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Remote Insurance Fraud Investigator Jobs in Boston, MA

centralins

Anti-Fraud Manager

Waltham, MA · On-site +1

Hybrid or Remote based on location Position type: Full time - salary We're a team of employees ... Senior Claims Law Associate Designation, Certified Insurance Fraud Investigator Designation, and ...

Wealthfront

Fraud Operations Specialist

Boston, MA · 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

Boston, MA · 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 ...

Blue Star Families

Sr. Fraud Analyst

Boston, MA · On-site +1

$82K - $88K/yr

They conduct daily monitoring activities, investigate cases of actual or suspected fraud, and ... Experience working with remote teams. * #Hybrid - Open to all Cubic locations The description ...

Delta Group

SIU Investigator - Boston, MA

Boston, MA · Remote

$30 - $40/hr

... fraud. The candidate should have extensive experience with claims for all lines of insurance, with a heavy emphasis on Workers' Compensation claims. JOB DUTIES: * Conduct timely investigations ...

Santander

Senior Workout Officer - Remote

Boston, MA · Remote

Senior Workout Officer - Remote Country: United States of America It Starts Here: Santander is a ... Processes charged-off financings including litigation, asset discovery and fraud investigations.

New

UnitedHealth Group

Clinical Claim Review RN

Boston, MA · Remote

Where applicable, the Auditor will support appeal and fraud investigation activities. This position ... This position is Remote in Massachusetts. You will have the flexibility to work remotely* as you ...

Booz Allen Hamilton, Inc.

Technical Writer

Lexington, MA · On-site +1

$69K - $158K/yr

Remote Work: Hybrid Job Number: R0241561 Location: Lexington,MA,US Share job via: Share Technical ... Applicants selected will be subject to a security investigation and may need to meet eligibility ...

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Remote Insurance Fraud Investigator information

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How much do remote insurance fraud investigator jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote insurance fraud investigator in Boston, MA is $33.50, according to ZipRecruiter salary data. Most workers in this role earn between $24.04 and $38.37 per hour, depending on experience, location, and employer.

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 Boston, MA?

The most popular types of Insurance Fraud Investigator jobs in Boston, MA are:

What are popular job titles related to Remote Insurance Fraud Investigator jobs in Boston, MA?

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

What job categories do people searching Remote Insurance Fraud Investigator jobs in Boston, MA look for?

The top searched job categories for Remote Insurance Fraud Investigator jobs in Boston, MA are:

Remote Insurance Fraud Investigator jobs near you

Anti-Fraud Manager

centralins

Waltham, MA • On-site, Remote

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX
Work Model: Hybrid or Remote based on location 
Position type: Full time - salary 

We’re a team of employees passionate about delivering best-in-class customer service and innovation in the industry. Integrity, relationships, and excellence are at the heart of everything we do.

Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do!

Fraud prevention is at the heart of protecting our customers and our business—and that’s where this role makes an impact. As Anti-Fraud Manager, you’ll lead front-line investigative efforts, tackle complex and high-impact cases, and partner with a wide network of internal teams and external agencies. This is an opportunity to shape strategy, develop talent, and bring modern tools and analytics into real-world fraud detection and deterrence.

 Key Responsibilities of the Role  

  • Supervises the day-to-day investigative activity of SIU field/desk investigations and support activities throughout regions. 
  • Acts as the direct liaison with the various Claims Staff, Departments of Insurance and other regulatory agencies, NICB and other industry investigative representatives.
  • Monitors and evaluates the quality of performance and key results through ongoing audits and review of results of both direct adjuster and advanced cutting edge analytic referrals of both artificial intelligence and machine learning.
  • Reviews and evaluates all available information to assess the appropriateness of referrals for prosecution and/or recovery. 
  • Ensures that all SIU investigation files include a concise and complete summary of the investigation, including the investigators findings regarding the suspected insurance fraud and the basis for their findings and ensure that all investigative cases are thoroughly, promptly, and efficiently investigated and referred to the proper authority within the timeframe as mandated. 
  • Works with all members of the Claims Management, Underwriting and Marketing Teams, Claim Support Staff, Independent Vendors, Defense Counsel, and all other entities as may be required, to ensure effective implementation of fraud detection and deterrent protocols.
  • Assists with the training of Central Mutual Insurance anti-fraud personnel and Claims Staff in fraud detection, prevention, and suspect claim handling measures.  
  • Represents the Company at various industry, state and local organizations which focus on anti-fraud activities.
  • Coordinates investigation of complex suspect claims and assignments as warranted ensuring proper resolution and documentation within case management system.  
  • Collaborates with the SIU Director on all matters of the SIU function to include, but not limited to; investigation, investigative strategy, training and other department matters.
  • Oversees reporting of all suspected fraudulent insurance transactions to the appropriate departments of insurance within the required time frames for their team. 
  • Establishes and maintains relationships with law enforcement, Department of Insurance officials and insurance industry personnel and assist them when required.
  • Selects, trains, and develops new employees
  • Sets expectations with regards to performance
  • Communicates with, motivate and recognize employees
  • Evaluates performance and conducts weekly check-ins and performance reviews
  • Manages staff and other resources appropriately 

Required Qualifications  

  • Bachelor’s Degree in Criminal Justice, Criminology, or Fraud Management and 2 years relevant experience 
  • Or 4 years of relevant SIU investigator/SIU Supervisor experience  


Preferred Qualifications  

  • Licensure & Certification: None required; One or more of the following certifications/designations are desirable: Senior Claims Law Associate Designation, Certified Insurance Fraud Investigator Designation, and Certified Fraud Examiners Designation.
  • Familiarity with anti-fraud analytics programs as it relates to fraud prevention and identification 

 
Knowledge, Skills, and Abilities  

  • SIU Supervisor needs to have significant knowledge and experience in all levels of P&C claim fraud investigation and reporting requirements to the various fraud bureaus.  
  • Advanced practical knowledge of conducting medical and property investigations in the field is necessary
  • Good working knowledge of Word, Excel, and PowerPoint applications
  • Demonstrated ability to build and maintain collaborative relationships with internal and external partners and business areas.
  • Proven management skills
  • Ability to demonstrate monthly productive outcomes from investigations assigned to the SIU team
  • Excellent leadership, team building, communication and strategic thinking skills
  • Ability to prepare and present training sessions
  • Successful track record in facilitating and managing projects and teams
  • Attain and be very proficient at the SIU protocols and procedures that would include SIU compliance to the specific states the company operates in
  • Possess in-depth knowledge of insurance policies and procedures related to SIU investigations
  • As a Team Member at Central Mutual Insurance, you will be part of a growing SIU Team that continues to evolve to be a Best in Class SIU group utilizing state of the art analytic programs. Three keys words guide this unit, Unique, Innovative and Creative
  • Ability to understand Central Insurance’s policies and processes 

Total Rewards

Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits

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