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Remote Risk Investigator Jobs (NOW HIRING)

eFinancial

(Remote) Sr. Special Investigator

Des Plaines, IL · On-site +1

$91K - $118K/yr

Independently prioritize and triage the SIU's cases based on risk, severity, exposure, regulatory ... Investigation Conduct & Leadership: * Lead and independently manage end-to-end fraud investigations ...

Radiology Partners

Risk Manager

$130K - $140K/yr

... Work Location Type Remote Employment Type Full-time (30+ hrs/week)/FULLTIME Description ... Support risk and litigation activities by investigating incidents, gathering documentation, and ...

radiology partners

Risk Manager

$130K - $140K/yr

Remote Work Location Type: Remote WHO WE ARE AND WHAT WE DO: Radiology Partners, through its ... Support risk and litigation activities by investigating incidents, gathering documentation, and ...

Treliant LLC

AML Investigator

$65/hr

... risk, credit, financial crimes, and capital markets functions of our clients. Founded in 2005 ... All work will be 100% remote. Responsibilities While the scope of each project may be different ...

Centene

Lead SIU Investigator

$70K - $126K/yr

This is a remote role anywhere within the continental US.* Position Purpose: Position acts as a ... Master's Degree preferred. * 5+ years Healthcare fraud-related investigations with audit and risk ...

Treliant LLC

AML Investigator

$65/hr

... risk, credit, financial crimes, and capital markets functions of our clients.Founded in 2005 ... All work will be 100% remote. Responsibilities While the scope of each project may be different ...

USAA

SIU Investigator I

Los Angeles, CA · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Portland, OR · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Seattle, WA · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Denver, CO · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Bend, OR · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Phoenix, AZ · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Las Vegas, NV · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Santa Fe, NM · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Billings, OK · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Reno, NV · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

East Hampton, NY · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

USAA

SIU Investigator I

Albuquerque, NM · On-site +1

$77K - $147K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... with risk and com What you have: * High School Diploma or General Equivalency Diploma. * 2 years ...

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Remote Risk Investigator information

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How much do remote risk investigator jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote risk investigator in the United States is $40.01, according to ZipRecruiter salary data. Most workers in this role earn between $25.96 and $60.10 per hour, depending on experience, location, and employer.

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.

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What cities are hiring for Remote Risk Investigator jobs?

Cities with the most Remote Risk Investigator job openings:

What are the most commonly searched types of Risk Investigator jobs?

The most popular types of Risk Investigator jobs are:

What states have the most Remote Risk Investigator jobs?

States with the most job openings for Remote Risk Investigator jobs include:

What job categories do people searching Remote Risk Investigator jobs look for?

The top searched job categories for Remote Risk Investigator jobs are:

Remote Risk Investigator jobs near you
Infographic showing various Remote Risk Investigator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 8% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $83,215 per year, or $40 per hour.

(Remote) Sr. Special Investigator

eFinancial

Des Plaines, IL • On-site, Remote

$91K - $118K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

Who we are:
Fidelity Life is a leading provider of financial security for middle market consumers. With a history of innovation, the company is redefining the life insurance industry with patented products and processes. Fidelity Life pioneered the use of predictive analytics to streamline the new business process and revolutionize the speed that policies can be issued. Established in 1896, Fidelity Life enjoys a long track-record of success and continues to build its reputation of sound fiscal management and customer-focused innovation.
In concert with Fidelity Life, eFinancial is an online and call-center-based insurance agency with a proven direct-to-consumer life insurance model. Using a proprietary and patented sales technology platform, eFinancial's licensed agents help thousands of consumers each day with their unique life insurance needs - often with just a single phone call. To complement this channel, the company recently expanded to offer an entirely digital purchase experience.
Fidelity Life and eFinancial are part of iA Financial Group and are revolutionizing the life insurance industry to make protection more accessible and affordable for everyday Americans. With integrated marketing, product manufacturing, and controlled distribution, the enterprise is uniquely positioned to grow.
Key Responsibilities:
Case Intake & Triage:
  • Review alerts, referrals, and claims for indicators of fraud or suspicious activity, including misrepresentation, forgery, beneficiary fraud, and agent/distributor misconduct.
  • Independently prioritize and triage the SIU's cases based on risk, severity, exposure, regulatory deadlines and reputational risk.
  • Establish and maintain accurate, audit-ready case logs and documentation standards in accordance with internal procedures and regulatory guidelines.
  • Manage a concurrent caseload of complex, high-value investigations from intake through resolution, often serving as escalation point for cases initiated by other team members.
  • Interpersonal and presentation skills to communicate, and represent the SIU, with internal and external sources
  • Comfort operating in a small or scaling team, including contributing to process design and program build-out rather than relying solely on existing infrastructure.

Investigation Conduct & Leadership:
  • Lead and independently manage end-to-end fraud investigations involving life insurance claims, policy procurement, and distribution channel activity, including multi-jurisdictional or organized fraud schemes.
  • Serve as lead case strategist on all of SIU's complex investigations, coordinating cross-functional response among claims, compliance, underwriting, and legal as well as external investigators or vendors
  • Plan and conduct structured interviews of claimants, agents, witnesses, and other relevant parties, including high-stakes or adversarial interviews requiring advanced interviewing strategy.
  • Gather, organize, and critically analyze evidence sets including claim records, policy files, medical records, financial statements, public records, and third-party data sources.
  • Compile and organize investigative exhibits, evidence packages, and case files suitable for internal review, civil referral, criminal referral, or regulatory submission.
  • Draft clear, concise, and well-supported fraud case summaries and investigative reports for SIU leadership, legal counsel, and compliance teams as well as reports to state departments of insurance and national fraud databases within required timeframes.
  • Help define investigative standards, case documentation templates, and onboarding practices.

Regulatory Compliance:
  • Ensure all SIU activities are conducted in accordance with state and federal insurance fraud regulations.
  • Lead preparations and submission of mandatory fraud reports to state departments of insurance and national fraud databases (e.g., NICB).
  • Maintain documentation for audits and regulatory reviews.
  • Monitor and interpret regulatory changes, emerging fraud schemes, and industry trends, translating implications into updated investigative practice for the team

Data & Reporting:
  • Apply advanced data mining and analytics techniques to detect emerging fraud patterns and surface new risk indicators.
  • Track and report key case metrics including volumes, investigation outcomes, cycle times, and estimated fraud savings.
  • Develop and present fraud trend analyses and reporting for senior leadership
  • Partner with internal and external detection/analytics personnel to refine fraud detection models based on casework findings.

Training & Awareness:
  • Design and deliver fraud awareness training and educational materials for staff, agents, and distribution partners.
  • Monitor industry developments and proactively share insights to strengthen fraud prevention efforts.
  • Act as a subject-matter resource for less experienced investigators and other departments on fraud indicators and investigative best practice.
Qualifications:
  • Bachelor's degree in Criminal Justice, Business, Insurance, or a related field.
  • 5-8 years of experience in insurance claims, fraud investigations, insurance audit or compliance (life insurance experience strongly preferred), minimum 5 years investigative experience.
  • Demonstrated expertise in life insurance products, policy structures, claims adjudication processes, fraud typologies, and investigative methods specific to life insurance.
  • Proven ability to independently plan and conduct structured investigative interviews, including complex or adversarial interviews, with strong written communication skills and a demonstrated track record of producing investigative reports and case summaries used in regulatory or legal proceedings.
  • Demonstrated ability to manage concurrent investigative caseload of complex investigations with minimal oversight.
  • Ability to interpret life insurance policy documentation and analyze policy lifecycle activity, transactions, and claim information across multiple systems to identify inconsistencies, anomalies, or indicators of fraud.
Preferred Qualifications:
  • Experience with anti-fraud tools and data analytics platforms.
  • Familiarity with state SIU regulations and reporting platforms (e.g., NAIC, NICB).
  • Experience identifying red flags related to life insurance-specific fraud schemes
  • Prior experience liaising directly with law enforcement or regulatory agencies on referred cases.
  • Familiarity with AML (anti-money laundering) programs or cross-functional fraud/AML collaboration
  • Experience evaluating or implementing third-party anti-fraud data/technology vendors.
Skills:
  • Advanced analytical, organizational, investigative, critical thinking and communication skills (verbal & written).
  • Proficiency in Microsoft Office and investigation or claims management systems.
  • Organized, methodical approach to evidence compilation and file management
  • Ability to work collaboratively across departments and with external parties, including law enforcement and regulators.
Licenses + Certifications:
  • Certified Insurance Fraud Investigator (CIFI), Certified Fraud Examiner (CFE), FLMI (Fellow, Life Management Institute), or related designation is strongly preferred.
Compensation & Benefits:
We believe in taking care of our employees and their families. We offer a comprehensive benefits package designed to support your health, well-being, and financial future. Here's a look at what we provide:
  • Salary: $91,545 - $118,470
  • Medical Insurance: Choose from a variety of plans to fit your healthcare needs.
  • Dental Insurance: Coverage for preventive, basic, and major dental services.
  • Employer-Paid Vision: Comprehensive eye care coverage at no cost to you.
  • Employer-Paid Basic Life and AD&D Insurance: Peace of mind and additional protection.
  • Employer-Paid Short-Term and Long-Term Disability Insurance: Financial support in case of illness or injury.
  • 401(k) Plan: Save for your future with a company match to help you grow your retirement savings.
  • PTO and Sick Time accrue each pay period: Take time off when you need it
  • Annual Bonus Program: Performance-based bonus to reward your hard work.

EEOC/Other: eFinancial/Fidelity Life Association is an equal opportunity employer and supports a diverse workplace. As an eFinancial/Fidelity Life employee, you will be eligible for Medical and Dental Insurance, Health Savings Accounts, Flexible Spending Accounts (Health, Dependent Care & Transit), Vision Care, 401(K), Short-term and Long-term Disability, Life and AD&D coverages.
Remote work is not available in the following States:
California, Colorado, Connecticut, Utah and New York.
#FidelityLifeAssociation #hiring #LI-Remote #IND-Corporate
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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