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Remote Insurance Fraud Investigator Jobs in Arizona

Experian

AI Native Principal Architect (Hybrid)

Scottsdale, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... insurance, and many more. Experian invests in people and new advanced technologies to unlock the ... Hybrid work from our Scottsdale, AZ office is preferred; however, remote candidates will also be ...

Experian

AI Native Principal Architect (Hybrid)

Scottsdale, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... insurance, and many more. Experian invests in people and new advanced technologies to unlock the ... Hybrid work from our Scottsdale, AZ office is preferred; however, remote candidates will also be ...

Oscar Health

Member & Provider Care Specialist

Tempe, AZ · Remote

$22/hr

Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote role. You must reside in Arizona, Florida, Georgia, or Texas. Oscar is a blended ...

Arizona Department of Administration

$140K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

REMOTE OPTIONS, PHOENIX Categories: Judicial, Legal/Investigations/Adjustment/Compliance ... Health Insurance programs, and the behavioral health system, attorneys employed by AHCCCS are ...

RemX

Remote Healthcare Case Manager $19/hr

Phoenix, AZ · On-site +1

$19/hr

Falsified information may be subject to investigation and further action. Our Fortune 500 ... Prior-Authorizations (PAs) and Insurance Verification * Communicate w/ patients, providers ...

Oscar Health

Sr. Quality of Care Review Nurse

Tempe, AZ · Remote

$83K - $109K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

Booz Allen Hamilton, Inc.

Live Effects Trainer

Glendale, AZ · On-site +1

$52K - $108K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Remote Work: No Job Number: R0242935 Location: Glendale,AZ,US Share job via: Share Live Effects ... Applicants selected will be subject to a security investigation and may need to meet eligibility ...

Arizona Department of Administration

$78K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

... Investigations/Compliance ARIZONA STATE BOARD OF NURSING The mission of the Arizona State Board of ... supplemental life insurance By providing the option of a full-time or part-time remote work ...

New

Swift Transportation

Senior Claims Examiner

Phoenix, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

*This position can be remote, in select locations, based on business needs* Who We Are: Swift ... Determine proper policy coverages and investigate, evaluate, negotiate and equitably settle all ...

Swift Transportation

Senior Claims Examiner

Phoenix, AZ · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

*This position can be remote, in select locations, based on business needs* Who We Are: Swift ... Determine proper policy coverages and investigate, evaluate, negotiate and equitably settle all ...

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All JobsInsurance Fraud Investigator JobsRemote Insurance Fraud Investigator JobsRemote Insurance Fraud Investigator Jobs in Arizona

Remote Insurance Fraud Investigator information

Are remote insurance fraud investigators in demand?

Remote insurance fraud investigators are in growing demand due to increased efforts to detect and prevent insurance fraud. Employers seek professionals skilled in data analysis, investigation techniques, and often require familiarity with fraud detection software, making this a promising field for remote work opportunities.

How to become a remote insurance fraud investigator?

To become a remote insurance fraud investigator, candidates typically need a background in insurance, law enforcement, or criminal justice, along with strong analytical and investigative skills. Relevant certifications such as the Certified Fraud Examiner (CFE) can enhance prospects, and proficiency with data analysis tools and remote communication platforms is often required. A bachelor's degree is commonly preferred, and experience in claims investigation or fraud detection is valuable.

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

AspectRemote Insurance Fraud InvestigatorRemote Insurance Claims Adjuster
Required CredentialsCertifications in fraud detection, insurance investigationsAdjuster licenses, insurance claims certifications
Work EnvironmentInvestigations, data analysis, interviewsClaims assessment, policy review, settlement processing
Employer & Industry UsageInsurance companies, fraud prevention firmsInsurance carriers, third-party claims services
Common Search & ComparisonYesYes

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.

What are the most commonly searched types of Insurance Fraud Investigator jobs in Arizona? The most popular types of Insurance Fraud Investigator jobs in Arizona are:
What cities in Arizona are hiring for Remote Insurance Fraud Investigator jobs? Cities in Arizona with the most Remote Insurance Fraud Investigator job openings:
Remote Insurance Fraud Investigator jobs near you
Infographic showing various Remote Insurance Fraud Investigator job openings in Arizona as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 20% In-person, and 80% Remote job distribution.

Auto Liability Specialist II

First Acceptance Corporation

Phoenix, AZ • On-site, Remote

Full-time

Re-posted 23 days ago

Job description

Auto Liability Specialist II
This Auto Liability Specialist II position reports into either Tampa, FL or Nashville, TN, with the potential to work remotely full time. As an Auto Liability Specialist II, you will be responsible for the investigation, evaluation, negotiation, disposition, and settlement of Auto Liability claims to determine coverage and legal liability and resolve damages. Assigned claims may involve Single-vehicle or multiple-vehicle losses, uninsured/underinsured PD motorist claims, and complex coverage issues requiring direct involvement in property damage claim handling with minimal supervision. Exceptional evaluation and judgment skills are required to develop all potential exposures in the file and to properly set expense and indemnity reserves. Protecting our Insured and the Company's financial exposures is critical.
Essential Job Functions
  • Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody, determining inspection needs, ordering police reports, scene investigation, taking witness statements, reviewing material damage photos, etc.) to analyze coverage, determine liability, compensability, and extent of damages
  • Assume responsibility for property damage claims, including attorney-represented and non-represented parties, for both first- and third-party claimants
  • Demonstrates high investigation, analysis, evaluation, and negotiation skills. This includes accurately reviewing and interpreting auto policy provisions to resolve complex coverage investigations appropriately.
  • Adherence to proper procedures related to the inspection and evaluation of property damage claims and the ability to make recommendations for the disposition of claims beyond an individual's settlement authority
  • Evaluate policy coverage contact insureds, claimants, attorneys, and body shops while determining and establishing reserve requirements
  • Compile information for decision-making with a discussion of the claims committee where appropriate
  • Respond timely and appropriately to all settlement demands
  • Keep internal and external customers advised of file status and other matters, as required
  • Evaluate claims for potential fraud and work with Special Investigations Unit, as required
  • Assess actual damages associated with claims and conduct negotiations to settle claims
  • Determine if subrogation exists and take steps necessary to initiate recovery efforts
  • Performs other duties as assigned

Desired Qualifications
  • Possesses strong customer service skills and behaviors
  • Makes decisions in an informed, confident, and timely manner
  • Possesses strong organizational and time management skills
  • Ability to negotiate skillfully in difficult situations with both internal and external groups
  • Demonstrates strong written and verbal communication skills, promotes and facilitates free and open communication
  • Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems promptly
  • Easily adapts to new or different changing situations, requirements, or priorities
  • Cultivates an environment of teamwork and collaboration
  • Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits

  • Minimum of two (2) years of property claims handling experience

  • High school diploma or equivalent
  • College Degree preferred or equivalent experience

PHYSICAL DEMANDS:
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
While performing the duties of this job, the employee is regularly required to do manual tasks, which may include using hands to finger and handling controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. The employee must frequently lift and/or move up to ten pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Other abilities include breathing, protecting oneself, and possessing the capacity to learn, concentrate, think, and read. Oftentimes, the employee communicates and interacts with others while working.
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed represent the required knowledge, skill, and/or ability. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.
#LI-REMOTE
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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