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Remote Risk Investigator Jobs in Texas (NOW HIRING)

Direct Bill Specialist

Dallas, TX · Remote

$17.75 - $23.75/hr

Comfort working in a remote environment with distributed teams Key Qualifications: * 3-5+ years of ... Strong research and investigative skills with the ability to learn new systems and processes.

Manages accounts of advanced complexity, in accordance with risk management objectives and ... Processes charged-off financings including litigation, asset discovery and fraud investigations.

Remote What you will do Make an impact where it matters most-helping shape a fair, respectful, and ... Analyzes HR investigations, employee relations and other data trends to address and mitigate risk ...

Remote Department: Information Technology Compensation: $130,000-$153,000 annually Position Type ... Partner with Privacy, Compliance, Legal, and Risk teams on investigations involving sensitive or ...

Remote Department: Information Technology Compensation: $130,000-$153,000 annually Position Type ... Partner with Privacy, Compliance, Legal, and Risk teams on investigations involving sensitive or ...

REMOTE - USA TOP SKILLS: Must Have Experience in building and maintaining automated test frameworks ... risk assessments and business requirements validation • Investigate bugs and write clear and ...

Showing results 41-60

Remote Risk Investigator information

What is a remote risk investigator?

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.

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.

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 cities in Texas are hiring for Remote Risk Investigator jobs?

Cities in Texas with the most Remote Risk Investigator job openings:

Associate Director, Corporate Compliance

Dallas, TX • Remote

Oscar Health
Insurance Services • 1 - 5K employees

$134K - $176K/yr

Full-time

Medical, PTO

Re-posted 28 days ago


Oscar Health rating

6.6

Company rating: 6.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz


Job description

Hi, we're Oscar. We're hiring an Associate Director, Corporate Compliance to join our Corporate Compliance 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 Director, Corporate Compliance is responsible for training, investigating, monitoring, and enforcing, when necessary, programs, policies, and practices to ensure all applicable operational functions are in compliance with federal, state and local regulatory requirements. The Associate Director manages compliance efforts for Oscar's licensed entities delivering Qualified Health Plans (QHPs) in the individual and small group markets. You will work with leadership and the larger Compliance team servicing Oscar and advising on how best to service its third-party QHP clients. You will use as a foundation for a robust and best in class compliance program including, but not limited to, the seven elements of an effective compliance program as published by the Office of the Inspector General (OIG). You will partner with operational leaders to identify compliance risk, implement corrective action plans, and promote a culture of integrity and excellence across the organization.

You will report into the Director, Corporate and Regulatory Compliance.

Work Location: This is a remote position, open to candidates who reside in: Dallas, TX. 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: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Lead, mentor, and support the Compliance team across all lines of business, encouraging professional development and advancing institutional compliance knowledge.
  • Support the design, implementation, and continuous improvement of the corporate compliance program to promote an organizational culture of responsibility and accountability.
  • Monitor and interpret federal and state regulations to lead business strategies that exceed industry standards for insurers, tech innovators, and public companies.
  • Lead compliance investigations to assess adherence to obligations, and oversee the development, and monitoring of effective Corrective Action Plans.
  • Develop and manage comprehensive compliance training programs throughout the entire organization.
  • Produce and deliver clear, actionable compliance reports tailored for all organizational levels, including executive leadership and external regulatory bodies.
  • Partner with Risk and Controls to manage regulatory risk sustainably while deploying scalable compliance functions that support Oscar's technology, strategic partners, and business growth.
  • Lead the Compliance team in regulatory implementations and monitoring.
  • TEFCA subject matter expert
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 7+ years' experience in a healthcare compliance setting, specifically in healthcare compliance, regulatory affairs, or other related experience.
  • 5+ years' experience in managing effective Compliance teams.
  • 5+ Experience applying state and federal health insurance statutes, regulations, marketplace, and MA requirements to meet reporting and audit obligations

Bonus points:

  • Operational or internal audit experience
  • Enterprise risk management experience
  • HIPAA Security experience
  • Experience in a start-up and/or health tech environment

What Oscar Health employees say

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Benefits

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