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Remote Insurance Fraud Investigator Jobs in Oregon

Upstart

Director, Financial Crimes Compliance

OR · On-site +1

Provide senior-level oversight and strategic guidance for complex investigations involving unusual ... Monitor regulatory developments and provide guidance on BSA, AML, sanctions, fraud, and related ...

BOLD

Senior Financial Analyst, Payments

OR · On-site +1

$85K - $106K/yr

Identify patterns in payment processing success, chargeback, and fraud rates by analyzing large ... Pet Insurance (optional) Flexible Time Away * Flexible PTO * Sick time policy * Observed holidays ...

Instacart

Detection Engineer II

OR · On-site +1

You'll work closely with Engineering, Red Team, Incident Response, Fraud, and Trust & Safety to ... Knowledge of machine learning for threat detection #LI-remote

BerryDunn

Medicaid Program Integrity Senior Consultant

$115K - $116K/yr

This position offers flexibility in work location, including fully onsite, hybrid, or remote ... Audit and investigation related certification such as Certified Fraud Examiner (CFE), Certified ...

Allstate

Inside Auto Adjuster

OR · On-site +1

$68K - $104K/yr

... insurance agents, as well as directly to consumers. Responsible for investigating and confirming ... Key Responsibilities For claims involving fraud or subrogation, partners with assigned reps from ...

New

Chock Barhoum LLP

Litigation Paralegal

Portland, OR · On-site +1

Litigation Paralegal - Tech-Forward, Team-Centric Career (Hybrid Flex/Remote) Are you an ... We are an expanding civil litigation and insurance defense firm handling a variety of high-stakes ...

Chock Barhoum LLP

Litigation Paralegal

Portland, OR · On-site +1

Litigation Paralegal - Tech-Forward, Team-Centric Career (Hybrid Flex/Remote) Are you an ... We are an expanding civil litigation and insurance defense firm handling a variety of high-stakes ...

Amsurg

Director, Claims

Oversight of the reporting of all claims to the insurance carriers and initiates the investigation ... REMOTE

AMSURG

Director, Claims

Oversight of the reporting of all claims to the insurance carriers and initiates the investigation ... REMOTE

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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 Oregon?

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

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

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

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

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

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

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

Remote Insurance Fraud Investigator jobs near you

Enterprise Applications Analyst I

CONSUMER DIRECT CARE NETWORK

OR • On-site, Remote

Full-time

Posted 11 days ago

Consumer Direct Care Network rating

5.3

Company rating: 5.3 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

191st of 242 rated social care providers

Job description

Description & Requirements
Culture Vision at Consumer Direct Care Network

At CDCN, we strive to create aworkplace where everyone issupported and motivated to betheir best; we collaborate onshared goals and celebrate ouraccomplishments.

WE WELCOME YOU INTO A GROWING COMPANY

Consumer Direct Care Network is all about caring for people. Care is at our core, and we strive to live up to it every day. We provide services in 14 states across the USA, and our programs grow every year. We specialize in home and community-based services that support individuals with disabilities and older adults so they can remain in their homes and communities.


JOB SUMMARY

An Enterprise Applications Analyst (EAA) is typically responsible for providing technical support and ensuring the smooth functioning of enterprise applications. This role often involves interacting with end-users, documenting procedures, and participating in application design, testing, and implementation. They attend team, cross-functional, and project meetings to remain current on all application, implementation, and migration updates. An EAA will interpret and communicate technical information effectively to both internal and external recipients in a way that can be easily understood.


JOB DUTIES

  • Provide Tier 1 support for end-users via help desk tickets and resolve enterprise applications' related problems.
  • Analyze data, identify trends, and make recommendations using tools such as SQL Server Reporting Services (SSRS) and Power BI reports, Microsoft CRM, Workday, etc.
  • Utilize Microsoft applications such as Azure DevOps, AAD, and B2C in troubleshooting instances.
  • Analyze problems, identify root causes, and implement solutions.
  • Navigate Electronic Visit Verification (EVV) applications to assist with shift and login-related issues.
  • Identify and resolve issues, troubleshoot technical problems, and recommend solutions.
  • Take part in applicable meetings to include those with internal and external attendees.
  • Identify, create, and communicate BUG statuses to end users following department standards and procedures.
  • Assist with enterprise application implementations and testing, typically for new releases and updates.
  • Monitor applications to ensure systems are running correctly and efficiently.
  • Interact with cross-functional teams, including IT, Business Ops, and vendors, to support applications.
  • Perform baseline monitoring of application performance utilizing Azure tools such as Application Insights.
  • Navigate and pull shift data from various databases for use in troubleshooting, BUG creation, Medicaid Fraud investigations, etc.
  • Make corrections and updates to incorrect shift data in portal databases.
  • Comply with applicable legal requirements, standards, policies, and procedures.
  • Develop and maintain documentation to incorporate proper processes and procedures as standards.
  • Promptly address and resolve incoming incidents and requests within agreed-upon time frames.
  • Monitor deliverables and ensure timely completion of projects.
  • Participate in professional development and training activities.
  • Participate in after-hours work.
  • Participate in an on-call rotation.
  • Other duties as assigned.
  • Occasional travel may be required.
 

QUALIFICATIONS

  • 2+ years of experience in a corporate IT environment.
  • Associate degree or equivalent experience.
  • Knowledge of enterprise applications, SQL Server Management Studio (SSMS), and related technologies.
  • Knowledge of Azure DevOps, AAD, and B2C.
  • Effective written and verbal communication at both a technical and a simplified level.
  • Superior customer service to end-users and co-workers.
  • Dependability and strong communication skills.
  • The ability to prioritize and multitask effectively.
  • Be able to successfully pass a background screening.
  • Employees must provide their own reliable internet if working a remote/hybrid position.
  • Ability to work flexible and/or extended hours, if needed, to meet the job requirements
 
The incumbent typically works in an office environment and uses a computer, telephone and other office equipment as needed to perform duties. The noise level in the work environment is typical of that of an office. Incumbent may encounter frequent interruptions throughout the workday. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 20 pounds.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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