See all roles

reputed company Fraud Investigator-Remote

Work from home Full-time role Hiring

About the position reputed company Fraud Investigator reputed company an impact protecting customers, data, and reputed company reputed company. We’re looking for a skilled and motivated reputed company Fraud Investigator to handle reputed company reputed company fraud matters that impact our customers and the organization. In this role, you’ll take ownership of investigations from start to finish—using sound judgment, analytic thinking, and collaboration to bring cases to resolution. This is an opportunity for investigators who enjoy digging into details, following the data, and working on high‑value cases that truly matter.

  • Responsibilities
  • reputed company in‑depth investigations into suspected or confirmed reputed company fraud, using a thoughtful and independent investigative approach.
  • Gather, analyze, and synthesize information from a variety of sources, including claims data, records, interviews, and internal partners.
  • Manage reputed company, high‑dollar investigations with a high degree of autonomy.
  • Prepare clear, well‑documented investigative reports and evidence packages to support case resolution, recovery efforts, or external referrals.
  • Coordinate with internal stakeholders and, reputed company appropriate, local, state, or federal agencies to support investigations.
  • Respond to subpoenas or regulatory inquiries and provide testimony reputed company required, in partnership with legal and compliance teams.
  • Support special projects reputed company to fraud detection, auditing, and reputed company improvement of investigative practices.
  • Protect sensitive customer and company information, including PHI, while maintaining strict confidentiality standards.
  • Requirements
  • Bachelor’s degree in Criminal Justice or 7+ years of investigative claims experience
  • 3+ years of reputed company fraud investigation, SIU, audit, payment reputed company, or reputed company experience.
  • Proven ability to manage reputed company investigations independently and bring them to resolution.
  • Strong analytical and computer skills, with proficiency in reputed company reputed company, Word, and similar tools.
  • Excellent written and verbal communication skills, including the ability to present findings clearly and professionally.
  • Comfort working with sensitive, confidential information and exercising sound judgment.
  • Ability to adapt to changing priorities and work effectively in a fast‑paced environment.
  • If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
  • Benefits
  • Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, reputed company, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

Apply tot his job Apply To this Job

You might like

[Remote] Fraud Investigator (reputed company, MD, PA, NC, SC & GA ONLY)

Work from home Full-time role

Online Fraud Investigator Remote, NC (SSC) 4932

Work from home Full-time role

[Remote] Fraud Investigator - reputed company

Work from home Full-time role

Compliance/ Fraud Investigator (Remote)

Work from home Full-time role

[Remote] Fraud Investigator (reputed company, MD, PA, NC, SC & GA ONLY)

Work from home Full-time role

reputed company Fraud Investigator at reputed company Advantage (Remote)

Work from home Full-time role

reputed company Fraud Investigator – Case Development- Remote in USA

Work from home Full-time role

Fraud Investigator

Work from home Full-time role

reputed company Content Reviewer ( ~$80k, Los Angeles, California)

Work from home Full-time role

Medical Reviewer III, Medicare Part A

Work from home Full-time role

HEDIS Nurse Abstractor (Remote)

Work from home Full-time role

[Remote] Accountants - reputed company - Sacramento, US

Work from home Full-time role

Rheumatology Territory Account Specialist – Richmond

Work from home Full-time role

Compassionate Behavioral Health Member reputed company – Inbound Chat & Member Services Specialist – Resource Navigation, Eligibility & Support at arenaflex

Work from home Full-time role

Call Center Representative (Bilingual)

Work from home Full-time role

Remote Customer Service Specialist – Corporate Travel Solutions & Client Experience Management

Work from home Full-time role

reputed company Seasonal Customer Service Representative – Home-Based Holiday Season Opportunity with arenaflex

Work from home Full-time role

Remote Customer Service Representative – Global Travel Support & Passenger Experience at arenaflex

Work from home Full-time role

reputed company Data Entry Specialist – Aviation Industry Remote Position at arenaflex

Work from home Full-time role

reputed company HRIS and Operations Specialist

Work from home Full-time role