ZipRecruiter

Log In

2

Remote Risk Investigator Jobs in Georgia (NOW HIRING)

Summit

Senior Claims Specialist

Gainesville, GA · Remote

$69K - $92K/yr

Plans and conducts claim investigations to confirm coverage and to determine liability ... Remote Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management ...

EyeQ Monitoring

Product Marketing Manager

Atlanta, GA · Remote

$146K/yr

... investigative support to help customers protect their properties, reduce risk, and make smarter ... Monitor the competitive landscape across physical security, remote video monitoring, IoT, and ...

White Cap Supply Holdings, LLC

... risk; and controlling quality by providing critical thinking support to all workstream activity ... Solutions require analysis and investigation. * Achieves planned results by decisions and actions ...

Engle Martin & Associates

Team Leader

Atlanta, GA · On-site +1

Regular, full-time; exempt This is a fully remote position that can sit anywhere in the US. SUMMARY ... and claims investigation expertise to insurers, brokers, 3PLs and industrial partners. The ...

Wood Plc

HSSE Coordinator

Tucker, GA · On-site +1

This is an office, remote or hybrid based role. The HSSE&S Coordinator role requires a high level ... Participate in HSSE&S Incident investigations and root cause analysis processes * Track corrective ...

DomainTools

Senior Distributed Systems Engineer

Atlanta, GA · Remote

$100K - $137K/yr

The world's most advanced security teams use our solutions to identify external risks, investigate ... risk analytics delivered in near real-time. Although we are a remote friendly organization and ...

next page

Showing results 1-20

All JobsRisk Investigator JobsRemote Risk Investigator JobsRemote Risk Investigator Jobs in Georgia

Remote Risk Investigator information

How does a Remote Risk Investigator typically collaborate with other departments to resolve complex cases?

Remote Risk Investigators frequently work cross-functionally with teams such as compliance, customer service, and legal to gather information and resolve suspicious activities. Collaboration often involves participating in virtual meetings, sharing investigative findings, and recommending actions based on analysis. Clear communication and documentation are essential, as remote investigators must coordinate efforts and ensure all stakeholders are informed. This teamwork approach helps to ensure that risk mitigation strategies are thorough and effective, even when working from different locations.

Can a risk analyst work remotely?

Yes, many risk analyst positions can be performed remotely, especially those involving data analysis, report writing, and risk assessment using specialized software. Employers often require strong analytical skills, proficiency with tools like Excel or risk management software, and reliable internet access for remote work arrangements.

What does a risk investigator do?

A risk investigator evaluates potential risks related to financial transactions, insurance claims, or security breaches by analyzing data, conducting interviews, and reviewing documentation. They use investigative skills and tools to identify fraud, assess vulnerabilities, and support decision-making processes to mitigate risks.

What are the key skills and qualifications needed to thrive as a Remote Risk Investigator, and why are they important?

To thrive as a Remote Risk Investigator, you need strong analytical skills, attention to detail, and experience in fraud detection or risk management, often supported by a degree in finance, criminal justice, or a related field. Familiarity with fraud detection software, case management systems, and data analysis tools is typically required. Excellent written communication, critical thinking, and the ability to work independently are standout soft skills for this role. These capabilities are vital for accurately identifying and mitigating risks, protecting company assets, and maintaining trust in a remote work environment.

What is the difference between Remote Risk Investigator vs Remote Claims Analyst?

AspectRemote Risk InvestigatorRemote Claims Analyst
Required CredentialsRisk management certifications, insurance knowledgeClaims processing certifications, insurance industry knowledge
Work EnvironmentRemote, investigative and analytical tasksRemote, claims review and data analysis
Employer & Industry UsageInsurance companies, risk management firmsInsurance carriers, third-party administrators
Search & Comparison IntentUnderstanding risk investigation rolesUnderstanding claims processing roles

The Remote Risk Investigator and Remote Claims Analyst roles share similarities in working remotely within the insurance industry and requiring industry-specific certifications. However, Risk Investigators focus on assessing and investigating risks, while Claims Analysts handle claims processing and evaluation. Both roles are essential in insurance operations but differ in their core responsibilities and daily tasks.

What are Remote Risk Investigators?

Remote Risk Investigators are professionals who work from a remote location to identify, analyze, and mitigate risks within an organization, often related to fraud, compliance, or financial transactions. They use various tools and data sources to investigate suspicious activities, gather evidence, and create detailed reports. These specialists play a critical role in protecting companies from losses and ensuring regulatory compliance, often collaborating with other teams to resolve issues. Their work is essential across industries such as finance, e-commerce, and insurance.

What jobs make $1,000,000 a year?

In the field of remote risk investigation, high earnings typically come from senior or specialized roles such as Chief Risk Officer or risk management consultants working with large organizations, often requiring extensive experience, advanced certifications, and leadership skills. Such positions may reach or exceed $1 million annually through base salary, bonuses, and profit sharing, especially in financial services or insurance industries. However, most risk investigator roles do not typically reach this income level without significant advancement or additional responsibilities.

What is the highest paying investigator job?

Senior or specialized investigator roles, such as corporate fraud investigators or forensic investigators, tend to have the highest salaries in the field. These positions often require advanced certifications, extensive experience, and expertise in areas like cybersecurity or financial analysis, leading to higher compensation compared to entry-level investigator roles.
What are popular job titles related to Remote Risk Investigator jobs in Georgia? For Remote Risk Investigator jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Remote Risk Investigator jobs in Georgia look for? The top searched job categories for Remote Risk Investigator jobs in Georgia are:
Remote Risk Investigator jobs near you
Medical Canvass Analyst- Work From Home

Medical Canvass Analyst- Work From Home

Delta Group

Buford, GA • On-site, Remote

$16 - $18/hr

Full-time

Posted 7 hours ago

Job description

The Medical Canvassing Analyst is responsible for conducting high-volume outreach to medical providers, facilities, and related entities to obtain records, verify treatment, and support investigative efforts. This role includes end-to-end execution of assigned medical canvassing and record retrieval tasks, ensuring timely follow-up, accurate documentation, and compliance with all applicable requirements.
The role requires the ability to review client requests and available information to determine appropriate canvassing strategies, as well as analyze findings to identify inconsistencies, undisclosed treatment, or gaps in reported medical history. The Medical Canvassing Analyst operates in a production-driven environment with a focus on efficiency, accuracy, and quality.
Essential Duties and Responsibilities
The Medical Canvassing Analyst is responsible for the following core duties and accountabilities, which are essential to the successful performance of the role:
Case Execution, Canvassing & Record Retrieval
  • Review client requests and available information to determine appropriate providers, facilities, or sources to contact, ensuring effective canvassing strategy
  • Conduct high-volume outbound calls to medical providers, facilities, and related entities
  • Conduct outreach and record retrieval activities in compliance with company policies and HIPAA requirements
  • Perform medical canvassing and manage end-to-end record retrieval activities, including initiating requests, conducting follow-ups, tracking status, and coordinating with providers or third parties through completion
  • Meet or exceed productivity expectations, including volume, retrieval completion, and turnaround time (TAT) standards
  • Manage assigned workload to ensure timely completion of canvasses and record retrievals

Documentation and Quality Assurance
  • Accurately document all findings, call outcomes, and retrieval activity in case management systems
  • Ensure all records obtained are properly logged, organized, and linked to the correct case
  • Maintain complete and audit-ready documentation for both canvassing and retrieval activities
  • Perform follow-up actions to resolve incomplete, delayed, or inconsistent information
  • Ensure all activities comply with applicable privacy laws and regulations, including HIPAA, when handling protected health information
  • Maintain confidentiality and safeguard sensitive information during outreach, documentation, and record retrieval processes
  • Analyze canvassing and retrieval results to identify inconsistencies, undisclosed treatment, or gaps in reported medical history, and ensure findings are clearly documented

Issue Identification & Escalation
  • Identify potential discrepancies or red flags and escalate findings as appropriate
  • Identify delays, non-responsive providers, or barriers to record retrieval
  • Escalate complex retrieval issues, missing records, or high-risk concerns as appropriate
  • Flag trends or recurring issues impacting retrieval timeliness or success rate

Collaboration & Operational Support
  • Coordinate with internal teams or vendors involved in the retrieval process
  • Adapt to workload adjustments and shifting priorities as directed
  • Adapt to changing priorities, including spikes in case volume

Required Qualifications
  • High School Diploma or equivalent
  • Strong verbal communication skills, including the ability to conduct professional outbound calls
  • Basic analytical skills with the ability to review information and identify discrepancies or gaps
  • Strong attention to detail and accuracy in documentation and data entry
  • Proficiency in Microsoft Office (Outlook, Excel, Word) and case management systems
  • Ability to work independently in a fully remote environment
  • Experience with outbound calling or customer interactions in a professional setting
  • Demonstrated ability to manage workload, meet deadlines, and maintain productivity standards
  • Ability to handle sensitive or confidential information with professionalism
  • Ability to follow structured workflows while applying basic judgment and decision-making

Preferred Qualifications
  • 1-3 years of experience in a high-volume, production-based environment
  • Experience with medical canvassing, record retrieval, or healthcare-related environments
  • Familiarity with medical terminology or healthcare provider interactions
  • Exposure to compliance or privacy requirements (e.g., HIPAA)
  • Prior experience in insurance, investigations, or claims-related environments that work with case management systems or investigative tools

Physical Requirements and Environmental Requirements
  • Must be able to remain in a stationary position for up to 8-10 hours at a time.
  • Must be able to lift to 15lbs.
  • Mut be able to verbally communicate clearly and hold regular conversations on the phone and through virtual platforms.
  • Ability to operate a computer and other office productivity machinery.

Work Schedule
Monday-Friday 10am-7pm EST
Work From Home Opportunity
Full-time
About the Company
Delta Group is a privately held, national investigative firm established in 1983 and headquartered in Buford, Georgia. As pioneers of unmanned surveillance technology, Delta Group's eRemote® technology is an industry recognized product that continues to evolve and produce game-changing results. With more than 500 direct employees nationwide, our domestic footprint is large enough to matter and small enough to care.
We pride ourselves on developing and retaining professional staff while maintaining diversity within our team. Our executive leadership team brings over 100 years of combined experience leading national carrier fraud divisions, state fraud prosecutorial offices, claims and program management divisions, and investigative operations.
For over 41 years, our investigative resources have helped organizations reduce risk, improve profitability, and increase revenue within the insurance industry. Our expert employees are located throughout the United States, executing investigations for all types of claims including but not limited to, workers' compensation, liability, auto, property, disability, and corporate investigations, regardless of size. Come join our talented team and our commitment to people, innovation and results.
Delta Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex (including pregnancy, sexual orientation, gender identity / expression), national origin or ancestry, genetic information (including family medical history), physical or mental disability, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories will be considered in a manner consistent with applicable state and local laws.

Apply