Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Health & Benefits - Compliance Investigator (Remote)

$76k - $85k

Inspira Financial

Oak Brook, IL
  • Remote job

Job Summary & Responsibilities The Compliance Investigator reports to the Fraud Investigations Manager in the Compliance and Risk Management Department. This role investigates potential fraudulent transactions and suspicious activity, maintains investigation logs, prepares incident summaries for stakeholders, and serves as a strategic partner to various departments regarding fraud risk and policy recommendations. Assist in intake, triage, assignment, and tracking of potential incidents. Perform complete and accurate investigations of reported incidents, including account history and transaction review, initiating mitigation and containment actions, and providing reports to stakeholders. Collaborate with the Fraud Investigations Manager to conduct periodic fraud risk analyses. Identify gaps or potential threat vectors and recommend actionable changes to implement best practices, fraud prevention tools, and secure process design. Document all investigative activities and prepare written reports of findings and recommendations. Maintain records, databases, logs, and related documentation of fraudulent activity. Promote a culture of fraud awareness, prevention-first mentality, and personal accountability across all levels of the enterprise. Other duties as assigned. Typical schedule: 8 a.m. CT to 5 p.m. CT / 9 a.m. ET to 6 p.m. ET. Preferred Qualifications 3–5 years of experience in the financial industry and/or fraud investigations and prevention. Bachelor’s Degree in Business, Finance, or a related field. Skills & Abilities Working knowledge of fraud‑related laws, regulations, and industry standards (Reg E, GLBA, card network rules, internal policies). Ability to conduct structured fraud investigations using established procedures and investigative methodologies. Experience reviewing transactions, account activity, and supporting documentation to identify suspicious or fraudulent behavior. Skill in analyzing complex fact patterns and synthesizing findings into clear conclusions. Ability to distinguish between fraud, errors, disputes, and policy violations. Proficiency in identifying indicators of identity theft, account takeover, payment fraud and related schemes. Prior work experience in a fraud role within the financial services industry. Proactive, analytical, and able to solve problems and propose resolutions. Operate efficiently with a high degree of accuracy. Proficiency with Microsoft products including Teams, Excel, Word (including mail merge), and Outlook. Possess excellent verbal and written communication skills. Proven ability to prioritize, multi‑task, and complete tasks within specified timelines. Detail‑oriented, organized and dependable. Willingness and ability to quickly learn and understand processes and regulatory requirements of the firm’s various lines of business. Excellent analytical and critical thinking skills. High ethical standards. Team player, able to work well with different personalities. Other Requirements Infrequent travel – ability to provide personal transportation from time to time. Occasional lifting up to 25 pounds. Prolonged periods of sitting at a desk and working on a computer. Pay Range $76,000–$85,000 per year. Compensation & Benefits The compensation for this position may vary based on location, skills, and experience, and may include incentive and bonus opportunities. Benefits include healthcare, 401(k) savings plan, company holidays, paid time off, parental leave, and an employee assistance program. #J-18808-Ljbffr Inspira Financial

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Health & Benefits - Compliance Investigator (Remote) in Oak Brook, IL vacancy
  • $107.7k - $199.3k

     ...Internal Investigations Manager You could be the one who...  ...Centene is transforming the health of our communities,...  ...access to competitive benefits including a fresh...  ...practices, regulatory compliance, and risk mitigation....  ...approach to work with remote, hybrid, field or office... 
    Remote work
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    United States
    3 days ago
  •  ...Compliance Safety & Health Investigator 3 (CISHI 3) – Crane Safety The Department of Labor & Industries (L&I) is seeking a Compliance Safety & Health...  ...at the end of the employee's career. Click on the "Benefits" tab to learn more. At L&I, your voice matters. In addition... 
    Remote work
    Work at office
    Local area
    Flexible hours

    State of Washington

    United States
    5 days ago
  • $49.7k - $88.8k

     ...Job category: Regulatory & Compliance At UnitedHealthcare, we're simplifying the health care experience, creating healthier...  .... Growing together. The Investigator is responsible for identifying...  ...pay, a full and comprehensive benefit program, performance rewards,... 
    Remote work
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealth Group

    United States
    7 days ago
  •  ...Bilingual Compliance Buy Investigator The Rhode Island Department of Health (RIDOH) has retained Knowledge Services to provide...  ...appropriate implementation of WIC benefits. This position is an in-person...  ...have suitable space to work remotely if needed. Provide own... 
    Remote work
    For contractors
    Work experience placement
    Work at office
    Local area
    Night shift

    TalentBurst

    Providence, RI
    16 hours ago
  •  ...small business is seeking an individual to analyze health insurance product submissions to ensure compliance with federal and state laws. The ideal candidate will...  ...in health insurance policy review. This role is remote and requires the ability to adapt to changing priorities... 
    Remote work
    Work at office

    Examination Resources LLC

    New York, NY
    1 day ago
  •  ...Compliance Investigator At Danaher, our work saves lives. And each of us plays a part. Fueled by our culture of continuous improvement...  ...better, more sustainable workforce. We recognize the benefits of flexible, remote working arrangements for eligible roles and are... 
    Remote work
    Work from home
    Flexible hours

    Danaher Corporation

    United States
    4 days ago
  •  ...The Pharmacy Manager, Benefit Operations (Emory Health Plan) serves as the primary...  ...configuration changes. Investigates and resolves claim...  ...truth for governance and compliance. Validates rebate classifications...  ...University location. Remote work from home day... 
    Remote work
    Work from home

    Emory University

    Atlanta, GA
    4 days ago
  • $56.2k - $101k

     ...billing practices. Responsibilities include performing reviews, investigating billing patterns, and recommending next steps for providers....  ...salary range is $56,200 - $101,000 per year, with a comprehensive benefits package and flexible work options. #J-18808-Ljbffr... 
    Remote work
    Flexible hours

    Centene Corporation

    Austin, TX
    1 day ago
  • $48k - $53k

     ...Healthcare Compliance Investigator Work Location: Remote – Must reside and be licensed in the State of Ohio Pay...  ...recipients and/or providers to ensure the health, safety, and welfare of...  ...based on investigative needs Benefits (Through SSO) SSO offers a competitive... 
    Remote work
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC

    United States
    3 hours ago
  •  ...healthcare company is seeking a Product Manager, Benefits to design the foundation of a next-generation health plan. You will define how care is paid for, shape...  ...efficient systems. This role offers competitive compensation and remote work flexibility. #J-18808-Ljbffr... 
    Remote work

    Harbor Health Services

    New York, NY
    1 day ago
  • $46.78k - $69.33k

     ...Job Type: Full-time Remote Employment: Flexible/...  ...: Alcohol & Tax Compliance Division Opening Date...  ...Division is seeking an Investigator 1 that will join the...  ...Home Opportunities Health, Dental and Vision Insurance...  ...or public assistance benefit programs, law... 
    Remote work
    Full time
    Work experience placement
    Casual work
    Work at office
    Work from home
    Flexible hours
    Afternoon shift

    State of Iowa

    United States
    4 days ago
  •  ...A leading pet health company is looking for a Payroll Specialist to manage payroll processing and ensure compliance with federal and state regulations. This remote position offers various benefits including comprehensive medical insurance, disability options, and paid... 
    Remote work

    Independence Pet Group

    Phoenix, AZ
    3 days ago
  •  ...Remote Jobs is hiring for a Customer Support role focused on Rippling's group health and welfare plans. Candidates should have a Bachelor's degree and 1-4 years of experience in the US benefits domain, demonstrating extensive knowledge of employee benefits and strong communication... 
    Remote work

    Remote Jobs

    New York, NY
    3 days ago
  • $10k

     ...THAT ARE REACHABLE ON THE ASSOCIATE INVESTIGATOR CIVIL SERVICE LIST ARE ELIGIBLE TO...  ...in New York City operate in compliance with the New York City Health Code and New York State Social Service...  ...you should work for us: -Benefits: City employees are entitled to unmatched... 
    Permanent employment
    Full time
    Work at office
    Work from home
    2 days per week

    City of New York

    Bronx, NY
    4 days ago
  • $46.99k - $122.4k

     ...Siu Senior Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience...  ...feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive... 
    Remote work
    Hourly pay
    Full time
    Local area

    Oak St. Health

    United States
    2 days ago
  • $7,000 per month

     ...Instant Teams is seeking a Licensed Benefits Advisor to assist individuals during the Annual Enrollment Period for health insurance. You will provide exceptional customer support...  ...with empathy and confidence. This fully remote position offers paid training and commission... 
    Remote work

    Instant Teams

    New York, NY
    21 hours ago
  • $28.94 - $43.49 per hour

     ...Health Facility Investigator, DHHS FT / PT Status - Full-Time Salary - $2...  ...4 - $43.49 Hourly Wage Remote Work / In-Office - Hybrid...  ...investigations to ensure compliance with statute and rule....  ...WHY Utah, click here. Other benefits may include: Job Stability... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Relocation

    Utah Division of Human Resource Management

    Salt Lake City, UT
    1 day ago
  • $34 per hour

     ...Job Title SCALING ETHOS INVESTIGATOR Position Number 8350270 Work Modality Fully Remote Work Is this request for the...  ...Law, Medicine, Nursing, and Health Sciences-Loyola operates three...  ...comprehensive, and competitive benefits. To view our benefits in... 
    Remote work
    Hourly pay
    Part time
    Work experience placement
    Local area

    Loyola University

    Chicago, IL
    19 hours ago
  • $46.99k - $112.2k

     ...We're building a world of health around every individual - shaping a more connected, convenient...  .... Position Summary The Senior Investigator role will conduct high level, complex...  ...valued and that they belong. Great benefits for great people We take pride in... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    CVS Health

    United States
    4 days ago
  • $43.89k - $76.5k

     ...We’re building a world of health around every individual — shaping...  ...This position is a remote position but West Virginia residency...  ...residency is required. Conducts investigations to effectively pursue the...  ...and that they belong. Great benefits for great people We take... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area

    CVS Health

    Charleston, WV
    3 hours ago
  •  ...Technical Threat Investigator Security is at the foundation of OpenAI...  ...general intelligence benefits all of humanity. The Threat...  ...minimal oversight. This is a remote role with close...  ...inquiries unrelated to job posting compliance. We are committed to providing... 
    Remote work
    Relocation
    Relocation package

    OpenAI

    United States
    4 days ago
  • $63k - $84.42k

     ...empowers our members to achieve their best health. For over 90 years , we have been New...  ...is accountable for analytical and investigative activities (external and internal) related...  ...provides a comprehensive compensation and benefits package which includes: Comprehensive... 
    Remote work
    Live in
    Local area

    Horizon Blue Cross Blue Shield of New Jersey

    United States
    4 days ago
  •  ...Surveillance Investigator - Part Time Savannah, GA Area CoventBridge...  ...the opportunity to work remotely utilizing advanced tools,...  ...to document subjects. Benefits Compensation & Perks That...  ...providing: Surveillance, SIU and Compliance, Claims Investigation,... 
    Remote work
    Part time
    Worldwide
    Night shift
    Weekend work

    CoventBridge Group

    United States
    4 days ago
  •  ...The Investigator will assist with responding to employee...  ...must comply with the remote work program and related...  .... Support other compliance staff as directed....  ...****@*****.***. Benefits Highlights Regular...  ...vacation; sick leave; health, dental, life and disability... 
    Remote work
    Work experience placement
    Casual work
    Work at office
    Local area
    Afternoon shift

    University of Iowa

    Iowa City, IA
    4 days ago
  • $60.2k - $107.4k

     ...UnitedHealthcare, we're simplifying the health care experience, creating...  ...together. The Senior Investigator is responsible for...  ...and abuse referrals Ensure compliance of applicable federal/state...  ..., a full and comprehensive benefit program, performance rewards... 
    Remote work
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealth Group

    Columbus, OH
    4 days ago
  •  ...A global risk consultancy is seeking a Benefits Manager to lead the operations of group benefits programs, ensuring competitive plans and compliance with regulations. This role, based in Kirkland, allows for remote work across the U.S. Candidates should have a Bachelor... 
    Remote work

    Concentric

    New York, NY
    1 day ago
  • $80.82k - $108.78k

     ...Full Time - Permanent Remote Employment: Flexible/...  ...Division: DOSH - Compliance Opening Date: 05/2...  ...Hygienists and Safety & Health Professionals will be...  ...to consult, inspect or investigate where serious hazards...  ...career. Click on the "Benefits" tab to learn more.... 
    Remote work
    Permanent employment
    Full time
    Part time
    Work at office
    Flexible hours
    Shift work

    State of Washington

    United States
    1 day ago
  • $150k - $240k

     ...ease. We ensure proactive compliance with key environmental laws...  ...Act. As the Principal Investigator you will plan, oversee, and...  ...our office locations or remote. Qualifications You are...  ...will receive our traditional benefits package (health care, vision, dental, paid... 
    Remote work
    Full time
    Work at office
    Local area
    Flexible hours

    Olsson

    Denver, CO
    a month ago
  • $60.2k - $107.4k

    UnitedHealth Group seeks a Senior Investigator to manage agent/broker complaints across various...  ...acting as a subject matter expert on compliance issues. Ideal candidates will have...  ...offers competitive salaries and extensive benefits. #J-18808-Ljbffr UnitedHealth Group
    Remote job

    UnitedHealth Group

    Minnetonka, MN
    4 days ago
  •  ...Solutions Organization LLC (SSO) is seeking a Healthcare Compliance Investigator I to remotely investigate incidents involving Medicaid recipients in...  ...or risk management. SSO offers a competitive benefits package, including medical insurance, a 401(k) plan, and... 
    Remote job

    Staffing Solutions Organization LLC (SSO)

    Brooklyn, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Health & Benefits - Compliance Investigator (Remote). Be the first to apply!