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Remote Insurance Fraud Investigator Jobs in Indiana

Bloom Insurance

Health Plan Advocate

Bloomington, IN · On-site +1

Bloom, the insurance industry's trusted growth partner, is seeking a dedicated and customer-focused ... Avoid Recruitment Fraud Bloom corresponds with candidates via several communication channels ...

CSAA

$59K - $77K/yr

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Investigate, evaluate, negotiate, and settle auto and property damage claims for commercial ...

Erie Insurance

Property Adjuster II

Lafayette, IN · On-site +1

$63K - $100K/yr

Remote Salary Range: $63,130.00 - $100,843.00 * salary range is for this level and may vary based ... At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ...

Erie Insurance

Property Adjuster II

Indianapolis, IN · On-site +1

$63K - $100K/yr

Remote Salary Range: $63,130.00 - $100,843.00 * salary range is for this level and may vary based ... At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ...

Great American Insurance Group

$110K - $120K/yr

Great American Insurance Group's member companies are subsidiaries of American Financial Group. We ... Your role would be to investigate and adjust workers' compensation claims with high potential ...

Ascension

Director of Finance

Carmel, IN · Remote

$138K/yr

Partial Remote | Ascension St Vincent Schedule: Days | Full-time Salary range: $138,258.29 - $195 ... Other benefits: optional legal and pet insurance, transportation savings and more How you'll make ...

Circle

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

Senior Analyst, AML Know Your Customer

Miami, IN · On-site +1

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

Senior Analyst, AML Know Your Customer

Austin, IN · On-site +1

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

Circle

Senior Analyst, AML Know Your Customer

Florence, IN · On-site +1

$97K - $127K/yr

... customer investigations and continuous monitoring of various threat vectors across the KYC ... Monitoring industry trends relative to money laundering or fraud schemes including detection and ...

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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 Indiana? The most popular types of Insurance Fraud Investigator jobs in Indiana are:
What cities in Indiana are hiring for Remote Insurance Fraud Investigator jobs? Cities in Indiana with the most Remote Insurance Fraud Investigator job openings:
Remote Insurance Fraud Investigator jobs near you

Health Plan Advocate

Bloom Insurance

Bloomington, IN • On-site, Remote

Full-time

Medical

Posted 25 days ago

Bloom Insurance rating

7.0

Company rating: 7.0 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

249th of 303 rated insurance

Job description

Position Overview:
Bloom, the insurance industry's trusted growth partner, is seeking a dedicated and customer-focused Health Plan Advocate (HPA) to serve as the first point of contact for beneficiaries, brokers, and ACA-related inquiries. This role is responsible for triaging calls, resolving customer service issues, supporting enrollment and broker questions, and routing inquiries appropriately while delivering an exceptional customer experience.
We are looking for an exceptional individual who can:
  • Serve as the first point of contact for inbound inquiries related to Medicare, ACA, broker, and general customer service needs
  • Identify caller needs, provide approved information, and determine appropriate routing or escalation
  • Respond to high volumes of inbound and outbound calls, including beneficiary outreach
  • Provide general information regarding processes, timelines, eligibility, and required documentation
  • Deliver first-level resolution to customer issues whenever possible
  • Respond to inquiries through approved channels
  • Assist with enrollment and application status requests when needed
  • Provide process guidance, administrative support, and portal navigation assistance
  • Coordinate callbacks and follow-up activities as needed
  • Escalate complex, licensed, compliance-sensitive, or contracting-related inquiries
  • Capture and document all interactions accurately in designated systems
  • Maintain detailed records of customer and broker interactions
  • Schedule callbacks and ensure timely follow-up
  • Perform other duties as assigned

Qualifications:
  • High school diploma or equivalent required
  • 1+ year of call center or customer service experience preferred
  • Healthcare, Medicare, ACA or insurance experience preferred

Required Skills and Abilities:
  • Strong verbal and written communication skills
  • Excellent customer service and active listening skills
  • Ability to manage high call volumes in a fast-paced environment
  • Strong problem-solving and decision-making skills
  • Proficiency navigating multiple systems and basic computer applications (Microsoft Office)
  • Ability to maintain professionalism and composure under pressure
  • Bilingual (English/Spanish) is a plus
  • Positive, team-oriented, and solutions-driven mindset

What We Offer
Bloom operates with a people-first culture, which means listening to our employees to provide the benefits that mean the most to them. Our competitive compensation, comprehensive health coverage, long-term growth opportunities, and remote work environment are among the reasons that many of our employees have been with us since the beginning of our business. BeBloom™, our proprietary employee training and engagement program, helps you learn our business model and immerse yourself in everything our culture has to offer from day 1. From virtual live events to mentorship and leadership programs and employee-led councils, there are countless opportunities to get involved, build connections, and share your voice - because at Bloom, the real you belongs here.
Core Values:
  1. Put People First: Uphold and promote a people-first culture within the organization, emphasizing empathy, kindness, and a commitment to making a positive difference.
  2. Be Stronger Together: Embrace a team player mentality, leveraging the strengths of yourself and others to collaborate as one team.
  3. Do What's Right: Adhere to high ethical standards, acting with integrity to do what's right for partners, customers, and colleagues.
  4. Embrace a Growth Mindset: Embrace a culture of continuous learning, education, and professional development.
  5. Drive Solutions: Demonstrate ingenuity and skill by sharing ideas and solutions that drive our mission forward.

About Bloom
Bloom is a third-party insurance services provider that partners with Medicare health plans to enable high-quality Medicare enrollment and drive earlier health plan activation. Founded in 2007, Bloom has partnered with national and regional payers to implement solutions for every step of the member journey, from telesales and quote & enroll to health activation outreach. Supported by its Ascend technology platform, Bloom produces closer connections and better outcomes for Medicare beneficiaries and health plan stakeholders to deliver High Value Enrollment.
Avoid Recruitment Fraud
Bloom corresponds with candidates via several communication channels including our secure online application portal. We may also correspond with candidates using email, phone call, or text message. We interview all candidates via phone and/or Microsoft Teams. At least one interview will always precede an offer of employment. We do not send offers of employment to candidates without prior communication.
Bloom does not request confidential banking information, such as checking or savings account numbers and routing numbers, prior to an offer of employment. We will never contact a candidate or potential candidate via email, text message, social media message, Venmo, or another digital payment service to send or request money. In addition, Bloom does not ask for personal-banking access credentials, such as usernames, PIN numbers, or passwords.
We urge all candidates to avoid recruitment fraud by ensuring any and all information you provide to our company is supplied via our secure online application portal. If you are unsure whether or not you are operating on our secure platform or uncertain as to whether or not a communication you've received has come from Bloom, please reach out to recruiter@bloominsurance.com.

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