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Full Time Fbi Fraud Investigator Jobs (NOW HIRING)

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

El Paso County, Colorado Springs, CO Job Type: Full-Time Job Number: 2600382 Department: Department ... As a desk investigator with our Fraud Unit, you'll reconstruct up to six years of income history ...

Commercial Bank Fraud Investigator Position type: Full-time Pay range: $65,000 - $100,000 Division: Risk and Compliance - BSA / Fraud Work Location Type: San Jose HQ Office Location: San Jose ...

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Full Time Fbi Fraud Investigator information

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How much do full time fbi fraud investigator jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for full time 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 the difference between Full Time Fbi Fraud Investigator vs Full Time Federal Criminal Investigator?

AspectFull Time Fbi Fraud InvestigatorFull Time Federal Criminal Investigator
Required CredentialsBachelor's degree, FBI special agent training, relevant certificationsBachelor's degree, federal law enforcement training, similar certifications
Work EnvironmentFBI headquarters, field offices, investigative unitsVarious federal agencies, field offices, investigative units
Employer & IndustryFederal Bureau of Investigation, law enforcement, criminal justiceVarious federal agencies, law enforcement, criminal justice

Both roles involve federal law enforcement, investigative skills, and similar qualifications. The main difference is that a Full Time Fbi Fraud Investigator specializes in financial crimes and fraud cases within the FBI, while a Full Time Federal Criminal Investigator may work across different federal agencies handling a broader range of criminal investigations.

How much do full time FBI fraud investigators make?

Full-time FBI fraud investigators typically earn a salary ranging from $60,000 to over $100,000 annually, depending on experience, location, and rank. Entry-level agents may start at lower salaries, while experienced investigators with specialized skills or higher clearances can earn more. The FBI also offers benefits such as health insurance, retirement plans, and opportunities for advancement.

Is it hard to become a full time FBI fraud investigator?

Becoming a full-time FBI fraud investigator requires meeting specific qualifications, including a bachelor's degree, relevant work experience, and passing FBI special agent training. Candidates often need strong analytical skills, integrity, and the ability to pass background checks and physical fitness tests. The process is competitive and involves multiple stages of testing and evaluation.

What cities are hiring for Full Time Fbi Fraud Investigator jobs?

Cities with the most Full Time 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 Full Time Fbi Fraud Investigator jobs?

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

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 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.