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Remote Risk Investigator Jobs in Tennessee (NOW HIRING)

TechnologyAdvice

Senior Legal Counsel

Nashville, TN · On-site +1

$134K - $183K/yr

Headquartered in Nashville, Tennessee, we are a remote-first company with more than 20 digital ... Support M&A and investment activity, including diligence, risk review, deal documentation ...

615 Ventures

Senior Legal Counsel

Nashville, TN · On-site +1

$134K - $183K/yr

... investigations, terminations, and employment agreements ... Support M&A and investment activity, including diligence, risk review, deal documentation ...

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All JobsRisk Investigator JobsRemote Risk Investigator JobsRemote Risk Investigator Jobs in Tennessee

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 Tennessee? For Remote Risk Investigator jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Risk Investigator jobs in Tennessee look for? The top searched job categories for Remote Risk Investigator jobs in Tennessee are:
Remote Risk Investigator jobs near you
Investigator II

Investigator II

BlueCross BlueShield of Tennessee

Nashville, TN • On-site, Remote

Full-time

Posted 16 days ago

Job description

BCBST is hiring an Investigator II
Are you an experienced investigator with a strong eye for detail and a passion for protecting the integrity of healthcare? At BlueCross BlueShield of Tennessee, our Special Investigations Unit plays a critical role in identifying and addressing potentially fraudulent activity to safeguard our members and resources.
In this role, you will lead end-to-end fraud investigations-analyzing evidence, identifying patterns, conducting interviews, and developing clear, defensible case documentation-while presenting findings to leadership, supporting legal proceedings, and ensuring each case is evaluated for risk and impact. This opportunity is ideal for professionals with experience in white-collar crime or healthcare fraud investigations, particularly those who hold or are pursuing certifications such as CFE, AHFI, ALHC, or CIFI, and are driven to reduce financial loss, strengthen compliance, and enhance fraud prevention strategies across the organization.
Success in this role means delivering well-supported conclusions, identifying trends that strengthen internal controls, and serving as a trusted advisor by providing insights that enable confident decision-making.
Ready to take the next step?
Note:
  • This is a remote role with occasional travel across Tennessee, including provider site visits and periodic time in our Chattanooga office. You'll join a collaborative team where your work has a direct impact on our business and the members we serve.
  • Sponsorship is not available for this role.
  • We foster a culture of innovation, including responsible use of AI-enabled tools to enhance how we serve our members.

Job Responsibilities
  • Preparing legal and investigation documentation; presenting findings and making recommendations to management.
  • Participating in legal proceedings when necessary.
  • Analyzing all evidence, looking for possible fraud, and conducting ongoing investigations.
  • Conducting interviews with parties involved and obtaining the information needed to determine the validity of claims.

Job Qualifications
Education
  • Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience
  • 8 years - Experience in the investigation of healthcare fraud investigations or similar white collar criminal investigations required

Skills/Certifications
  • Industry designation involving Healthcare Fraud Investigation, such as the Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Associate, Life and Health Claims (ALHC), Certified Insurance Fraud Investigator (CIFI)
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST-Owned Vehicle" Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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