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Work From Home Insurance Fraud Investigator Jobs in Indiana

IQVIA

Work from Home

Indianapolis, IN · Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... fraud. All information and credentials submitted in your application must be truthful and complete.

The Jernigan Agency

WORK FROM HOME

Fort Wayne, IN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Work From Home Insurance Fraud Investigator information

What is a work from home insurance fraud investigator?

A Work From Home Insurance Fraud Investigator is responsible for reviewing insurance claims to identify potential fraud while working remotely. They analyze documents, conduct interviews, gather evidence, and collaborate with law enforcement or legal teams when necessary. Using investigative techniques and data analysis, they determine whether claims are valid or fraudulent. This role requires strong attention to detail, critical thinking skills, and knowledge of insurance policies and regulations. Investigators often work independently while utilizing digital resources and databases to conduct their research.

What does a typical workday look like for a work from home insurance fraud investigator?

A typical day for a Work From Home Insurance Fraud Investigator involves reviewing claim documents, conducting online research, interviewing claimants and witnesses by phone or video, and preparing detailed investigative reports. You may also coordinate with legal teams, law enforcement, or field investigators and participate in regular team meetings via remote collaboration platforms. While much of the work is independent, clear communication and virtual teamwork are important to keep the investigation process efficient and compliant. You may handle multiple cases simultaneously, requiring strong organizational skills and the ability to prioritize tasks. This remote structure offers flexibility, but also demands a high level of self-motivation and accountability.

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

To thrive as a Work From Home Insurance Fraud Investigator, you need a solid background in investigative techniques, analytical thinking, and a keen understanding of insurance policies and regulations, often supported by a degree in criminal justice or a related field. Familiarity with case management software, digital research tools, and sometimes certifications like CIFI (Certified Insurance Fraud Investigator) is typically required. Strong communication, critical thinking, and time management skills help investigators effectively gather evidence, interview parties, and document findings independently. These skills and qualities are essential for conducting thorough investigations, protecting company assets, and ensuring regulatory compliance while working remotely.

Are work from home insurance fraud investigators in demand?

Work from home insurance fraud investigators are in growing demand due to increased efforts to detect and prevent insurance fraud remotely. These roles often require skills in data analysis, investigation techniques, and familiarity with insurance policies, with opportunities expanding as companies adopt digital tools for remote work.

How to become a work from home insurance fraud investigator?

To become a work from home insurance fraud investigator, candidates typically need a background in insurance, criminal justice, or related fields, along with strong analytical and investigative skills. Relevant certifications, such as the Certified Fraud Examiner (CFE), can enhance prospects. Experience in claims processing or law enforcement may also be beneficial, and familiarity with fraud detection tools is often required.

What are popular job titles related to Work From Home Insurance Fraud Investigator jobs in Indiana?

For Work From Home Insurance Fraud Investigator jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Work From Home Insurance Fraud Investigator jobs in Indiana look for?

The top searched job categories for Work From Home Insurance Fraud Investigator jobs in Indiana are:

What cities in Indiana are hiring for Work From Home Insurance Fraud Investigator jobs?

Cities in Indiana with the most Work From Home Insurance Fraud Investigator job openings:

Work From Home Insurance Fraud Investigator jobs near you

Fraud Investigator

Indianapolis, IN • On-site, Remote

Office of the Indiana Attorney General
Public Administration • 11 - 50 employees
Learn more about Office of the Indiana Attorney Generalexternal

$51K - $66K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Salary: $51,068.00 - $66,437.00 Annually
Location : Indianapolis, IN
Job Type: Full-Time
Remote Employment: Flexible/Hybrid
Job Number: 202500285
Division: MFCU
Section: Medicaid Fraud Control Unit (MFCU)
Opening Date: 08/21/2026
FLSA: Non-Exempt
For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best interests of the State and all Hoosiers. OAG employees have earned an outstanding reputation for meeting the highest professional standards, providing great service, and demonstrating courageous leadership and commitment to excellence to the people of Indiana. If you share our determination to make Indiana a better place to live and work, we invite you to join over 400 of the very best employees and seek a career with the Office of the Indiana Attorney General.
Description
Investigators are assigned cases under the direction of the Supervising Deputy Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate provider fraud. The preferred Investigator candidate shall have experience in forensic accounting, or white collar crime investigations.
Examples of Duties
  • Order various documentation from the fiscal intermediary;
  • Obtain other documents such as bank records, medical records, patient files, business records, and other records to be used as evidence in judicial proceedings;
  • Research the documentation for patterns of billing an illegal activity, and develop schedules of provider billing activities;
  • Locate, conduct surveillance and interview witnesses, suspects and possible expert witnesses;
  • Collaborate with other investigators on investigations;
  • Regularly participate in multi-disciplinary team meetings;
  • Prepare written and recorded statements and evaluate testimony for credibility;
  • Conduct undercover operations;
  • Prepare comprehensive investigation reports for presentation to a Deputy Attorney General or state or federal prosecutor for criminal referrals;
  • Assist the Deputy Attorney General or state or federal prosecutor in preparing the case for court;
  • Locate and serve subpoenas on witnesses and suspects;
  • Testify in criminal and administrative proceedings;
  • Draft clear and concise Probable Cause Affidavits;
  • Complete any necessary component of the Indiana Law Enforcement Academy;
  • Participate in investigator training and perform other work as required.
  • Such travel as the assignment of duties may necessitate, usually consisting of frequent trips totaling more than 1000 miles per month, for the following purposes:
    • Travel to state offices, jails, police departments, sheriff's departments, courthouses, offices of businesses contracting with healthcare providers, and such other locations as may be necessary for the purpose of obtaining documents, statements, and other evidence necessary to an investigation.
    • Travel to surveillance locations and conducting surveillance from a vehicle for extended periods of time in all types of weather and at all times of day or night.
    • Travel to and assist in serving search warrants and seizing evidence at such times as is best for the purposes of the investigation, including times beyond normal duty hours, and to transport to such sites the supplies and tools, including storage boxes and document scanners, as may be required.
    • Travel directly from home to the office of a healthcare provider under investigation, to an office of the Medicaid Fraud Control Unit other than the assigned duty station, or to other locations required by an investigation, as may be necessary to the efficient and effective completion of an investigation.

Typical Skills and Qualifications
  • A four-year degree in Accounting or related fields, or four years law enforcement investigative experience is preferred but not required.
  • Working knowledge of state and federal laws and court proceedings.
  • Working knowledge of the laws of search and seizure, standards of identification, collection and preservation of evidence.
  • Ability to write detailed, accurate and legible reports.
  • Ability to organize and set priorities, work independently, stay on task.
  • Preferred candidate will have experience in law enforcement and health care industry, with emphasis on health care fraud investigating experience.
  • Working knowledge of health care operations, billing, coding and documentation guidelines is preferred but not required.

Supplemental Information
Work Environment
  • Ability to work inside and outside of an office atmosphere.
  • Ability to drive an automobile to locations inside and outside the state of Indiana for work and training purposes.
  • Schedule varies depending upon the type of investigation.
Essential Functions
  • Valid Indiana driver's license.
  • Review and analyze documents containing writings in the English language.
  • Accurately compile and calculate numeric information in applications such as, but not limited to, Microsoft Excel.
*Pay commensurate with experience
The Office of the Indiana Attorney General is an Equal Opportunity Employer.
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:
  • Four (4) medical plan options (including RX coverage) and vision/dental coverages
  • Wellness program - earn back dollars in the form of gift cards
  • Health savings account (includes bi-weekly state contribution)
  • Deferred compensation account (similar to 401k plan) with employer match
  • Two (2) fully-funded pension plan options
  • Group life insurance
  • Employee assistance program that allows for covered behavioral health visits
  • Paid vacation, personal and sick time off
  • Competitive leave policies covering a variety of employee needs.
  • 12 paid holidays, 14 on election years
  • New Parent Leave
  • Qualified employer for the Public Service Loan Forgiveness Program
  • Free 24/7 permit parking at an Indiana Government Center surface lot or parking garage

More information on State of Indiana Benefits can be found at

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