Remote Senior Claims Forensics & Fraud Investigator
micro1
- Remote job
micro1 is seeking a Senior Claims Investigation and Evidence Review Expert for a remote, contractor role (~10 hours per week). You will analyze digital claim evidence, reconstruct events, and prepare detailed assessments for SIU and forensic engineers. The work supports AI data training and model refinement. The role emphasizes expert-level domain knowledge in fraud detection, staged-loss, and forensic analysis, with flexible scheduling and international collaboration. #J-18808-Ljbffr micro1
- UnitedHealthcare in the United States is seeking a Senior Investigator to identify, investigate, and prevent healthcare fraud, waste, and abuse. This role uses claims data and guidelines to detect aberrant billing and conducts investigations, including potential fieldwork...Remote jobSeniorClaims
- The Hartford is hiring a Senior Workers’ Compensation Claim Representative to plan, investigate, and resolve complex workers’ compensation claims. The role supports timely... ..., and regulatory compliance across Hybrid or Remote work arrangements with offices in Hartford, CT...Remote jobSeniorClaims
- The Hartford is seeking a Sr. Representative Claims to plan, investigate, and resolve workers' compensation claims. The role emphasizes timely investigations... ...while delivering superior customer service. Hybrid or Remote work arrangements are available; location flexibility with...Remote jobSeniorClaimsWork at office
- USLI in Boise, Idaho, seeks a Claims professional to evaluate coverage, liability, and damages for claims. You’ll investigate, negotiate, and resolve claims while coordinating with... ...teams. This full-time role offers remote work up to five days per month, a competitive...Remote jobSeniorClaimsFull time
- The Hartford is seeking a Sr. Representative Claims to plan, investigate, and settle workers’ compensation claims. You will analyze medical and... ...exceptional service and timely decision-making in a hybrid or remote work setting. Start Date is January 19, 2027; Hours are...Remote jobSeniorClaimsMonday to Friday
- A leading forensic accounting firm is seeking a Senior Allocation Analyst to support their forensics team. This role involves building claim-level allocation models, performing quantitative analysis... ...offers a competitive salary, remote work flexibility, and a comprehensive...Remote workSeniorClaims
- Placements24 is seeking a detail-oriented Forensic Accountant to join its investigations team in Queenstown, Eastern Cape, ZA. The role blends in-office collaboration with hybrid remote analysis, supporting complex fraud investigations and litigation matters for financial...Remote workSeniorWork at office
$90k - $150k
...veteran status. Position Title: Senior Associate, Forensic Accountant Location: New York,... ..., BRG's Economics, Disputes & Investigations practice is a leader in areas that can... ...and business interruption insurance claims. Our experts analyze detailed financial...SeniorClaimsFull timeWork at officeLocal area$56k - $67k
## Crop Insurance Senior Claims AuditorApply: Remote: Remote, Texas: Remote, Missouri: Remote, Oklahoma: Remote, New Mexico: Remote, Louisiana: Full time: Posted Yesterday: R4513## As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines...Remote workSeniorClaimsFull timeWork at officeWorldwideFlexible hours- ...Owned Small Business specializing in forensic schedule analysis, CPM scheduling,... ...maintains a five-year undefeated record on claims involving billions of dollars in... ...Park Service. Role Description The Senior Planner is a full-time remote role responsible for leading complex...Remote workSeniorClaimsFull timeFor contractorsWorldwide
- ...service engineering, fire investigation, environmental, health... ...in handling insurance fraud and arson cases and... ...consulting. Our forensic investigation, engineering... ...investigations in a full-time, remote role. This position is... ...Investigates assigned claims suspected of insurance...Remote workSeniorClaimsFull timeWork at officeLocal area
- ...Senior Forensic Engineer Founded in 1954, Halliwell Engineering Associates is one of the... ...consulting, building envelope assessments, claims support, and expert witness/litigation... ...and facilities. Perform field investigations of site conditions and subsequent analyses...Remote workSeniorClaimsWork at officeLocal area
- ...a highly experienced Senior Engineer with a Construction... ...defect (CD) investigations, analysis, and litigation... ...organization providing forensic consulting, engineering... ...practices related to CD claims and litigation. Attend... ...-life balance 100% Remote work Flexible vacation...Remote workSeniorClaimsFor contractorsImmediate startFlexible hours
$140.97k - $228.87k
...may take place by phone. For remote roles, and at our discretion... ....We're looking for a Senior Fraud Analyst to be on the front line... ...flagged orders, accounts, and claims, make clear and fair decisions... ...look. This role combines investigative work with a customer-first mindset...Remote workSeniorClaimsFull timeLocal areaWorldwideFlexible hoursShift work- ...Senior Auditor CGS is seeking a Senior Auditor who will assist the district... ...legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling... ...consulting, and/or health care fraud analysis required. The resume...Remote jobSeniorClaims
- ...engineering fire investigation environmental health... ...insurance fraud and arson cases and... ...specialty consulting. Our forensic investigation... ...investigations in a fulltime remote role. This... ...investigation of losses or claims and pursues... ...Required Experience: Senior IC...Remote workSeniorClaimsFull timeWork at officeLocal area
$150k - $225k
...Senior Forensic Consultant - Premises Liability is responsible for conducting forensic investigations, evaluating incident causation, and providing expert... ...engagement. This is a remote role with significant... ...involving premises liability claims and litigation matters...Remote workSeniorClaimsFlexible hours- ...CVS Health is seeking a Senior Investigator to conduct high-level investigations of known or suspected healthcare fraud and abuse. You will handle complex cases, including those... ...and work to prevent fraudulent Medicaid claims. Responsibilities include preparing cases...SeniorClaims
$32.03 - $45.7 per hour
...currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status: Full-time, permanent... ...relating to health insurance claims processing and ensures adherence... ...Program (CITP); Certified Forensic Interviewer (CFI), Certified Fraud...Remote workClaimsHourly payPermanent employmentFull timeTemporary workLive inCurrently hiringWork at officeShift work- ...MJHS Health System is seeking a SIU Fraud Investigator to identify, investigate, and resolve fraud, waste, and abuse across Elderplan’s product... ..., and law enforcement. The successful candidate will review claims, encounter data, enrollment records, medical charts, and...SeniorClaims
$66.96k
Join to apply for the Forensic Accountant role at Office of the New... ...Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks... ...complex healthcare fraud investigations. The Medicaid program provides... ...fraud, such as theft and false claims. Qualifications A minimum...Remote workClaimsWork experience placementWork at officeLocal areaFlexible hours- ...Elderplan is seeking a SIU Fraud Investigator in New York, NY to identify, investigate, and resolve fraud, waste, and abuse involving providers... ...direction of the SIU Director and Manager, you will analyze claims, enrollment, medical records, and provider data, and conduct...SeniorClaims
- ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals, claims data, medical records, and interviews. You will prepare reports, coordinate with internal teams, and support program integrity...Remote workClaims
$68.97k
...Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks a forensic accountant/auditor (FAA) for its Albany... ..., long-term healthcare fraud investigations. The Medicaid program provides health... ...experience analyzing health care claims data. A CPA is not required; but...Remote workClaimsWork experience placementWork at officeLocal area2 days per week- ...Conducting fraud, waste, and abuse investigations, the full-time SIU Investigator will review referrals, claims data, and medical records to identify potential misconduct while collaborating... ...with various stakeholders in a remote setting. Key responsibilities Conducts...Remote workClaimsFull time
- ...Centene Corporation is seeking an investigator to conduct fraud, waste, and abuse investigations across referrals, claims data, and medical records. You will document findings... ..., with opportunities to work in a remote, hybrid, or onsite setting and benefit from...Remote workClaims
- ...of Michigan is seeking a Special Investigations Unit Investigator to join our... ...emphasis on treatment patterns, claims, contracts, and licensing requirements... ...communications for auditees and senior management, supporting compliance and anti-fraud efforts across Delta Dental #J...Remote workClaims
- ...a partner company, seeks a Healthcare Fraud Investigator in the United States. You will protect... ...investigating suspected fraud, reviewing claims data, and preparing evidence packages within... ...and law enforcement. This fully remote role requires at least three years of health...Remote workClaims
- ...Leading complex fraud investigations, the full-time Senior Fraud Investigator will serve as the primary liaison for B2B card program clients, producing... ...and risk-based recommendations while working in a hybrid remote environment. Key responsibilities: Lead investigations...Remote workSeniorFull time
- ...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review referrals, claims data, medical records, and provider information to identify misconduct and support case resolution. Prepare investigative reports...Remote workClaims
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