Claims Fraud Evidence Review Expert
$20 - $60 per hourOpenTrain AI, Inc.
Senior Claims Investigation and Evidence Review Expert Review CCTV, photos, statements, engineering reports, and other claim evidence to assess fraud indicators and causation. Earn $20 to $60 per hour with less than 20 hours per week, and apply through OpenTrain. Remote Hourly · $20–$60/hr $20–$60/hr Contract, part-time Remote United States + more Algeria Argentina Austria Bahrain Bangladesh Belgium Brazil Canada Chile Colombia Denmark Egypt France Germany Ghana Greece India Indonesia Italy Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Lebanon Malaysia Mexico Morocco Netherlands Nigeria Oman Pakistan Palestine Peru Philippines Portugal Qatar Saudi Arabia Singapore South Africa Spain Sri Lanka Switzerland Taiwan Thailand Tunisia United Arab Emirates United Kingdom United States Uzbekistan Vietnam The Work You will help train AI systems by reviewing claim evidence and writing clear, evidence-based findings. Your work may support special investigation unit investigators or forensic engineers. You will assess visual, written, technical, and telematics evidence while communicating your conclusions consistently and professionally. Review CCTV and dashcam footage, scene photographs, statements, engineering reports, and other digital claim evidence. Reconstruct accident or loss events and assess causation and authenticity. Identify possible staged-loss indicators and other signs of claims fraud. Write clear findings, reports, or affidavits based on the evidence. Share claims investigation knowledge to improve AI training datasets. What It Pays And Takes This is a part-time contractor role for candidates with strong real-world experience in claims investigation, insurance fraud, or related evidence review. Prior AI training experience is not required. Pay: $20 to $60 per hour. Time: Less than 20 hours per week. Location: Open to candidates in the United Arab Emirates, Argentina, Austria, Bangladesh, Belgium, Bahrain, Brazil, Canada, Switzerland, Chile, Colombia, Germany, Denmark, Algeria, Egypt, Spain, France, the United Kingdom, Ghana, Greece, Indonesia, India, Italy, Jordan, Japan, Kenya, Kyrgyzstan, Kuwait, Kazakhstan, Lebanon, Sri Lanka, Morocco, Mexico, Malaysia, Nigeria, the Netherlands, Oman, Peru, the Philippines, Pakistan, Palestine, Portugal, Qatar, Saudi Arabia, Singapore, Thailand, Tunisia, Taiwan, the United States, Uzbekistan, Vietnam, and South Africa. Language: Professional fluency in English. Experience: At least seven years in special investigations, SIU work, insurance fraud detection, forensic engineering, or fleet safety review. Skills: Strong analysis and critical thinking, experience evaluating visual and technical claim evidence, and clear written and verbal communication. Helpful background: Familiarity with video, photographic, and telematics evidence, plus remote consulting or advisory experience. About AI Training Work AI training work uses human judgment to help artificial intelligence learn from examples. Experienced specialists are paid to review information carefully and provide the clear, reliable feedback these systems need. Review AI-generated federal individual income tax analyses, build evaluation criteria, and write structured feedback. This contractor role pays $60 to $90 per hour and requires a CPA license, Enrolled Agent designation, or US tax attorney experience. Review and improve financial presentations, investor materials, and valuation content remotely for $150 to $350 per hour. This part-time contractor role is open in the United States, United Kingdom, and Canada, with asynchronous project work. Create and evaluate legal reasoning tasks for AI training as a remote, project-based Litigation Attorney. Pay is $80 to $150 per hour equivalent, paid per task that meets the project specifications. Analyze energy and utilities regulatory scenarios, explain complex legal reasoning, and review other contributors’ work for accuracy. This remote contractor role pays $140 to $400 per hour. #J-18808-Ljbffr OpenTrain AI, Inc.
- ...Senior Claims Investigation and Evidence Review Expert Role Type: Contractor Location: Global Remote Workload: Approximately 10 hours per week... ...patterns inconsistencies and indicators of insurance fraud. Provide expert insights to support the development...ClaimsFraudFull timeFor contractorsRemote work10 hours per weekFlexible hours
$20 - $60 per hour
...Special investigations and staged-loss fraud detection from claim evidence About micro1 micro1 is a data lab... ...recruiting agent sources and vets domain experts for our data platform that enables... ...Claims Investigation and Evidence Review Expert Role Type: Contractor...ClaimsFraudFor contractorsRemote work10 hours per weekFlexible hours- OpenTrain AI, Inc. seeks a Senior Claims Investigation and Evidence Review Expert for a remote, part-time contractor role. You will review CCTV, photos, statements, and reports to assess fraud indicators and causation, and to support AI training efforts. You will train...ClaimsFraudRemote jobPart timeFor contractors
- Broadway Ventures is seeking an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. The role requires applying clinical expertise and established coverage guidelines to determine...ClaimsFraudRemote jobFull time
$58k - $75k
...team by performing first-level clinical reviews of dental claims and pre-treatment estimates using... ...treatment records, and claim histories using evidence-based guidelines and clinical... ...patterns, utilization trends, potential fraud, waste, or abuse concerns, policy gaps...ClaimsFraudFull timeContract workInternshipPrivate practiceRemote workShift work$77.78k - $105.23k
From the posting: Remote healthcare coding expert with GDIT’s Federal Health Division, supporting... ...for Medicare and Medicaid Services. Reviews claims data to spot trends and builds leads and referrals for the Healthcare Fraud Prevention Partnership. The posting asks for...ClaimsFraudFull timeRemote work- ...Experience: 3+ years in underwriting, claims, or a closely related insurance... ...and we're looking for insurance experts to build and judge the tasks... ...interpretation, exclusions, or fraud indicators, along with the right adjudication Reviewing AI-generated underwriting and claims...ClaimsFraudFull timeContract workRemote workFlexible hoursWeekday work
- SafeGuard Services (SGS), a Peraton subsidiary, seeks a Nurse Reviewer to join a team of professionals. The role involves medical record reviews, applying clinical judgment to claim payments, and developing fraud investigations. Telework is available from anywhere in the...ClaimsFraudRemote job
- Peraton is seeking a Medical Review Analyst for SafeGuard Services. You will conduct medical record reviews and apply clinical judgment to determine claim payments, supporting fraud detection and investigations. Responsibilities include researching regulations, identifying...ClaimsFraudRemote job
- ...division of Yeshiva University, is seeking an Investigator to identify, locate, and interview witnesses, gather evidence, and support post-conviction innocence claims. This role requires persistence, discretion, and dedication to justice. Responsibilities include trauma-...Claims
- Peraton is seeking a skilled health‑care data analyst to perform medical record reviews and apply clinical judgment to claim payments. You will research claims data, identify patterns of fraud, and develop cases for potential enforcement in coordination with external...ClaimsFraudRemote job
- Peraton’s SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a US nursing license, have 5+ years...ClaimsFraudRemote job
- 1199SEIU in New York is seeking an experienced Hospital Claims Processor to cross-train staff and support the Fraud & Abuse findings in the Hospital Claims Department. You will review complex claims and ensure timely processing across multiple programs. The role requires...ClaimsFraud
- Itemized Bill and Medical Record Reviewer job at Alaffia Health. New... ...spending due to medical billing fraud, waste, and administrative... ...AI/ML engineers, and product experts to build advanced AI that finally... ...you have experience reviewing claim forms and auditing provider documentation...ClaimsFraudRemote workFlexible hours
- SCAN Health Insurance in the United States is seeking a qualified Clinical Reviewer to provide expert review of medical claims and post-service appeals from a clinical perspective. You will audit complex Medicare claims, apply CMS guidelines, and collaborate with medical...ClaimsRemote job
- Responsibilities Cross train Processors and Quality Control Reviewers in the Hospital Claims Department Create advances from providers based on the findings of the Fraud & Abuse Department Review complex claim issues involving 1st, 2nd and 3rd level (IPRO) appeals Review...ClaimsFraud
- ...Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and medical necessity. Current nursing license... ...requirements, performing medical review, and/or developing fraud cases Have worked on cases involving services performed for...ClaimsFraudRemote workNight shift
- ...United States of America Are you an insurance expert eager to shape the future of AI? Large‑... ...who live and breathe policy analysis, claims management, risk assessment, underwriting... ...compliance, actuarial science, customer service, fraud detection, and insurance technology. You’...ClaimsFraudRemote jobHourly payContract workFor contractorsFreelanceImmediate start
$66k - $106k
...performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. We are looking to add a... ...and to apply sound clinical judgment to claim payment decisions. Responsibilities may include...ClaimsFraudContract workRemote workShift workNight shift- ...Job Title: Senior Insurance Claims Expert (Liability Property & Contents) Role Type: Contractor... ...damage and contents claims using video evidence photographs aerial imagery and... ...required. Key Responsibilities # Review disputed-fault auto claims by analyzing...ClaimsFull timeFor contractorsRemote work
- Role Title: Senior Insurance Claims Expert (Liability, Property, Contents) Role Type: Contractor... ...insurance professionals will remotely review a variety of complex claims, including disputed... ...-fault auto incidents using video evidence and statements, property and catastrophe...ClaimsFor contractorsRemote work
$40 - $60 per hour
Role Title: Senior Insurance Claims Expert (Liability, Property, Contents) Pay: $40-$60/hour Location... ...insurance professionals will remotely review a variety of complex claims, including... ...-fault auto incidents using video evidence and statements, property and catastrophe...ClaimsContract workFor contractorsImmediate startRemote workWorldwide10 hours per weekFlexible hours$62k - $65k
Remote Medical Reviewer (Medicare- Home Health) At Broadway Ventures, we transform... ...into opportunities with expert program management, cutting-edge... ...perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. In this role...ClaimsFraudRemote jobFull timeContract workTemporary workFor contractorsWork at office$78k - $85k
Overview Medicaid Medical Review RN (Medical Reviewer III) - REMOTE... ...records during the course of fraud investigations or other program... ...information contained in Standard Claims Processing System files (e.g.,... ...interpretation Provides expert witness testimony as required...ClaimsFraudFor contractorsH2bH1bWork at officeLocal areaRemote workHome office- ...seeking a Senior Property Damage and Restoration Expert to assess property loss evidence, draft coverage determinations, and review restoration estimates. The contractor will... ...policy coverage across flood and wildfire claims, delivering precise, well-supported reports....ClaimsRemote jobPart timeFor contractorsFlexible hours
- Registered Nurse (RN) Medical Reviewer At Broadway Ventures, we transform challenges... ...into opportunities with expert program management, cutting-edge... ...perform medical review of complex claims, pre-authorization requests, appeals, and fraud and abuse referrals. In this role...ClaimsFraudRemote jobContract workTemporary workFor contractorsWork at officeHome office
$68k - $88k
Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the Medical Review Auditor (Fraud... ...audit of medical records and healthcare claims assessing the accuracy of medical... ...unlocking community knowledge in a new way. Experts add insights directly into each...ClaimsFraudHourly payFull timeContract workPart timeWork experience placementImmediate startRemote workWork from home$20 - $60 per hour
Property Damage AI Training Expert (English) Review property loss evidence, insurance policies, and restoration estimates to help improve AI tools. This part... ..., and restoration estimating standards to complex claims, including flood and wildfire losses. Your work will...ClaimsHourly payContract workPart timeRemote work$70 per hour
...work as a Public Health Subject Matter Expert (SME) to review AI-generated public health and... ...systems concepts; fact-check public health claims; write high-quality explanations and model... ...their population-health reasoning, evidence interpretation, and public-facing guidance...ClaimsHourly payFor contractorsImmediate startRemote work$30 - $60 per hour
...Sciences Scientific Reasoning Expert Create advanced, non-code life... ...scenarios. Your work will use evidence such as experimental findings,... ...factual recall. You will also review work for accuracy, clarity, and... .... Check biological claims, calculations, assumptions, and...ClaimsHourly payContract workPart timeRemote workWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Fraud Evidence Review Expert. Be the first to apply!
- technology expert New York, NY
- subject matter expert New York, NY
- guest service support expert New York, NY
- fulfillment expert New York, NY
- claims intake New York, NY
- claims reviewer New York, NY
- claims attorney New York, NY
- vice president claims New York, NY
- claims coordinator New York, NY
- claims associate New York, NY

