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Remote Insurance Fraud Investigator Jobs in California

USAA

SIU Investigator I

Los Angeles, CA · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. * Collects evidence of potential fraud through field or remote interviews and thorough searches ...

USAA

SIU Investigator I

Los Angeles, CA · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. * Collects evidence of potential fraud through field or remote interviews and thorough searches ...

Efi global

Senior Fire Investigator , IAAI-CFI

Orange, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Efi global

Senior Fire Investigator , IAAI-CFI

Anaheim, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Efi global

Senior Fire Investigator , IAAI-CFI

Riverside, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Efi global

Senior Fire Investigator , IAAI-CFI

Los Angeles, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Wealthfront

Fraud Operations Specialist

Palo Alto, CA · On-site +1

$81K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation ... Investment management and advisory services-which are not FDIC insured-are provided by Wealthfront ...

Wealthfront

Fraud Operations Specialist

San Francisco, CA · Remote

$81K - $90K/yr

... remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation ... Investment management and advisory services-which are not FDIC insured-are provided by Wealthfront ...

Wealthfront

Fraud Operations Specialist

San Francisco, CA · Remote

$81K - $90K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation ... Investment management and advisory services-which are not FDIC insured-are provided by Wealthfront ...

Efi global

Senior Fire Investigator , IAAI-CFI

San Diego, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Wealthfront

Fraud Operations Specialist

Palo Alto, CA · Remote

$81K - $90K/yr

... remote Fraud Operations Specialist to be responsible for daily fraud monitoring and investigation ... Investment management and advisory services-which are not FDIC insured-are provided by Wealthfront ...

Efi global

Senior Fire Investigator , IAAI-CFI

Pasadena, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire ... Remote #CertifiedFireInvestigator #FireInvestigator #OriginAndCause #ArsonInvestigation ...

Collectorsuniverse

Head of Fraud Operations

Santa Ana, CA · On-site +1

$139K - $200K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

For remote roles, and at our discretion, candidates may be asked to participate in an on-site ... Investigations & Response * Multi-typology investigations. Lead investigations into payment fraud ...

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Remote Insurance Fraud Investigator information

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.

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, which costs the industry billions annually. Employers seek professionals with skills in data analysis, investigation techniques, and familiarity with fraud detection tools, making this a promising field for job seekers with relevant experience and certifications. The role often offers flexible schedules and the ability to work from home, aligning with current remote work trends.

How much do remote insurance fraud investigators earn?

Remote insurance fraud investigators typically earn between $45,000 and $75,000 annually, depending on experience, location, and employer. Some roles may offer additional compensation such as bonuses or benefits, and proficiency with investigative tools and certifications can influence salary levels.

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 beneficial.

What are the most commonly searched types of Insurance Fraud Investigator jobs in California?

The most popular types of Insurance Fraud Investigator jobs in California are:

What are popular job titles related to Remote Insurance Fraud Investigator jobs in California?

For Remote Insurance Fraud Investigator jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Fraud Investigator jobs in California look for?

The top searched job categories for Remote Insurance Fraud Investigator jobs in California are:

What cities in California are hiring for Remote Insurance Fraud Investigator jobs?

Cities in California with the most Remote Insurance Fraud Investigator job openings:

Remote Insurance Fraud Investigator jobs near you

Fraud Investigator - Fully Remote | Upto $70/hr

Mercor

San Francisco, CA • Remote

$70/hr

Full-time

Posted 5 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Fraud Detection Experts
Type: Contract
Compensation: $60–$70/hour
Location: Remote

Role Responsibilities

  • Construct enterprise fraud scenarios for large-scale transaction monitoring, multi-stakeholder investigation workflows, and complex regulatory reporting cycles at Fortune 500 institutions.
  • Build tasks across F500 payment fraud, account takeover, identity theft, AML, synthetic identity fraud, and merchant/card network fraud.
  • Develop fraud operations scenarios using tools like SAS Fraud Management, Actimize, Feedzai, and enterprise case management/transaction monitoring platforms.
  • Apply enterprise fraud detection methodologies, including rules-based and ML-driven detection models, network/link analysis, KYC/AML frameworks, and BSA compliance.
  • Author rubrics that distinguish authentic enterprise fraud investigation judgment from generic textbook or certification-exam-level recall.

Qualifications

Must-Have

  • 5+ years in fraud detection, financial crimes investigation, or AML compliance at a Fortune 500 bank, payments company, or financial institution.
  • Direct ownership of F500-scale fraud detection programs, investigation caseloads, or transaction monitoring systems.
  • Fluency in enterprise fraud detection tooling and methodologies, with an understanding of F500 regulatory reporting, law enforcement coordination, and case escalation.

Preferred

  • Prior rubric, fraud-investigation training curriculum, or case documentation authorship.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.