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Volunteer Fraud Investigator Jobs (NOW HIRING)

Hanover Community Bank

Fraud Manager

Hauppauge, NY · On-site

$94K - $116K/yr

The Fraud Officer is responsible for oversight of all fraud investigations, recovery, and ... Voluntary Benefits Additional Life and AD&D Insurance for employee, spouse, and dependents ...

Hanover Community Bank

Fraud Manager

Hauppauge, NY · On-site

$94K - $116K/yr

The Fraud Officer is responsible for oversight of all fraud investigations, recovery, and ... Insurance Voluntary Benefits · Additional Life and AD&D Insurance for employee, spouse, and ...

Bankeasy

FRAML Investigator

Roseville, MN · On-site

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

Bankeasy

FRAML Investigator

Edina, MN

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

Bankeasy

FRAML Investigator

Brookings, SD

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

Bankeasy

FRAML Investigator

Princeton, MN · On-site

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

BankEasy

FRAML Investigator

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

Bankeasy

FRAML Investigator

New Prague, MN · On-site

$50K/yr

This person may also conduct fraud training sessions for large and small groups. Qualifications ... Complete required and voluntary reporting to outside entities/organizations in accordance with ...

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How much do volunteer fraud investigator jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for volunteer 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 volunteer fraud investigator?

A Volunteer Fraud Investigator is an unpaid role where individuals help organizations detect, prevent, and report fraudulent activities. Responsibilities may include analyzing financial records, reviewing transactions, gathering evidence, and assisting with investigations. Volunteers typically work with nonprofits, government agencies, or businesses to support fraud prevention efforts. While no formal experience is required, knowledge of fraud detection, auditing, or law enforcement can be beneficial.

What are the typical day-to-day responsibilities of a volunteer fraud investigator?

As a Volunteer Fraud Investigator, your daily tasks may involve reviewing documentation, analyzing financial records, conducting interviews, and preparing detailed investigative reports. You may collaborate closely with staff investigators, compliance teams, and occasionally external authorities to gather evidence and verify facts. Investigators often need to manage multiple cases simultaneously while maintaining confidentiality and accuracy. This role provides valuable hands-on experience and is ideal for those interested in fraud prevention, forensic accounting, or a related career path.

What are the key skills and qualifications needed to thrive as a volunteer fraud investigator, and why are they important?

To thrive as a Volunteer Fraud Investigator, you need strong analytical skills, attention to detail, and ideally a background in auditing, finance, or criminal justice. Familiarity with fraud detection software, case management systems, and possibly certifications like Certified Fraud Examiner (CFE) can be highly beneficial. Excellent communication, discretion, and collaborative teamwork are standout soft skills in this role. These abilities are important to ensure thorough investigations, protect sensitive information, and effectively contribute to resolving fraud cases.

Are volunteer fraud investigators in demand?

Volunteer fraud investigators are in moderate demand as organizations seek individuals to help identify and prevent financial crimes. Success in this role often requires strong analytical skills, attention to detail, and knowledge of fraud schemes, with some positions offering training or certification opportunities. Demand can vary based on the size and focus of the organization and the prevalence of fraud cases in the community.

How to become a volunteer fraud investigator without a degree?

To become a volunteer fraud investigator without a degree, focus on gaining relevant skills such as understanding fraud schemes, investigation techniques, and data analysis. Volunteering with organizations that offer training or certifications in fraud detection can also enhance your qualifications; some roles may require background checks or prior experience in related fields.

What degree do you need to be a volunteer fraud investigator?

Volunteer fraud investigators typically do not need a specific degree, but a background in criminal justice, accounting, or related fields can be beneficial. Strong analytical skills, attention to detail, and knowledge of fraud detection tools are important for the role. Many organizations also value relevant certifications or training in fraud examination or investigation.

What qualifications do I need to be a volunteer fraud investigator?

Volunteer fraud investigators typically need strong analytical skills, attention to detail, and good communication abilities. Relevant experience in fraud detection, investigations, or law enforcement, along with knowledge of financial or legal concepts, can be beneficial. Some roles may require background checks or basic training in investigative techniques.
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Volunteer Fraud Investigator jobs near you
Infographic showing various Volunteer Fraud Investigator job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $64,132 per year, or $30.8 per hour.

Fraud Investigator-Kansas City, MO area

Kansas City, MO • On-site

Blue Cross and Blue Shield of Kansas City
Insurance Services • 501 - 1,000 employees
Learn more about Blue Cross and Blue Shield of Kansas Cityexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 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, behavioral health, 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
  • Licensed Clinal Social Worker (LCSW)
  • Licensed Professional Counselor (LPC)

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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