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Remote Insurance Investigator Jobs in Addison, TX

Lids

Regional Loss Prevention Investigator

Dallas, TX · On-site +1

Description Regional LP Investigator About Our Company At Lids Sports Group, we don't just sell ... Must possess a valid driver's license and active auto insurance. Physical Demands & Requirements

DataBank

Insurance Risk Manager (Remote)

Dallas, TX · On-site +1

The Insurance Risk Manager will coordinate insurance programs, optimize coverage, manage claims ... Track claims outcomes and reserves; facilitate incident investigations and root cause analysis.

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Remote Insurance Investigator information

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$12

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$37

How much do remote insurance investigator jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote insurance investigator in Addison, TX is $24.95, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $30.72 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 Addison, TX?

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The top searched job categories for Remote Insurance Investigator jobs in Addison, TX are:

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Cities near Addison, TX with the most Remote Insurance Investigator job openings:

Remote Insurance Investigator jobs near you
Infographic showing various Remote Insurance Investigator job openings in Addison, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $51,890 per year, or $24.9 per hour.

Remote Entry - Level Healthcare Privacy Investigator - Dallas, Tx

The US Oncology Network

Dallas, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

379th of 898 rated healthcare providers

Job description

Overview
Texas Oncology is looking for a Remote Entry - Level Healthcare Privacy Investigator to join our team! This position will support all Texas Oncology locations. Some travel, up to 20 %, may be necessary for training and team meetings. Must currently reside in Texas
The Entry-Level Privacy Investigator plays a key role in supporting the local implementation and monitoring of Texas Oncology's Compliance and Privacy Program. This position is designed for early-career professionals with two (2) years of experience in a related field, offering the opportunity to develop expertise in compliance operations.
Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 300+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Entry-Level Privacy Investigator do? (including but not limited to):
The Investigator works under the guidance of senior team members, manages routine investigations, assists with reporting, and coordinates departmental compliance activities. This individual maintains a high level of confidentiality with compliance and privacy matters and has appropriate discretion with sensitive information. As an Investigator, this person will handle sensitive information, adhere to corporate and regulated deadlines, maintain accurate regulatory reporting, and ensure the accuracy of housed documents for programmatic integrity and auditing purposes. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities (including but not limited to):
  • Manage investigations of level 1 privacy violations.
  • Assist with collecting, analyzing, and reporting privacy related metrics and data.
  • Handle the weekly reported logs, ensuring accurate documentation and timely investigation.
  • Coordinate department activities to support compliance initiatives and foster effective communication among team members.
  • Conduct annual OCR reporting and maintain related records in accordance with established procedures.
  • Oversee the Compliance Mailbox, triage incoming concerns, and route issues to appropriate staff as needed.
  • Promote understanding of compliance standards and ethical principles within the organization.
  • Coordinate, triage, and process concerns received by Texas Oncology's Compliance Hotline
  • Conduct investigations into allegations of violations of Texas Oncology's Code of Conduct
  • Identify and analyze allegations, make assessments and draft reports
  • Maintain files associated with investigations and documentation in Texas Oncology's GRC solution
  • Assist Manager with data analytics and reporting of data
  • Promote understanding and awareness of the Texas Oncology Compliance & Privacy Program

Qualifications
The ideal candidate will have the following background and experience:
  • Bachelor's degree in Business Administration, Healthcare Administration, or a related field, or equivalent work experience.

Or
Associate's Degree + four (4) years of related work experience
Or
High School diploma or equivalent and eight (8) years of related work experience
  • Minimum of two (2) years of experience in a healthcare related field (compliance, privacy, or healthcare administration preferred).
  • Emerging skills in managing investigations, compliance reporting, and data analysis.
  • Basic knowledge of privacy regulations and compliance standards.
  • Strong organizational and communication skills, with the ability to collaborate in a team environment.
  • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
  • Professional certification(s) applicable to job responsibilities, including, but not limited to CHC (preferred)
  • Knowledge/Experience operating or being an administrator of an information database
  • Demonstrated experience with complaint triage, coordination, and assessment
  • Experience issue spotting, analyzing information, identifying issues or concerns in fact patterns
  • Experience applying laws and policy standards in investigation or fact-finding processes
  • Ability to define problems, collect data, ascertain facts, and draw valid conclusions based on evidence;
  • Ability to extract, verify, compile and develop recommendations related to ethics and compliance programs, issues, policies and procedures
  • Excellent analytical and writing skills resulting in accurate and useful reports and/or summaries
  • Ability to present complex information in a clear and concise manner both in writing and verbally for presentation to or review by leadership
  • Ability to interview and elicit cooperation and confidence of interviewees to obtain relevant information, interpret responses, and determine relevant facts
  • Excellent interpersonal (i.e. verbal and written communications) and problem-solving skills and ability to work collaboratively with diverse groups, including all levels of Texas Oncology personnel
  • Demonstrated experience in critical decision making and reasoning ability
  • Demonstrated ability to handle extremely difficult, sensitive and/or volatile situations/individuals effectively.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require stand, sitting for long periods of time; also stooping, bending and stretching.. Occasionally lifting up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves contact with patients and public.

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