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Contract Fbi Fraud Investigator Jobs (NOW HIRING)

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Provider Fraud Investigator

Lincoln, NE

$25.61/hr

JR2026-00028695 Provider Fraud Investigator (Evergreen) (Open) Applications No Longer Accepted On ... Inspector General, FBI and other appropriate law enforcement agencies; presents cases to ...

Robert Half

Fraud Investigator

Phoenix, AZ · On-site

$30 - $35/hr

We are looking for a Fraud Investigator to support financial crime reviews and investigative work for a long-term contract opportunity based in Phoenix, Arizona. This role is ideal for someone who ...

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Prolim Global

Fraud Investigator (L1)

Milford, OH · On-site

Contract Experience Required: 3+ Years Job Summary : We are seeking an experienced L1 Fraud Investigator to monitor, review, and investigate potentially fraudulent transactions, account activities ...

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How much do contract fbi fraud investigator jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for contract fbi fraud investigator in the United States is $30.83, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $35.34 per hour, depending on experience, location, and employer.

What is a contract FBI fraud investigator?

Contract FBI fraud investigators are professionals who work with the Federal Bureau of Investigation on a contractual basis, rather than as full-time government employees. They assist in investigating financial crimes such as fraud, embezzlement, and other white-collar offenses. These investigators may analyze financial records, gather evidence, interview witnesses, and collaborate with law enforcement partners. Their expertise helps the FBI uncover complex schemes and bring perpetrators to justice, supporting the agency’s mission to combat fraud and protect public interests.

What are the key skills and qualifications needed to thrive as a contract FBI fraud investigator?

To thrive as a Contract FBI Fraud Investigator, you need strong analytical skills, a background in criminal justice or finance, and relevant investigative experience, often supported by a bachelor’s degree. Familiarity with forensic accounting software, data analysis tools, and case management systems is essential, along with possible certifications like Certified Fraud Examiner (CFE). Exceptional attention to detail, critical thinking, and effective communication are crucial soft skills for gathering evidence and collaborating with diverse teams. These competencies are vital for uncovering complex fraud schemes, ensuring accurate investigations, and supporting legal proceedings.

What types of fraud cases do contract FBI fraud investigators typically handle, and how does case assignment work?

Contract FBI Fraud Investigators often work on a variety of financial crimes, including corporate fraud, healthcare fraud, and identity theft. Case assignments are generally based on the investigator's expertise, workload, and the urgency or complexity of current cases. Investigators may collaborate closely with other federal agents, analysts, and legal professionals, often working in teams to coordinate interviews, analyze evidence, and develop leads. The role can involve both independent research and regular briefings with supervising agents to ensure investigations align with bureau priorities.

What cities are hiring for Contract Fbi Fraud Investigator jobs?

Cities with the most Contract Fbi Fraud Investigator job openings:

What are the most commonly searched types of Fbi Fraud Investigator jobs?

The most popular types of Fbi Fraud Investigator jobs are:

What states have the most Contract Fbi Fraud Investigator jobs?

States with the most job openings for Contract Fbi Fraud Investigator jobs include:

Contract Fbi Fraud Investigator jobs near you

Fraud Investigator

Blue Cross and Blue Shield of Kansas City

Kansas City, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:
  • Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
  • Annual incentive bonus plan based on company achievement of goals
  • Time away from work including paid holidays, paid time off and volunteer time off
  • Professional development courses, mentorship opportunities, and tuition reimbursement program
  • Paid parental leave and adoption leave with adoption financial assistance
  • Employee discount program

Job Description Summary:
As part of Blue KC's Special Investigations Unit (SIU), the Fraud Investigator conducts reviews to identify potential fraud, waste, and abuse (FWA) and claim overpayments. Assigned cases and projects are generally of moderate complexity and performed with limited oversight.
Job Description
  • Assist in performing ongoing FWA risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to peers and clinical standards, etc. In conjunction with the Manager and/or Senior Investigator, evaluate FWA risks and prioritize for further review, based upon member health/safety and protection of plan assets.
  • Monitor hotlines, internal referrals, external fraud alerts (e.g., CMS, BCBSA), external healthcare anti-fraud workgroups, and other resources for potential FWA schemes.
  • Conduct investigations of fraud, waste and abuse in accordance with SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations.
  • Create and maintain detailed case files in accordance with SIU policies and procedures, where key investigative activities and outcomes are timely and accurately documented
  • Prepare detailed case reports summarizing investigative findings and recommendations. Present reports to key stakeholders (e.g., Provider Relations, Medical Management, Pharmacy, Claims, Legal)
  • Assist in coordinating responses to subpoenas and preparation of cases for referral to law enforcement and/or regulators.
  • Perform day-to-day activities for vendor-based claim overpayment recovery program (e.g., data file exchanges, proposing / reviewing new audit concepts, coordinating claim adjustments, invoices).
  • Assist in preparing reports for executive updates, Blue KC Audit Committee, BCBSA/FEP surveys, and other reports as needed.
  • Support the FWA training program for Blue KC employees and First Tier, Downstream and Related entities.

Minimum Qualifications
  • Bachelor's degree in criminal justice, finance, accounting, medical or other relevant academic discipline. 1 years investigative experience in the following areas (e.g., medical review, financial, medical analytics, research & adjustment, appeals) that provided the types and levels of knowledge, skills, and abilities required.
  • Strong communication skills with a broad range of individuals and groups (e.g., members, providers, operational areas, medical directors, provider relations, legal counsel, senior management)

Preferred Qualifications
  • Master's degree in criminal justice, finance, accounting, medical or other relevant academic discipline
  • 3 years' experience conducting healthcare FWA investigations at a health insurer; experience analyzing claims data to identify FWA trends and patterns using tools such as Excel and business intelligence platforms (e.g., Power BI, Business Objects).
  • Knowledge of major BCBSKC business systems (e.g., Facets, ITS Host and Home) and operational processes (e.g., Claims Processing, Pharmacy, Provider Contracting/Relations, Member Services, Customer Service)
  • Knowledge of BCBSKC provider contracts, medical policies and member benefits
  • Knowledge of medical terminology and ICD/CPT coding
  • Experience working with the regulators (e.g., CMS, State Department of Insurance) and law enforcement (e.g., FBI, DEA, HHS-OIG, OPM-OIG and/or Department of Justice)
  • Juris Doctorate
  • Coding Certification: AAPC, AHIMA
  • FWA Certification: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI)
  • Medical License: Registered Nurse (RN), Licensed Practical Nurse (LPN), pharmacist, physician

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

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