Remote Desktop Investigator - Fraud & Claims Research
$18 per hourCoventBridge Group
- Remote job
CoventBridge Group is seeking a Remote Desktop Investigator to conduct investigative assignments mainly through phone and online research. You will need a valid Private Investigator's License and strong communication skills. The role offers a compensation of $18.00 per hour and includes company-paid training and remote work flexibility. Ideal candidates can thrive in a fast-paced investigative environment and demonstrate persistence and professionalism. #J-18808-Ljbffr CoventBridge Group
$18 per hour
...Overview Desktop Investigator - Remote Full-Time / Hourly Uncover the Story Behind Every Claim At CoventBridge Group, every case tells a story — and as... ...office, you’ll dig into insurance and fraud investigations using research tools, phone work, and your own...Remote workClaimsFraudHourly payFull timeH1bH2bWorldwideHome office- ...Working remotely in a full-time hourly capacity, a Licensed Desktop Investigator will conduct insurance and fraud investigations primarily through phone and online research, making up to 75 outbound calls daily and writing detailed reports on findings. Key responsibilities...Remote workFraudHourly payFull time
$19.64 - $42.55 per hour
...Job Summary Provides investigative support for special... ...related to health care fraud, waste, and abuse (FWA... ...and program regulation research, provider and member... ...Conducts both on-site and desktop investigations.... ...services, member services, claims, etc.), to gather...Remote workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations... ...detailed reports while working remotely, preferably from Ohio. Key... ..., abuse, and fraud in healthcare claims Document case activities and refer...Remote workClaimsFraudFull time
- ...Providing investigative support for special investigation unit (SIU) activities... ...and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and... ...managed care, Medicaid, Medicare, and claim billing codes Proven...Remote workClaimsFraudFull time
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud, waste,... ...with Medicare and/or Medicaid programs, including medical claim billing Demonstrated experience with data analysis techniques...Remote workClaimsFraudFull time
- ...As a full-time remote Fraud Investigator II, the successful candidate will be responsible for identifying and resolving fraudulent activity across... ...Conduct thorough investigations of fraud alerts and claims, ensuring compliance with regulatory standards Required qualifications...Remote workClaimsFraudFull time
- ...American Insurance Group is seeking a Special Claims Investigator for their Special Investigation Unit. This fully remote role involves detecting and preventing fraudulent... ...of experience in Criminal Investigation or Fraud Detection, along with a relevant Bachelor’s Degree...Remote workClaimsFraud
$19.64 - $42.55 per hour
...JOB DESCRIPTION Provides investigative support for special investigation... ...to medical provider coding fraud, waste and abuse (FWA).... ...following review of post-payment claims. Essential Job Duties Independently... ...systems. Ability to research and interpret regulatory...Remote workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area- Centene Corporation is seeking a remote Fraud Investigator to conduct reviews of medical records and claims to identify fraud and abuse. The role involves analyzing provider billing patterns and preparing recommendations based on findings. A Master’s Degree and relevant...Remote jobClaimsFraud
$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual — shaping... ...prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. Research and prepare cases for clinical and legal...Remote workClaimsFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home- ...organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This... ...and can be performed remotely in several U.S. states.... ...background in healthcare claims analysis, data analysis... ...Responsibilities include researching and documenting FWA...Remote jobClaimsFraud
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a... ...a crucial role in assisting the SIU and claims departments with fraudulent activities related... ...involving suspicions of insurance fraud related to the application of insurance,...Remote workClaimsFraudContract workWork at officeRelocation package
- Safepoint MGA, LLC is seeking a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of actions. The examiner will conduct interviews, coordinate with SIU...Remote jobClaimsFraud
$78.32k - $128.16k
Elevance Health seeks an Investigator II in Los Angeles to investigate healthcare fraud cases, requiring a BA/BS and at least 3... ...experience. The role entails conducting claim reviews, collaboration with law... ...providing the flexibility of remote work. The salary range is $78,32...Remote workClaimsFraud$56.2k - $101k
...Corporation is seeking a skilled individual to conduct comprehensive reviews of medical records and claims, focusing on identifying potential fraud, waste, and abuse. The role is remote nationwide and requires a Master’s Degree along with 2+ years of relevant experience in...Remote jobClaimsFraudFlexible hours- Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree...Remote jobClaimsFraudFull time
$77k - $97k
...Insurance Fraud Investigator Investigate suspected insurance fraud involving... .... This is a fully remote/work from home role where you... ...it impacts real people, real claims, and real trust. We're looking... ..., databases, and digital research methods ~ Comfort using modern...Remote workClaimsFraudTemporary workWork at officeLocal areaWork from homeFlexible hours- ...seeking an experienced candidate for a remote position that involves conducting reviews of medical records and claims to detect fraud, waste, and abuse. The ideal candidate will... ..., as well as close collaboration with investigators. A broad benefits package is provided, including...Remote jobClaimsFraudFlexible hours
$68.04k - $118.8k
...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and... ...various sources to review for suspect activity. Review claim files and develop action plans for the investigation....Remote workClaimsFraudWork experience placement$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate,... ...holidays Flexible approach to work with remote, hybrid, field, or office...Remote workClaimsFraudWork at officeFlexible hours$56.2k - $101k
...reside within the state of Kentucky. Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that... ...a flexible approach to work with remote, hybrid, field or office work schedules...Remote workClaimsFraudFull timePart timeWork at officeFlexible hours$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience, creating healthier... ..., investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources of...Remote workClaimsFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday$67.64k - $101.46k
Elevance Health is seeking an Investigator II in Atlanta, Georgia, to lead investigations into healthcare fraud. The role combines in-office collaboration... ...1-2 days a week with remote flexibility. Responsibilities include conducting claim reviews, developing investigations...Remote workClaimsFraudWork at office2 days per week1 day per week$65.9k - $107.9k
Zurich 56 Company Ltd is seeking an experienced Claims Fraud Investigator to join their team in California. This role involves conducting complex... ...have the flexibility to work in a hybrid model or fully remotely from specific states. The successful applicant will need a...Remote jobClaimsFraud- Zurich North America is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and Investigation team. This role offers a hybrid work model with options for remote work from several states, including California. You will conduct investigations into insurance...Remote jobClaimsFraudWork at office
$67k - $79k
...their best. Great American's Special Investigation Unit (SIU) stands to prevent, detect... ...investigate instances of potential insurance claims fraud, collaborating with business units in... ...state locations. The position is fully remote. Travel is primarily by plane....Remote workClaimsFraudFull timePart timeSeasonal workNight shift- Zurich 56 Company Ltd is seeking an experienced Claims Fraud Investigator for their Claims Fraud and Investigation team. This role offers the flexibility of fully remote work from several states including Arizona, Nevada, California, or Utah. The ideal candidate will conduct...Remote jobClaimsFraud
$49.7k - $88.8k
UnitedHealthcare is seeking an Investigator to oversee the identification, investigation, and prevention of health care fraud, waste, and abuse. The role involves analyzing claims data to detect aberrant billing practices and conducting related field investigations. Successful...Remote jobClaimsFraudWork at office- ...This role offers three weeks of remote company-provided training**... ...the Role:**As a Senior AML Investigator - Financial Crimes, you'll work... ..., terrorist financing, fraud, and sanctions violations, escalating... ...where individuals falsely claim to represent AML RightSource....Remote workClaimsFraudFull timeWork at officeLocal areaWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Desktop Investigator - Fraud & Claims Research. Be the first to apply!
- housing investigator Quincy, MA
- remote customer service chat Quincy, MA
- remote coding part time Quincy, MA
- part time remote medical coder Quincy, MA
- junior python remote Quincy, MA
- physician consultant remote Quincy, MA
- remote sales consultant Quincy, MA
- entry level finance remote Quincy, MA
- remote internship accounting Quincy, MA
- remote outreach specialist Quincy, MA

