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Remote Insurance Investigator Jobs in Riverside, CA

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Remote Work - Enjoy the convenience and work-life balance of a work-from-home position ... Medical, Dental & Vision Insurance * 401(k) Retirement Plan * Generous Paid Time Off (PTO)

Claims Assistant

Corona, CA ยท Remote

$19.25 - $24.50/hr

Overview This is a remote position based in California, and candidates must reside within the state ... Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and ...

Medical Billing Coordinator

Orange, CA ยท Remote

$18 - $22/hr

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Follows up with insurance carriers, providers, or other stakeholders to gather additional ...

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Remote Insurance Investigator information

See Riverside, CA salary details

$13

$26

$40

How much do remote insurance investigator jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for remote insurance investigator in Riverside, CA is $26.89, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $33.12 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 job categories do people searching Remote Insurance Investigator jobs in Riverside, CA look for? The top searched job categories for Remote Insurance Investigator jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Insurance Investigator jobs? Cities near Riverside, CA with the most Remote Insurance Investigator job openings:
Infographic showing various Remote Insurance Investigator job openings in Riverside, CA as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,921 per year, or $26.9 per hour.

CA Senior Claims Specialist

CorVel Enterprise Claims, Inc.

Rancho Cucamonga, CA โ€ข Remote

$29.35 - $47.28/hr

Full-time

Posted 29 days ago


Job description

The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives Workersโ€™ Compensation claim, confirms policy coverage and acknowledgement of the claim
  • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies
  • Establishes reserves and authorizes payments within reserving authority limits
  • Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim
  • Coordinates early return-to-work efforts with the appropriate parties
  • Manages subrogation and litigation of claim as it applies
  • Manages potential claim recoveries of all types
  • Reports claims to the excess carrier when applicable
  • Communicates claim status with the customer and claimant
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Develops and maintains professional customer relationships
  • Complies with rules and regulations of applicable state
  • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (โ€œIIPPโ€)
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent written and verbal communication skills
  • Ability to assist team members to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to work both independently and within a team environment
  • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workersโ€™ Compensation

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 3 yearsโ€™ industry experience and claim handling
  • Self-Insured Certificate preferred
  • State Certification or license as an experienced claims adjuster
  • Current license or certification in Workersโ€™ Compensation must be maintained throughout employment with CorVel

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Workยฎ Company, is a national provider of industry-leading risk management solutions for the workersโ€™ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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