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Remote Insurance Investigator Jobs in Ohio (NOW HIRING)

Cencora

Quality Investigator

Columbus, OH · On-site +1

There is no option for remote or hybrid work. The Quality Investigator is responsible for performing investigations to ensure they meet regulatory requirements. In addition, the Quality Investigator ...

Erie Insurance

Property Adjuster II

Findlay, OH · 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 ...

County of Delaware, OH

Social Worker III

Delaware, OH · On-site +1

$24.67 - $34.46/hr

Delaware, OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: 2601332 Department ... Individual is responsible for providing protective services, investigations, case management ...

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Remote Insurance Investigator information

See Ohio salary details

$12

$24

$36

How much do remote insurance investigator jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote insurance investigator in Ohio is $24.50, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $30.14 per hour, depending on experience, location, and employer.

What is a remote insurance investigator?

A Remote Insurance Investigator examines insurance claims to detect fraud, verify information, and ensure compliance with policy terms, all while working from a remote location. They conduct interviews, analyze documents, review surveillance footage, and collaborate with insurance companies or law enforcement. Strong analytical skills, attention to detail, and experience in insurance or investigations are often required.

What does a remote insurance investigator do?

A typical day for a Remote Insurance Investigator involves reviewing and analyzing insurance claims for potential fraud, conducting interviews with claimants and witnesses over the phone or video calls, and gathering and verifying documentation. Investigators often prepare detailed reports, collaborate virtually with claims adjusters and legal teams, and may conduct online research or surveillance as part of an investigation. The role is primarily independent, requiring excellent time management, but also involves regular communication with supervisors and team members to discuss cases and share findings. This structure allows for flexible work hours, but also demands a high level of organization and self-discipline.

What are the key skills and qualifications needed to thrive as a remote insurance investigator?

To thrive as a Remote Insurance Investigator, you need a solid grasp of investigative techniques, analytical thinking, and a background in insurance claims, often supported by a degree in criminal justice or a related field. Familiarity with case management software, claims databases, and sometimes certifications such as CIFI (Certified Insurance Fraud Investigator) are commonly expected. Strong attention to detail, effective written and verbal communication skills, and self-motivation are crucial soft skills for this remote position. These skills enable investigators to efficiently detect fraud, manage complex caseloads, and communicate findings professionally from a remote work environment.

What are the most commonly searched types of Insurance Investigator jobs in Ohio?

The most popular types of Insurance Investigator jobs in Ohio are:

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

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

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

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

What cities in Ohio are hiring for Remote Insurance Investigator jobs?

Cities in Ohio with the most Remote Insurance Investigator job openings:

Remote Insurance Investigator jobs near you
Infographic showing various Remote Insurance Investigator job openings in Ohio as of September 2026, with employment types broken down into 79% Full Time, 17% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $50,959 per year, or $24.5 per hour.

Remote Medical Insurance Follow Up Rep

Columbus, OH • Remote

TRC Talent Solutions
Business Management Consulting • 201 - 500 employees
Learn more about TRC Talent Solutionsexternal

$18 - $22/hr

Temporary

Medical, Dental, Vision, Life, PTO

Posted 16 days ago

Job description

Medical Insurance Follow-Up Representative – 100% Remote

$18–22/hour | Full-Time | Permanent Opportunity

We're growing and looking for experienced Medical Insurance Follow-Up Representatives to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. 

Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. 

Why Join Us? 

  • 100% Remote 

  • Flexible Schedule 

  • Health, Dental, Vision, and Life Insurance 

  • PTO, Paid Sick Leave, and Paid Holidays 

  • Career Growth Opportunities 

What You’ll Do:

  • Perform second-tier insurance account follow-up on outstanding A/R balances 

  • Resolve denied, underpaid, and unresolved insurance claims

  • Resolve aged accounts and payer issues  

  • Work high-dollar accounts and conduct detailed account research 

  • Review UB-04 and/or HCFA 1500 claims for billing accuracy 

  • Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances 

  • Communicate professionally with insurance payers, clients, and internal teams

  • Identify payer trends, workflow issues, and barriers to resolution 

  • Submit corrected claims, rebills, secondary billing, and appeals as needed

  • Document account activity and correspondence thoroughly and accurately 

  • Escalate payer errors appropriately for reprocessing 

  • Work with commercial and government payers 

  • Maintain productivity and quality standards

Experience & Education: 
 

  • 1-2 years of Healthcare Revenue Cycle experience required 

  • Experience with Hospital Billing and/or Physician Billing required 

  • Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims 

  • Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc. 

  • Proficiency in Microsoft Office and other internet-based systems

  • Strong ability to multitask across multiple applications and systems 

  • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred 

Physical Requirements:

  • Ability to sit for extended periods of time 

  • Frequent use of hands and fingers for typing and computer work

  • Ability to communicate via phone and computer

  • Occasionally lift up to 15 pounds