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Work From Home Fraud Investigator Jobs (NOW HIRING)

Stripe

Payments Fraud Investigator

OR · On-site +1

Millions of companies-from the world's largest enterprises to the most ambitious startups-use ... Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead.

Stripe

Payments Fraud Investigator

Millions of companies-from the world's largest enterprises to the most ambitious startups-use ... Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead.

Humana

Fraud and Waste Investigator

Use your skills to make an impact WORK STYLE: Work at Home. While this is a remote position ... healthcare fraud investigations and auditing experience Knowledge of healthcare payment ...

Humana, Inc.

Fraud and Waste Investigator

Use your skills to make an impact WORK STYLE: Work at Home. While this is a remote position ... fraud investigations and auditing experience • Knowledge of healthcare payment methodologies ...

Humana

Fraud and Waste Investigator

Use your skills to make an impact WORK STYLE: Work at Home. While this is a remote position ... healthcare fraud investigations and auditing experience Knowledge of healthcare payment ...

Humana

Fraud and Waste Investigator

Use your skills to make an impact WORK STYLE: Work at Home. While this is a remote position ... healthcare fraud investigations and auditing experience Knowledge of healthcare payment ...

Humana

Fraud and Waste Investigator

The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... Experience in a corporate environment and understanding of business operations Work at Home ...

Humana

Fraud and Waste Investigator

The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... Experience in a corporate environment and understanding of business operations Work at Home ...

Humana

Fraud and Waste Investigator

The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... Experience in a corporate environment and understanding of business operations Work at Home ...

State of Georgia

$50/hr

Maintains and applies professional knowledge of current trends and developments related to work ... from the searches in a timely manner. * Prepares thorough and accurate case reports for all ...

State of Georgia

$70/hr

... work unit assignments. -Positions require current proof of POST Certification. -Responds to ... from the searches in a timely manner. -Prepares thorough and accurate case reports for all ...

centralins

Anti-Fraud Manager

Waltham, MA · On-site +1

Alpharetta, GA; Irving, TX Work Model: Hybrid or Remote based on location Position type ... Ability to demonstrate monthly productive outcomes from investigations assigned to the SIU team

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How much do work from home fraud investigator jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for work from home fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is a work from home fraud investigator?

A Work From Home Fraud Investigator is responsible for analyzing transactions, accounts, and data to detect and prevent fraudulent activities. They work remotely using digital tools to review suspicious activities, conduct investigations, and report findings. This role often involves collaboration with law enforcement, financial institutions, or internal teams to resolve fraud cases. Strong analytical skills, attention to detail, and knowledge of fraud detection techniques are essential. Many positions require experience in fraud investigation, risk management, or related fields.

What are the key skills and qualifications needed to thrive as a work from home fraud investigator?

To thrive as a Work From Home Fraud Investigator, you need a solid understanding of fraud detection, investigative techniques, data analysis, and a relevant background in fields such as finance, law enforcement, or risk management. Experience with case management systems, fraud analytics software, and often certifications like CFE (Certified Fraud Examiner) are highly valued. Strong attention to detail, critical thinking, and excellent written and verbal communication are essential soft skills. These qualities are crucial for accurately analyzing suspicious activity, compiling clear reports, and collaborating effectively while working remotely.

What are some common challenges faced by work from home fraud investigators, and how can they be managed?

Work From Home Fraud Investigators often face challenges such as staying updated on evolving fraud tactics, managing high caseloads independently, and ensuring consistent communication with remote teams. Navigating different fraud detection systems and handling sensitive information securely also require diligent attention. To manage these challenges, many investigators maintain regular virtual check-ins with colleagues, participate in ongoing training, and utilize secure technology solutions provided by their employer. Being proactive in learning and staying organized helps ensure accurate case resolutions and strong teamwork, even in a remote environment.

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Work From Home Fraud Investigator jobs near you
Infographic showing various Work From Home Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home

Cigna

Miami, FL • Remote

Full-time

Re-posted yesterday

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 241 frontline employees who took The Breakroom Quiz

41st of 896 rated healthcare providers

Job description

Bilingual Spanish Junior Healthcare Fraud Investigator:

Are you ready to launch your Healthcare Fraud Investigator career and make a real difference? If you're a recent college graduate eager to take the first step in your professional journey, this earlycareer opportunity is designed for you.This is a fantastic opportunity for someone with a Bachelors degree in Criminal Justice and is early in their career seeking to grow in a dynamic organization.

As a Junior Fraud Investigator for Cigna's Special Investigations Unit, you'll support our US Commercial Healthcare Business in conducting and supporting audits and investigations of potentially fraudulent claim activity by providers. You will bring investigative and analytics skills that include planning, developing and implementing investigative processes and procedures, along with making recommendations for potential corrective actions that include prosecution, recovery and/or litigation based on investigative findings.

What you'll do:

  • Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations

  • Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies

  • Support on-site inspections and patient/provider interviews as necessary

  • Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate

  • Prepare reports to expedite tracking and reporting of investigations

Requirements:

  • Located in South Florida (Miami, homestead) and West Palm Beach area to support site visits

  • Bilingual Spanish

  • A bachelor's degree in a Criminal Justice, or related field

  • 1+ years professional work experience, preferably with health insurance investigations/audit

  • Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word

  • Excellent verbal and written communication skills, along with ability to effectively manage conflict

  • Keen ability to deal with ambiguity and leverage reasoning skills

  • Possession of a strong desire and demonstrated ability to lead


If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

What Cigna Healthcare employees say

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

Social media

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