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Remote Siu Insurance Jobs (NOW HIRING)

Centene

SIU Investigator

Topanga, CA · On-site +1

$56.20K - $101K/yr

... insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be ...

Centene

SIU Investigator

La Palma, CA · On-site +1

$56.20K - $101K/yr

... insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be ...

Centene

SIU Investigator

Sylmar, CA · On-site +1

$56.20K - $101K/yr

... insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be ...

Centene

SIU Investigator

Palos Verdes Estates, CA · On-site +1

$56.20K - $101K/yr

... insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be ...

Centene

SIU Investigator

Dos Palos, CA · On-site +1

$56.20K - $101K/yr

... insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be ...

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Remote Siu Insurance information

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$19.5K

$74.7K

$110.5K

How much do remote siu insurance jobs pay per year?

As of Jun 1, 2026, the average yearly pay for remote siu insurance in the United States is $74,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $100,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote SIU (Special Investigations Unit) Insurance Investigator, and why are they important?

To thrive as a Remote SIU Insurance Investigator, you need a strong background in investigative techniques, insurance claims processes, and typically a relevant bachelor's degree or equivalent experience. Familiarity with case management software, fraud detection tools, and secure communication platforms is essential. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help you stand out in this role. These skills are crucial for accurately identifying and documenting fraudulent activity while maintaining compliance and protecting company assets.

What are the typical challenges faced by Remote SIU Insurance Investigators, and how can they be addressed?

Remote SIU (Special Investigations Unit) Insurance Investigators often encounter challenges such as limited access to on-site evidence and coordinating effectively with field investigators or law enforcement. To overcome these, investigators leverage digital tools for secure document review, conduct interviews via video calls, and maintain thorough, organized records. Success also depends on strong communication skills and a disciplined approach to managing caseloads independently while collaborating closely with colleagues and external partners.

What is a Remote SIU Insurance Investigator?

A Remote SIU (Special Investigations Unit) Insurance Investigator is a professional who works remotely to detect, investigate, and help prevent insurance fraud. They analyze claims for suspicious activity, gather evidence, interview claimants and witnesses, and work with law enforcement when necessary. Remote SIU investigators utilize digital tools and databases to conduct their investigations from home or another remote location instead of a traditional office. Their work is crucial for insurance companies to minimize fraudulent losses and ensure legitimate claims are processed correctly.

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.

More about Remote Siu Insurance jobs
What cities are hiring for Remote Siu Insurance jobs? Cities with the most Remote Siu Insurance job openings:
What states have the most Remote Siu Insurance jobs? States with the most job openings for Remote Siu Insurance jobs include:
What job categories do people searching Remote Siu Insurance jobs look for? The top searched job categories for Remote Siu Insurance jobs are:
Remote Siu Insurance jobs near you
Infographic showing various Remote Siu Insurance job openings in the United States as of May 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $74,680 per year, or $35.9 per hour.
Senior Investigator - Hybrid/Remote Possible

Senior Investigator - Hybrid/Remote Possible

EmblemHealth

New York, NY • On-site, Remote

Other

Posted 3 days ago

Job description

Summary of Job

Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products.  Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers.  Provide guidance to the Fraud Investigators on SIU investigations and issues.  Assist with anti-fraud training sessions and public speaking engagements.  

Responsibilities 

  • Investigate complex cases of reported fraud involving the Company's Medicaid healthcare product. 
     
  • Develop leads from various sources to review for suspect activity. 
     
  • Review claim files and develop action plans for the investigation. 
     
  • Conduct highly comprehensive interviews/interrogations with providers. 
     
  • Conduct medical records assessments, and CPT coding issues.
     
  • Provide guidance and mentor to the Fraud Investigators. 
     
  • Answer and respond to SIU Fraud Hotline cases when assigned based on schedule.
     
  • Triage complaints that come to the SIU and follow through on resolution.
     
  • Participate in meetings with providers, attorneys, law enforcement on a case-by-case basis as needed.
     
  • Attend training, conferences, webinars to keep up to date on current trends and schemes of Fraud, Waste & Abuse.
     
  • May assist with fraud awareness training sessions and public speaking engagements. 
     
  • Establish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers. 
     
  • Refer cases to law enforcement or regulatory agencies as needed.
     
  • Periodically meet with representatives from law enforcement and regulatory agencies to keep updated on current trends.
     
  • Handle and respond to Requests for Information (RFI) from law enforcement and regulatory agencies.
     
  • Perform other duties as directed, assigned, or required.

Qualifications

  • Bachelor's degree in criminal justice or related field.
     
  • AHFI and/or CFE certification  (Preferred.
     
  • 4 - 6+ years of relevant, professional work experience  (Required)
     
  • Additional experience/specialized training may be considered in lieu of a bachelor's degree  (Required)
     
  • Professional investigation experience in economic or insurance related matters  (Required)
     
  • Experience in insurance claims investigation or law enforcement  (Preferred)
     
  • Strong knowledge of CPT and ICD9-CM coding, medical terminology, and treatment options  (Required)
     
  • Proficiency in MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc.  (Required)
     
  • Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences  (Required)
     
  • Attention to detail, critical thinking and problem-solving skills  (Required)
     
  • Ability to monitor and review information from materials, events, or the environment, to detect or assess problems  (Required)
Additional Information
  • Requisition ID: 1000002978
  • Hiring Range: $68,040-$118,800

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