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Remote Siu Insurance Jobs in Texas (NOW HIRING)

Next Insurance

Sr. Claims Advocate

Houston, TX · On-site +1

$80K - $110K/yr

Remote NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... We're backed by industry leaders in insurance and tech, and we still have room to grow -- that ...

Iatinsurancegroup

Claims Major Case Director

Houston, TX · On-site +1

$92K - $130K/yr

IAT Insurance Group has an immediate need for a Major Case Unit Director that can report to one of ... Identifies and addresses subrogation/contribution/SIU opportunities. * Sets accurate/timely loss ...

VytlOne

Sr. Epic Data Acquisition Analyst

Plano, TX · On-site +1

$82K - $103K/yr

Position Location This is a remote-based position within the Continental US. Who We Are VytlOne is ... insurance crosswalk, and provider credentialing, as well as HL7 ADT, SIU, and REF messages. * Own ...

VytlOne

Sr. Epic Data Acquisition Analyst

Plano, TX · On-site +1

$82K - $103K/yr

Position Location This is a remote-based position within the Continental US. Who We Are VytlOne is ... insurance crosswalk, and provider credentialing, as well as HL7 ADT, SIU, and REF messages. * Own ...

All JobsSiu Insurance JobsRemote Siu Insurance JobsRemote Siu Insurance Jobs in Texas

Remote Siu Insurance information

What is the difference between Remote Siu Insurance vs Remote Claims Adjuster?

AspectRemote Siu InsuranceRemote Claims Adjuster
CertificationsInsurance licenses, SIU-specific trainingAdjuster licenses, state-specific certifications
Work EnvironmentInsurance company, SIU department, remoteInsurance companies, third-party firms, remote
Industry UsageInsurance industry, fraud investigationInsurance industry, claims assessment
Job FocusInvestigating insurance fraud, SIU casesEvaluating claims, determining payouts

Remote Siu Insurance specialists focus on investigating insurance fraud cases remotely, requiring specific SIU training and licenses. Remote Claims Adjusters handle claims assessments and payouts, often with similar licensing. While both roles are remote and within the insurance industry, their core responsibilities differ: fraud investigation versus claims evaluation.

What are popular job titles related to Remote Siu Insurance jobs in Texas?

For Remote Siu Insurance jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Remote Siu Insurance jobs in Texas look for?

The top searched job categories for Remote Siu Insurance jobs in Texas are:

What cities in Texas are hiring for Remote Siu Insurance jobs?

Cities in Texas with the most Remote Siu Insurance job openings:

Remote Siu Insurance jobs near you
Infographic showing various Remote Siu Insurance job openings in Texas as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Quality Assurance, Risk Control & Special Investigations Analyst

Dallas, TX • On-site, Remote

Bestow, Inc
Insurance Services • 201 - 500 employees
Learn more about Bestow, Incexternal

Full-time

Medical, Dental, Vision, Life, PTO

Posted 16 days ago

Job description

ABOUT BESTOW
Life insurance is one of the world's most important products. It's also one of the hardest to build, distribute, and modernize. Bestow exists to change that.
Bestow is a leading vertical technology platform serving some of the largest and most innovative life insurers. Our platform unifies the fragmented, legacy value chain, enabling carriers to launch products in weeks instead of years. Carriers choose us to scale and operate at unprecedented speed, powered by AI and automation.
Bestow isn't selling policies. We're building the infrastructure that helps an entire industry move faster, reach more people, and deliver on its promise.
Backed by leading investors (Goldman Sachs, Hedosophia, NEA, Valar, 8VC) and trusted by major carriers, Bestow is powered by a team that moves with precision, purpose, and heart. If you want to help reimagine a centuries-old industry with lasting impact, join us.
Bestow offers flexible remote/hybrid work, meaningful benefits, equity, and substantial growth opportunities.
Bestow uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify.gov.
ABOUT THE ROLE
The Quality Assurance, Risk Control & Special Investigations Analyst is a specialized and critical role responsible for ensuring operational integrity, service excellence, and adherence to regulatory standards across our life insurance Third-Party Administrator (TPA) operations. This individual performs three key functions: auditing call and service interactions, conducting pre-referral fraud investigations while providing supporting documentation regarding alleged fraud inquiries, and monitoring internal controls to drive process improvement and mitigate risk.
This role reports directly to the Customer Experience Manager and is open to hybrid in our Dallas office or Remote (US). #LIREMOTE
WHAT YOU'LL DO
  • Interaction Auditing: Conduct comprehensive quality audits of inbound and outbound call center interactions, ensuring accuracy, regulatory compliance, and adherence to TPA standard operating procedures.
  • Form Review: Review and audit completed service and administrative forms (e.g., policy changes, beneficiary updates) for completeness, accuracy, and proper processing workflow.
  • Feedback & Coaching: Deliver timely, objective, and constructive feedback and coaching to call center agents and team leads to improve service quality and transaction accuracy.
  • Reporting: Track, analyze, and report on key TPA and QA metrics and trends, identifying root causes of errors and compliance gaps.
  • Pre-Referral Case Review: Act as the initial point of contact for internal fraud referrals (SIU). Review and analyze cases flagged for potential fraudulent activity, including claims, policy changes, and applications.
  • Evidence Gathering: Collect, organize, and summarize documentation and system history related to suspicious cases.
  • Triage & Escalation: Conduct preliminary analysis to determine the validity of the fraud concern. Prepare and present well-documented case files for formal referral to the insurance carrier's Special Investigations Unit (SIU).
  • Documentation: Maintain detailed and confidential records of all investigation activities and findings in accordance with internal protocol and regulatory requirements.
  • Control Monitoring: Execute periodic and event-based monitoring of defined key operational and financial controls within the TPA processing environment to confirm effectiveness.
  • Risk Reporting: Assist in the reporting of control gaps, deficiencies, and emerging risks to the Risk and Compliance leadership.
  • Process Improvement: Collaborate with Operations and Training teams to develop and implement targeted process changes, control enhancements, and improved documentation to mitigate identified risks.
  • Training Support: Assist in the development and delivery of training modules related to compliance, fraud awareness, and new quality standards for operations, quality assurance and TPA contact center staff.

WHO YOU ARE
  • Minimum of 2 years of professional experience in Quality Assurance (QA), Compliance, Fraud Analysis, or an operational role within the life insurance, financial services, or TPA industry.
  • Strong working knowledge of life insurance policy lifecycle, administrative forms, and general TPA operating procedures.
  • Proven ability to analyze complex transaction histories, identify unusual patterns, and draw sound conclusions for risk and fraud assessment.
  • Exceptional verbal and written communication skills, with the ability to deliver difficult feedback constructively and concisely summarize investigation findings for executive review.
  • Experience with a formal quality monitoring system (e.g., call recording, QA software) preferred
  • Familiarity with state and federal regulations governing life insurance (e.g., anti-money laundering, privacy) preferred
  • Experience in conducting internal control audits (SOX, SOC) preferred
  • Experience creating quality assurance checklists within QA systems preferred

TOTAL REWARDS
At Bestow, we're proud to be awarded for our team members, innovative products, and culture. Our standard benefits include:
  • Competitive salary and equity based on role
  • Policies and managers that support work/life balance, like our flexible paid time off and parental leave programs
  • 100% paid-premium option for medical, dental, and vision insurance
  • Lifestyle stipend to support your physical, emotional, and financial wellbeing
  • Flexible work-from-home policy and open to remote
  • Remote and WFH options, as well as a beautiful, state-of-the-art office in Dallas' Deep Ellum, for those who prefer an office setting
  • Employee-led diversity, equity, and inclusion initiatives

Recent Employer Awards include:
  • Best Place for Working Parents 2023 + 2024 + 2025
  • Great Place to Work Certified, 2022 + 2023 + 2024 + 2025
  • Built In Best Places to Work, 2022 + 2023 + 2025
  • Fortune's Best Workplaces in Texas 2022 + 2023
  • Fortune's Best Workplaces in Financial Services and Insurance 2022 + 2023 + 2024

We value diversity at Bestow. The company will hire, recruit, and promote regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, pregnancy or maternity, veteran status, or any other status protected by applicable law. We understand the importance of creating a safe and comfortable work environment and encourage individualism and authenticity in every team member.
Thanks for considering a job at Bestow!

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