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Remote Insurance Investigator Jobs in Ohio (NOW HIRING)

Signet Jewelers Ltd.

Technical Business Analyst (Remote)

Akron, OH · Remote

$100K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Investigate production issues and coordinate resolution efforts with business and technical teams ... Comprehensive healthcare, dental, and vision insurance to keep you and your family covered that is ...

Signet Jewelers Ltd.

Technical Business Analyst (Remote)

Akron, OH · On-site +1

$100K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Investigate production issues and coordinate resolution efforts with business and technical teams ... Comprehensive healthcare, dental, and vision insurance to keep you and your family covered that is ...

Manulife

Suitability Review Specialist

Delaware, OH · Remote

$73K - $122K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... investigate findings and escalate concerns as appropriate. * Provide guidance and support to ... Strong understanding of annuity and life insurance products, including their features, benefits ...

Manulife

Suitability Review Specialist

New Hampshire, OH · Remote

$73K - $122K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... investigate findings and escalate concerns as appropriate. * Provide guidance and support to ... Strong understanding of annuity and life insurance products, including their features, benefits ...

Kelly Services

Case Manager

Columbus, OH · Remote

$27 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Columbus, OH ... Exhibit strong investigational and analytical abilities and communicate proficiently in both ...

USAA

Sr. TLE Auto Appraiser

Toledo, OH · On-site +1

$63K - $121K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Demonstrates advanced knowledge of P&C insurance industry products, services, contracts, and ...

Kelly Services

Case Manager

Columbus, OH · Remote

$27 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote, U.S.-based, from an approved work location (Must be within 100 miles of Columbus, OH) Pay ... Exhibit strong investigational and analytical abilities and communicate proficiently in both ...

Stotler Hayes Group

Paralegal

Mason, OH · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Investigate facts and public records to support case strategy * File documents with courts and ... Life Insurance * Short-Term Disability Coverage * 401(k) with Employer Match * Volunteer Days

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Showing results 21-40

All JobsInsurance Investigator JobsRemote Insurance Investigator JobsRemote Insurance Investigator Jobs in Ohio

Remote Insurance Investigator information

See Ohio salary details

$12

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$36

How much do remote insurance investigator jobs pay per hour?

As of Aug 17, 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 August 2026, with employment types broken down into 73% Full Time, and 27% Part Time. Highlights an 100% Remote job distribution, with an average salary of $50,959 per year, or $24.5 per hour.

Pharmacy Adjudication/Reimbursement Specialist - Immediate Opening

Absolute Companies

Green, OH • Remote

$18.50 - $25.25/hr

Full-time

Medical, Dental, PTO

Re-posted 15 days ago

Job description

Pharmacy Adjudication / Reimbursement In Office Specialist

Position Summary
We are seeking a detail-oriented and motivated Pharmacy Adjudication / Reimbursement Specialist to join our Long Term Care Pharmacy team. This role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. The ideal candidate thrives in a fast-paced environment and is committed to delivering high-quality service.

Benefit Package includes comprehensive medical, dental insurance along with earned Paid Time off and Holidays. Shift differential after 5pm additional wage added.

Schedule

  • Full-Time Position

  • Afternoon shift

  • Sundays Half shift 7pm-11pm remote

  • Saturdays 1 every 3 -4 weeks 9am-5:30pm remote

Qualifications

  • State registration required

  • Pharmacy Technician Certification required within 1 year of hire

  • Strong attention to detail and organizational skills

  • Excellent written and verbal communication skills

  • Ability to multitask and manage competing priorities

  • Self-motivated with the ability to work both independently and as part of a team

  • Basic proficiency in Microsoft Word and Excel

Key Responsibilities

  • Verify patient demographics and insurance information for accuracy

  • Submission of claims to Insurance Companies electronically

  • Perform insurance verifications and eligibility checks

  • Handle inbound and outbound calls with facilities, guarantors, and insurance companies

  • Initiate and follow up on prior authorizations

  • Review and respond to insurance audit requests

  • Investigate and resolve insurance and Medicaid rejections

  • Maintain accurate documentation of all billing activities

  • Perform other duties as assigned

What You’ll Bring to the Team
As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service. You will collaborate closely with team members to promote quality outcomes, operational efficiency, and overall employee satisfaction.

Why Join Us?

  • Supportive team environment

  • Opportunity for growth and certification

  • Meaningful work that impacts patient care behind the scenes

If you are a dedicated professional looking to grow your career in pharmacy reimbursement and billing, we encourage you to apply!

Apply