resolve seller issues across multiple systems and communication channels, ensuring timely and accurate support for global marketplace sellers. Manage escalated cases by acting as a subject matter expert, advising sellers on required actions, researching seller history, and determining appropriate resolution paths. Monitor and manage case volume to ensure investigations are completed efficiently and resolutions are clearly communicated. Identify fraud trends, risk indicators, and recurring issue types, escalating concerns to leadership, training, or quality teams as needed. Collect, validate, and analyze screening data to identify trends and insights; compare findings against current processes and industry best practices. Develop, document, and implement process improvements in collaboration with cross-functional partners. Track progress and outcomes while proactively identifying opportunities for operational and personal performance improvement. Remain open to coaching and feedback to continuously improve performance and business practices. Demonstrate and promote compliance with company policies, procedures, and ethical standards. Support team initiatives by sharing knowledge, coordinating work assignments, and helping ensure quality standards and timelines are met. Required Skills & Qualifications Fluency (written and verbal) in English AND at least one of the following languages is required: Thai, Japanese, Korean, Mandarin, German, French, Vietnamese, or Hindi Strong computer proficiency with the ability to quickly learn and navigate multiple systems. Excellent analytical and problem-solving skills with strong attention to detail. Ability to recognize patterns, trends, and risk signals related to fraud or seller behavior. Strong written and verbal communication skills, especially when explaining complex issues. Ability to manage multiple priorities in a fast-paced, high-volume environment. Collaborative mindset with a commitment to continuous improvement and ethical business practices. #J-18808-Ljbffr
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1,001 - 5,000 Employees
Fitzrovia, London, GB
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