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Remote Insurance Fraud Investigator Jobs in Oregon

Asante

Contracts Counsel

Medford, OR · On-site +1

$73.98 - $101.73/hr

Remote work may include working day-to-day operations during Pacific Standard business hours or ... This role requires deep expertise in health and contract law, including fraud, waste, and abuse ...

Care Access

Registered Dietitian

OR · On-site +1

$30 - $45/hr

This position is a remote, full-time role. How You'll Make An Impact * Ability to understand and ... Timely communications with internal teams, investigators, review boards, and study subjects

Climate First Bank

SBA Underwriter

OR · On-site +1

Collaborate with Compliance to investigate suspicious activity and prevent fraud. * Stay informed ... Remote role within the United States; Eastern Standard Hours. * Occasional S. travel for company ...

First American

Claims Advocate Specialist

OR · On-site +1

$20.34 - $27.12/hr

Investigating, analyzing and responding to highly complex claims from escalated to management ... 12 Hourly, Remote This hiring range is a reasonable estimate of the base pay range for this ...

OneSpan

Account Executive

OR · Remote

$120K - $145K/yr

At OneSpan, we specialize in digital identity and anti-fraud solutions that create exceptional and ... Proven experience selling into banking, financial services, or insurance organizations

McKesson

Field Reimbursement Manager

OR · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... insurance coverage experience. * Must be able to deliver and document benefit investigation ...

McKesson

Field Reimbursement Manager

OR · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... insurance coverage experience. * Must be able to deliver and document benefit investigation ...

DataDome

Cyber Security Analyst

OR · On-site +1

... fraud in under 2 milliseconds-letting legitimate users through seamlessly across websites, apps ... Fully remote position (US-based) with the flexibility to work from anywhere in+ $500 stipend to ...

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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

Contracts Counsel

Asante

Medford, OR • On-site, Remote

$73.98 - $101.73/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Key responsibilities

  • Draft, review, and negotiate healthcare contracts, including mergers and acquisitions.

  • Advise on contract-related legal and regulatory compliance, including health law, fraud, waste, and abuse regulations.

  • Provide strategic guidance on enterprise-wide contracting practices and collaborate with legal and operational teams.

Job description

Additional Position Details: FTE: 1.000000 | Full Time | Primarily Mon - Fri / 8AM - 5PM
Salary Range: $153,878.40-$211,598.40, depending on experience
PLEASE NOTE: This can be a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include working day-to-day operations during Pacific Standard business hours or online training. Candidates must live within the United States, and due to our pay practices, we are not able to employ candidates living in some states.
Position Summary
The Contracts Counsel is responsible for drafting, reviewing, negotiating escalations, and advising on a wide range of healthcare contracts, including mergers and acquisitions. This role requires deep expertise in health and contract law, including fraud, waste, and abuse (FWA) regulations such as AKS, Stark and FCA, HIPAA and privacy laws, accreditation requirements (e.g., Medicare Conditions of Participation), employment-related contracting considerations, mergers and acquisitions, and technology and data-governance regulations.
The Contracts Counsel ensures that all contracts support organizational strategy, mitigate risk, and comply with federal and state regulatory requirements. The Contracts Counsel provides strategic guidance on enterprise-wide contracting practices, supports system-level initiatives, and collaborates closely with the General Counsel, Associate General Counsel, and operational leaders.
This role requires maintaining current knowledge and expertise in healthcare federal and state laws and other laws applicable to contracts and/or the contracting process. The ideal candidate is technology-forward, comfortable working with AI-enabled tools, and able to anticipate how emerging technologies impact contracting, compliance, and organizational risk.
This position will report to the Associate General Counsel overseeing the Contracts Team. It is possible to work remotely in this position.
Position Qualifications
Required Experience
  • 3 years of contract drafting and negotiation experience in the healthcare industry, including mergers and acquisitions

Education
  • Juris Doctor (JD) from an accredited U.S. law school is required

Certification/Licensure
  • Active license to practice law in at least one U.S. jurisdiction is required
  • Ability to obtain full or House Counsel licensure in Oregon within 12 months from the start of employment is required

Total Rewards
We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:
  • Competitive Pay: Hourly and salaried positions earn market-based compensation.
  • Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
  • Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
  • Paid Time Off: Generous ETO for part-time and above employees.
  • Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
  • Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:
Excellence - Respect - Honesty - Service - Teamwork
Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.
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About Asante

Sourced by ZipRecruiter

As the largest healthcare provider in nine counties, Asante provides comprehensive medical care to more than 600,000 people throughout southern Oregon and northern California. At Asante, our top priority is you. We believe each person must be treated with compassion, dignity, honesty and skill. Our 6,347 employees work together to make this ideal a reality, supported by new technology, modern facilities, and a common purpose of healing and hope. Asante is based in Medford, Oregon, and governed by a board of directors composed of local volunteers and physicians. Board members give their time to ensure that the people of nine Southern Oregon and Northern California counties receive high-quality health care services provided with compassion. All decisions are made by people who live and work in our community.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Medford, OR, US

Year founded

1995

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