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Remote Insurance Fraud Investigator Jobs in Utah

Compliance Manager

Salt Lake City, UT · On-site +1

$129K - $140K/yr

Every fraud dispute, collections action and back-office process affects a real person. When those ... insurance, and a remote-first work environment. About Mission Lane: Founded in December 2018 ...

An independent insurance recruiter is a professional or agency specializing in matching candidates ... Remote/Hybrid/Local * Draper, UT | Small to Mid-Accounts Manager: $70k-$80k | AMS360 preferred

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

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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 Utah? The most popular types of Insurance Fraud Investigator jobs in Utah are:
What cities in Utah are hiring for Remote Insurance Fraud Investigator jobs? Cities in Utah with the most Remote Insurance Fraud Investigator job openings:
Infographic showing various Remote Insurance Fraud Investigator job openings in Utah as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Sr. Claims Specialist - Commercial Auto BI

Philadelphia Insurance Companies

Lehi, UT • On-site, Remote

$102K - $120K/yr

Full-time

Medical, Retirement, PTO

Re-posted 23 days ago


Philadelphia Insurance Companies rating

8.9

Company rating: 8.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

48th of 303 rated insurance


Job description

Marketing Statement:

Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.

We are looking for a Senior Claims Specialist - Commercial Auto BI to join our team!

JOB SUMMARY

Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.

JOB RESPONSIBILITIES

  • Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
  • Communicates with all relevant parties and documents communication as well as results of investigation.
  • Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
  • Travel is required to attend customer service calls, mediations, and other legal proceedings.

JOB REQUIREMENTS

  • High School Diploma; Bachelor's degree from a four-year college or university preferred.
  • 15 years related experience and/or training; or equivalent combination of education and experience.

National Range: $102,150.00 - $120,177.00

Ultimate salary offered will be based on factors such as applicant experience and geographic location.

We offer a hybrid work model that provides flexibility to work remotely while maintaining meaningful in-office collaboration with your team.

Remote consideration will be given to qualified candidates located outside of the primary geographic region.

EEO Statement:

Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc.and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.

Benefits:

We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx


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