Top 34 certified fraud examiner Jobs in remote

Fraud Risk Management Senior Manager
Allstate —Chicago, IL
- $110,000 - $160,000 a year
- Remote
- Analysis skills
- Mentoring
- US work authorization
- Work from home
Senior Investigator (Healthcare FWA)
Cotiviti —Remote
- $70,000 - $90,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Travel
- Paid holidays
- Disability insurance
Fraud Risk Management Senior Consultant I
Allstate —Remote
- $62,100 - $103,950 a year
- Remote
- Research
- SQL
- Fair chance
Supervisor - Audit/Investigation
Qlarant —Remote
- $66,285 - $100,432 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
8h
SME - Medicaid Program Integrity and Claims Audits
BerryDunn —Remote
- $120,000 - $140,000 a year
- Full-time
- Bachelor of Science
- Research
- Analysis skills
- Dental insurance
Auditor (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $50,904 - $101,101 a year
- Online Application
- Remote
- CPA
- Mid-level
- Finance
Quick Apply
Senior Internal Controls Analyst
Devoted Health —Remote
- $58,000 - $115,000 a year
- Full-time
- Remote
- CPA
- Research
- 3 years
- Health insurance
- Dental insurance
IT Auditor
Ferguson Enterprises, LLC —Richmond, VA
- $5,608.34 - $8,975.00 a month
- Full-time
- Remote
- Oracle
- CPA
- Computer Science
- Paid parental leave
- Health insurance
Sr. Program Integrity Analyst
HHAeXchange —Remote
- $130,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Presentation skills
- Paid holidays
- Health insurance
Quick Apply
Senior Auditor
Contact Government Services, LLC —Remote
- $80,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
SIU Healthcare Investigator (Full-time, Remote)
Integrity Management Services, Inc. —Alexandria, VA
- Full-time
- Remote
- Microsoft Excel
- Writing skills
- Mid-level
Quick Apply
3d
Senior Investigator
UnitedHealthcare —Dallas, TX
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Driver's License
- AD&D insurance
- Employee stock purchase plan
FWA Special Investigations Unit (SIU) Investigator
Summa Health —Akron, OH
- $28.10 - $42.15 an hour
- Full-time
- Remote
- Microsoft Office
- Analysis skills
- Bachelor's degree
- AD&D insurance
- Disability insurance
2d
Claims Examiner - Workers' Compensation
Gallagher —Rancho Cordova, CA
- $44,500 - $87,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- 3 years
- Paid parental leave
- Health savings account
Senior Specialist, Coding Auditor
Oscar Health —Remote
- $58,870 - $85,853 a year
- Remote
- HIPAA
- Mid-level
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
6d
Forensic Accountant, Manager/Partner
YA Group —Remote
- Full-time
- Remote
- CPA
- Finance
- Analysis skills
- Parental leave
- 401(k) matching
Sr Internal Auditor I
Florida Blue —Jacksonville, FL
- $71,200 - $115,700 a year
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
- Wellness program
- Disability insurance
Senior Investigator - Remote in Ohio
UnitedHealthcare —Columbus, OH
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Driver's License
- AD&D insurance
- Employee stock purchase plan
Investigator- Remote in Nebraska
UnitedHealthcare —Omaha, NE
- $49,700 - $88,800 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Analysis skills
- AD&D insurance
- Employee stock purchase plan
Senior Fraud Analyst
C2 Alaska, LLC —Washington, DC
- Up to $61 an hour
- Full-time
- Remote
- 6 years
- Writing skills
- Finance
14d

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certified fraud examiner jobs near remote

Fraud Risk Management Senior Manager

Allstate -
Chicago, IL

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Job Details

$110,000 - $160,000 a year

Benefits

Internet reimbursement
Work from home

Qualifications

AI models
Staff supervision
Strategic goal setting
Strategic management
Program design
Program management
Regulatory documents
Data analysis reporting
Incident management
Team supervision
Triage
Operations coordination planning
Certified Fraud Examiner
Performance Reporting
Gap analysis
Managing data teams
Audit Reporting
Global team management
Compliance reporting
Change management
Team development
Hiring
Analysis skills
Policy & process development
Machine intelligence
Incident management operations support
Mentoring
Incident Investigation
Relationship management
Leading team collaboration initiatives

Full Job Description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.

Job Description

The Fraud Risk Management Senior Manager role leads the Fraud Risk and Return Management (FRRM) team, a cross-functional group of up to 10 fraud business consultants and technical analysts, responsible for advancing Allstate's enterprise fraud governance, escalation, and analytics capabilities. This role provides strategic and operational leadership across a broad fraud risk landscape, serving as the central coordination point for fraud-related issues across Areas of Responsibility (AORs), business units, and senior leaders. In addition, this role is accountable for leading fraud incident response and remediation efforts and champions the buildout of fraud data infrastructure.

Key Responsibilities

Frequently advise others on complex fraud matters, weighing alternatives and considering implication of fraud risk and return tradeoff decisions
Provide thought leadership in advancing important fraud-related strategies, including formalization of the enterprise incident and investigation function, initiation of enterprise control inventory and loss analysis, and management of control gap analysis and recommendations
Introduce and lead change effectively through partnerships with fraud stakeholders across the enterprise, including data science community, technology, and key first line fraud fighting agencies in Claims, Product, Underwriting, and other Family of Companies
Lead and manage the FRRM team, establishing budget, staffing, expense priorities, and performance goals, advocating for learning and development for the team, and mentoring for less-experienced team members
Represent fraud interests of Allstate in multiple industry consortiums over fraud, and bring back industry best practices and knowledge
Provide thought leadership and supervision of the fraud technical analytics roles, with the goals to fully leverage and optimize the use of data, analytic and machine learning to help proactively identify fraud across the enterprise.
Coordinate all functions within FRRM and Audit Risk Analytics, creating necessary synergies between fraud operations, technical analytics, and incident response teams, with a primary objective of preventing and detecting fraud across Allstate and the Family of Companies
Represent fraud interests guided by in-depth knowledge of key business strategic initiatives
Establish and continue to enhance the overall Enterprise fraud risk and return management program and review as the designated FRRM Program Lead
Champion overall enterprise fraud opportunities and loss reporting, coordinating with multiple stakeholders across various AORs and Family of Companies
Partner with business functions to identify process/control vulnerabilities and produce clear, actionable reports detailing exposure, control gaps, and remediation recommendations.
Collaborate with Fraud Insights and Data Science to design, test, and deploy AI/ML-driven detection, triage, and prevention strategies, iterating based on outcomes and loss analytics.
Ability to strategically lead across time zones and manage global, cross-functional teams (US, UK, India).
Regulatory reporting/filing experience (monthly/quarterly cadence), with strong documentation, accuracy, and audit-readiness.
CFE certification (Certified Fraud Examiner) strongly preferred

Experience

5 or more years of experience (Preferred)

Supervisory Responsibilities

This job has supervisory duties.

#LI-JH1

Skills

Fraud Analysis, Fraud Auditing, Fraud Detection, Fraud Management Systems, Fraud Modeling, Fraud Operations, Fraud Prevention, Fraud Risk Management, Leadership, Risk Analytics, Strategic Planning, Team Management, Team Strategy

Compensation

Base compensation offered for this role is $110,000- 160,000 / annually and is based on experience and qualifications.
*** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role.

The candidate(s) offered this position will be required to submit to a background investigation.

Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact.

Allstate generally does not sponsor individuals for employment-based visas for this position.

Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.

For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.

For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.

To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.

To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.

It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.

Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs.

When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.

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Refine Your Search

certified fraud examiner jobs in remote

Fraud Risk Management Senior Manager

Senior Investigator (Healthcare FWA)

Fraud Risk Management Senior Consultant I

Supervisor - Audit/Investigation

SME - Medicaid Program Integrity and Claims Audits

Auditor (Remote)

Senior Internal Controls Analyst

IT Auditor

Sr. Program Integrity Analyst

Senior Auditor

SIU Healthcare Investigator (Full-time, Remote)

Senior Investigator

FWA Special Investigations Unit (SIU) Investigator

Claims Examiner - Workers' Compensation

Senior Specialist, Coding Auditor

Forensic Accountant, Manager/Partner

Sr Internal Auditor I

Senior Investigator - Remote in Ohio

Investigator- Remote in Nebraska

Senior Fraud Analyst

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