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Remote Insurance Investigator Jobs in Tennessee (NOW HIRING)

Acadia Healthcare

Compliance Investigator

Franklin, TN · On-site +1

Franklin, TN corporate office with remote work flexibility Travel: Up to 25% The Compliance ... Comprehensive Medical, Dental, and Vision Insurance * 401(k) Plan with Company Match * Paid Time ...

Alpine Intel

Fire Investigator

Memphis, TN · Remote

Remote Schedule * Competitive Compensation Package * Bonus Opportunity * Career Growth * A Diverse ... Company Paid Life Insurance * Company Paid Short-Term and Long-Term Disability * Tuition ...

UnitedHealth Group

Senior Investigator

Nashville, TN · Remote

$60K - $107K/yr

High School Diploma/GED * 5 years of experience working in a FWA / SIU or Fraud investigations role for Tennessee location * 2 years of experience within the health insurance claims industry * 2 ...

Revecore

Auto Claims Specialist

Franklin, TN · Remote

$15/hr

US-Remote Pay: $15/hr + Incentive Plan As an Auto Claims Specialist at Revecore, you will make high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance ...

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How much do remote insurance investigator jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote insurance investigator in Tennessee is $23.39, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $28.80 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 popular job titles related to Remote Insurance Investigator jobs in Tennessee?

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

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

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

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

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

Remote Insurance Investigator jobs near you
Infographic showing various Remote Insurance Investigator job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 19% Part Time, and 7% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $48,650 per year, or $23.4 per hour.

Compliance Investigator

Acadia Healthcare

Franklin, TN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

697th of 895 rated healthcare providers

Job description

Overview
About This Role
Location: Franklin, TN corporate office with remote work flexibility
Travel: Up to 25%
The Compliance Investigator is responsible for conducting and overseeing prompt, thorough, and objective investigations of alleged or suspected violations of law, regulation, Acadia policy, and ethical standards across Acadia's facilities. This role manages investigations of high impact and complexity while relating to patients and colleagues with empathy and compassion. Supports the effectiveness of the company's Compliance Program by ensuring concerns are appropriately triaged, investigated, documented, concluded, and resolved in accordance with Company policy and procedure as well as, Federal and state requirements.
The Compliance Investigator partners closely with Legal, Human Resources, Clinical, and Operational leadership to drive standardization of the investigative process, assess risk, support and track corrective action(s), and promote a culture of accountability, integrity, and patient safety. The role requires the ability to handle sensitive matters with discretion, maintain independence and objectivity, and apply sound judgment in complex and high-risk situations. This role will be located in the corporate office, with remote work capability.
We are seeking a Compliance Investigator to join our Corporate Compliance team. In this highly visible role, you will conduct and lead investigations involving regulatory compliance, ethics, patient safety, privacy, and healthcare operations across one of the nation's leading behavioral healthcare organizations.
This position is ideal for a professional who combines strong investigative expertise with sound judgment, intellectual curiosity, and a commitment to doing the right thing. You will partner with leaders across Compliance, Legal, Human Resources, Clinical Operations, and Quality to evaluate concerns, identify risks, uncover root causes, and help drive meaningful corrective actions that strengthen compliance and protect patients.
You will manage sensitive and complex investigations with professionalism, objectivity, and empathy while contributing to a culture built on accountability, integrity, and high-quality care.
Our Mission
At Acadia Healthcare, we exist to Lead Care with Light. Every day, our teams help improve lives, inspire hope, and elevate communities through compassionate behavioral healthcare.
Compensation & Benefits
We value your expertise and dedication-and we invest in your success.
  • Competitive Base Salary commensurate with experience
  • Comprehensive Medical, Dental, and Vision Insurance
  • 401(k) Plan with Company Match
  • Paid Time Off (PTO) and recognized holidays
  • Company-paid Basic Life and AD&D Insurance
  • Employee Assistance Program (EAP) and mental wellness resources
  • Opportunities for professional growth and advancement within Acadia's nationwide network

Responsibilities
Lead Compliance Investigations
  • Conduct timely, thorough, and objective investigations involving:Healthcare regulatory compliance
    • Billing and coding concerns
    • Fraud, waste, and abuse risks
    • HIPAA privacy and security matters
    • Workplace misconduct affecting compliance or patient care
    • Patient safety and quality-of-care concerns
  • Develop investigation plans, define scope, identify key risks, and execute investigative strategies.
  • Conduct interviews with employees, leaders, and other stakeholders.
  • Collect, review, and analyze documentation, records, data, communications, and other evidence.
  • Identify root causes, control gaps, and opportunities for risk mitigation.

Manage Intake, Triage, and Case Resolution
  • Assess reports received through reporting hotlines, employees, audits, vendors, and other channels.
  • Perform risk-based triage and prioritization of compliance concerns.
  • Maintain accurate and complete case documentation throughout the investigative process.
  • Ensure investigations are conducted consistently and in accordance with company policies and regulatory requirements.

Drive Corrective Actions and Reporting
  • Translate complex findings into clear, concise, and actionable investigative reports.
  • Present conclusions and recommendations to Compliance and business leaders.
  • Partner with operational teams to develop, monitor, and validate corrective action plans.
  • Escalate significant compliance, legal, regulatory, or patient safety risks as appropriate.
  • Maintain documentation that meets legal, audit, and compliance standards.

Partner Across the Organization
  • Collaborate with Legal, Human Resources, Quality, Clinical Operations, Internal Audit, and facility leadership.
  • Support the continued evolution and standardization of Acadia's investigation processes.
  • Promote a culture of ethics, compliance, accountability, and patient-centered decision making.
  • Support organizational efforts to maintain the highest standards of integrity and regulatory compliance.

Qualifications
Required Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Legal Studies, or a related field.
  • 3+ years of experience in healthcare compliance, investigations, healthcare operations, risk management, auditing, or a related discipline.
  • Working knowledge of healthcare laws and regulations, including:HIPAA Privacy and Security requirements
    • Stark Law
    • Anti-Kickback Statute
    • OIG and DOJ compliance guidance
    • Federal and state healthcare program requirements
  • Strong investigative, analytical, and critical thinking skills.
  • Excellent written and verbal communication skills, including the ability to prepare professional investigative reports.
  • Demonstrated ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office applications and case management systems.
  • Ability to work independently, exercise sound judgment, and manage highly sensitive information with discretion.
  • Ability to travel up to 25%.

Preferred Qualifications
  • 5+ years of healthcare compliance or investigative experience.
  • Experience in behavioral health or substance use disorder treatment settings.
  • Experience conducting complex, enterprise-wide investigations.
  • Familiarity with compliance case management and incident reporting systems.
  • Professional certification such as:
    • Certified in Healthcare Compliance (CHC)
    • Certified in Healthcare Privacy Compliance (CHPC)
    • Certified Fraud Examiner (CFE)
    • Comparable compliance or investigative certification

Why Acadia?
When you join Acadia Healthcare, you become part of a team dedicated to improving lives through compassionate care and ethical leadership. We are committed to helping our employees grow professionally while making a meaningful difference for patients, families, and communities.
At Acadia, we:
  • Lead Care with Light by supporting those who care for others.
  • Set the standard for care through accountability and excellence.
  • Lift and uplift one another through collaboration and respect.
  • Innovate quickly to save lives by improving processes and outcomes.
  • Succeed as one by working together toward a common purpose.

If you're passionate about investigations, healthcare compliance, and protecting patients while strengthening organizational integrity, we encourage you to apply.
Acadia Healthcare is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where everyone can thrive. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

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