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Remote Insurance Investigator Jobs in Virginia (NOW HIRING)

Centene

Senior Compliance Investigator

Richmond, VA · On-site +1

$70K - $126K/yr

Managed care or health insurance company experience preferred. * Experience with compliance case ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

New

Centene

Senior Compliance Investigator

Fairfax, VA · On-site +1

$70K - $126K/yr

Managed care or health insurance company experience preferred. * Experience with compliance case ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

New

Centene

Senior Compliance Investigator

Manassas, VA · On-site +1

$70K - $126K/yr

Managed care or health insurance company experience preferred. * Experience with compliance case ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

New

Centene

Senior Compliance Investigator

Virginia Beach, VA · On-site +1

$70K - $126K/yr

Managed care or health insurance company experience preferred. * Experience with compliance case ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

New

Centene

Senior Compliance Investigator

Newport News, VA · On-site +1

$70K - $126K/yr

Managed care or health insurance company experience preferred. * Experience with compliance case ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

New

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All JobsInsurance Investigator JobsRemote Insurance Investigator JobsRemote Insurance Investigator Jobs in Virginia

Remote Insurance Investigator information

See Virginia salary details

$13

$25

$38

How much do remote insurance investigator jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote insurance investigator in Virginia is $25.55, according to ZipRecruiter salary data. Most workers in this role earn between $21.68 and $31.44 per hour, depending on experience, location, and employer.

What does a typical day look like for a Remote Insurance Investigator?

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.

How much do insurance investigators make in the US?

Insurance investigators in the US typically earn between $45,000 and $70,000 annually, with the median salary around $55,000. Experienced investigators or those working in specialized fields can earn higher salaries, and some may receive additional compensation for overtime or on-call work.

How much do remote insurance jobs pay?

Remote insurance investigator jobs typically pay between $40,000 and $70,000 annually, depending on experience, location, and employer. Some roles may offer additional benefits or bonuses, and advanced certifications can lead to higher salaries.

Is being a PI a stressful job?

Being a remote insurance investigator can be stressful due to the need for attention to detail, handling complex cases, and meeting deadlines. The job often involves investigating claims, which may require working independently and managing challenging situations. Stress levels vary based on workload and experience but are common in investigative roles.

What is a Remote Insurance Investigator job?

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.

How do you become an investigator for an insurance company?

To become a remote insurance investigator, candidates typically need a background in law enforcement, insurance, or related fields, along with strong analytical and interviewing skills. Relevant certifications, such as those in claims investigation or fraud detection, can enhance prospects. Most roles require a high school diploma or higher and may involve background checks and training on company-specific procedures.

What are the key skills and qualifications needed to thrive in the Remote Insurance Investigator position, and why are they important?

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 Virginia? The most popular types of Insurance Investigator jobs in Virginia are:
What are popular job titles related to Remote Insurance Investigator jobs in Virginia? For Remote Insurance Investigator jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Investigator jobs in Virginia look for? The top searched job categories for Remote Insurance Investigator jobs in Virginia are:
What cities in Virginia are hiring for Remote Insurance Investigator jobs? Cities in Virginia with the most Remote Insurance Investigator job openings:
Remote Insurance Investigator jobs near you
Infographic showing various Remote Insurance Investigator job openings in Virginia as of July 2026, with employment types broken down into 99% Full Time, and 1% Contract. Highlights an 100% Remote job distribution, with an average salary of $53,142 per year, or $25.5 per hour.
Sr. Investigator (Full-time, Remote)

Sr. Investigator (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • On-site, Remote

$55K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

About Us
http://www.integritym.com
Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees' professional development. Large company perks...Small company feel!
Description
We are seeking a Senior Investigator to join our team. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying potential fraud, waste, and abuse (FWA), analyzing complex information, and developing investigative findings. The Senior Investigator will use a variety of investigative techniques and analytical tools to identify subjects, develop cases, document findings, and recommend appropriate administrative or enforcement actions. This position works both independently and collaboratively with investigators, analysts, subject matter experts, and program leadership.
Responsibilities
  • Conduct background research to identify relevant information regarding individuals, organizations, or entities under review.
  • Conduct investigations involving potential fraud, waste, and abuse.
  • Analyze healthcare and operational data to identify trends, anomalies, and potential indicators of fraud.
  • Review applicable laws, regulations, policies, and guidance to support investigative activities.
  • Collect, review, and analyze records and documentation relevant to investigations.
  • Conduct interviews and maintain accountability for evidentiary materials in accordance with established procedures.
  • Document investigative findings and prepare clear, well-supported reports and recommendations.
  • Coordinate with internal staff, legal counsel, government stakeholders, and law enforcement agencies, as appropriate.
  • Collaborate with investigators, analysts, program managers, and subject matter experts to develop investigative strategies and resolve cases.
  • Enter and maintain investigative information in case management and tracking systems.
  • Present investigative findings and recommendations to management and clients.
  • Assist with identifying emerging fraud schemes and recommending new investigative priorities.
  • Prepare recurring and ad hoc reports regarding investigative activities and case status.
  • Meet established quality standards and project deadlines.

Requirements
Qualifications
  • Bachelor's degree in criminal justice, law enforcement, healthcare administration, data analysis, or a related field, or equivalent combination of education and relevant experience.
  • Two or more years of experience supporting healthcare program integrity, fraud investigations, Medicare, Medicaid, commercial healthcare, or other government healthcare programs.
  • Experience conducting fraud, waste, and abuse investigations preferred.
  • Strong investigative, analytical, and problem-solving skills.
  • Experience reviewing healthcare claims, enrollment records, medical records, or other complex documentation.
  • Experience analyzing complex data and identifying patterns or anomalies.
  • Strong written, verbal, and interpersonal communication skills.
  • Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) preferred (or may be required based on contract requirements).
  • Ability to maintain confidentiality and exercise sound judgment.
  • Ability to work independently and collaboratively within a team environment.
  • Strong organizational skills with the ability to prioritize multiple assignments and meet deadlines.
  • Proficiency with Microsoft Office applications, including Word and Excel.
  • Passion for supporting healthcare program integrity and IntegrityM's mission, vision, and values.

Benefits
This position is eligible for the benefits applicable to full-time regular employees, such as: vacation, sick leave, paid holidays, health insurance, dental insurance, vision insurance, short- and long-term disability, life insurance, employee assistance plan, 401(K) retirement plan, and educational benefits.
U.S. remote annual salary range: $55,000-$85,000/annual
For candidates in jurisdictions requiring range disclosure, this is the good-faith range for this role; final pay may vary by work location and job-related factors such as skills, experience, location, and internal equity. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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