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Remote Insurance Investigator Jobs in Addison, TX

BERTOLINO LLP

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Litigation Attorney (Remote - Texas)

Dallas, TX · Remote

$112K - $132K/yr

Medical, dental, vision, and life insurance * 401(k) * Paid time off * Mental health days * CLE ... Handle investigations, disciplinary proceedings, contested cases before the State Office of ...

RemX

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$19/hr. REMOTE Medical Claims & Billing Specialist

Irving, TX · Remote

$19/hr

Join our remote team as a Healthcare Benefits & Claims Specialist and help ensure claims are ... with providers, insurance companies, and patients to resolve discrepancies. * Investigate and ...

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All JobsInsurance Investigator JobsRemote Insurance Investigator JobsRemote Insurance Investigator Jobs in Addison, TX

Remote Insurance Investigator information

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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?

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

What job categories do people searching Remote Insurance Investigator jobs in Addison, TX look for?

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

What cities near Addison, TX are hiring for Remote Insurance Investigator jobs?

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.

Associate, Inquiries and Investigations

Oscar Health

Dallas, TX • Remote

$87K - $114K/yr

Full-time

PTO

Posted 5 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

264th of 315 rated insurance

Job description

Hi, we're Oscar. We're hiring an Associate, Inquiries and Investigations to join our Provider Data Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Associate, Inquiries and Investigations is responsible for working cross-functionally with business and technical Oscar stakeholders to solve data process challenges and represent departmental interests in company-wide strategic initiatives. The position leads implementations and data corrections to enhance processes that directly impact directory accuracy and filing submissions. Primary focus is placed on investigating and resolving complex escalations/inquiries through production release, while driving comprehensive process documentation, maintaining project plans, and implementing risk mitigation strategies to ensure quality and financial discipline.

You will report into the Senior Manager, Provider Data Operations.

Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Leads the end-to-end management of cross-functional implementations and projects-including project plan creation, stakeholder engagement, edge case mitigation, and on-time completion-to enhance processes and execute data corrections that directly impact directory accuracy and filing submissions.
  • Evaluates departmental performance by creating, gathering, analyzing, and interpreting data to inform technology-enabled solutions, establish departmental key metrics, and implement mitigation strategies that ensure quality and financial discipline
  • Collaboratively works with leadership, peers, and internal/external stakeholders to investigate risks and escalations, formulate proactive strategies, and partner across teams on continuous improvement action plans through final release to production
  • Mentors team members and promotes colleagues' professional growth, fostering team collaboration and driving mindset shifts necessary to optimize operational efficiency and achieve departmental targets
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • A bachelor's degree or 3+ years commensurate experience
  • 3+ years of professional experience in payer or provider healthcare contracting, provider network management, healthcare operations, or a related field
  • 2+ years of experience using data software such as Excel, SQL or other data analytics tools
  • 2+ years of experience with end to end project management
  • 2+ years of experience in designing and improving workflows as well as standing up accompanying operating and technical procedures
  • 2+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Bonus points:

  • Bachelor's degree in Engineering, Business Administration, or other related field
  • Lean Six Sigma Green Belt certification or higher
  • 2+ years of experience with process improvement methodologies such as Lean, Six Sigma and/or Theory of constraints
  • ACA marketplace, provider network, claims, healthcare quality, or provider data experience

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