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Our Inspector General Office of Investigations

In the Office of Investigations, we investigate allegations of fraud, waste, or abuse affecting programs administered by the U.S. Office of Personnel Management (OPM). We operate a fraud hotline whereby individuals can report allegations directly to the Office of the Inspector General (OIG). Both the American taxpayers and Federal employees are harmed when OPM programs are defrauded or when misconduct compromises program integrity. We pursue criminal prosecution, civil action, and/or administrative penalties when appropriate. We frequently investigate cases jointly with the Department of Justice (DOJ) and other Federal, state, and local law enforcement agencies. Our investigations are nationwide, so our criminal investigators and analysts are located in small offices across the country, in addition to our office in Washington, DC.

On October 26, 2017, President Donald J. Trump issues a Presidential Memorandum instructing Federal agencies to combat the opioid epidemic.  Our investigative staff is committed to safeguarding FEHBP enrollees and the financial integrity of the taxpayer’s funded trust fund from the devastation impact of this crisis.

Our investigations include:

  • The Federal Employees Health Benefits Program (FEHBP) is the largest employer based health care program in the world covering nearly nine million current Federal employees, retirees, and their eligible family members: The Office of Investigations handles cases related to false claims submitted by both FEHBP participants and health care providers; instances of pharmaceutical fraud or drug diversion; and fraud committed by health care insurance carriers contracting with the FEHBP.
  • Civil Service Retirement System (CSRS) and the Federal Employees Retirement System (FERS): We investigate cases involving improper retirement payments made to deceased annuitants or survivors; theft or diversion of annuity payments; and embezzlement from the Civil Service Retirement and Disability Fund.
  • National Background Investigations Bureau (NBIB): The Office of Investigations pursues cases related to the personnel security and suitability program operated by NBIB, which performs approximately 90% of the background investigations for the Federal Government. Our criminal investigations have involved false statements in and fabrication of background investigation reports by background investigative personnel.
  • We also conduct investigations of OPM employee and contractor misconduct.

Concerned citizens, OPM employees, OPM program offices, and OPM contractors report suspected fraud, waste, and abuse to the OIG. Reports of fraud, waste, and abuse can be submitted to the OIG Hotline, 877-499-7295, write to the OIG, or submit an electronic complaint form. More information can be found on our Hotline to Fraud, Waste or Abuse page. We also use data analysis techniques to identify potential fraud in high risk programs, and we participate in health care fraud task forces across the country. When appropriate, we refer health care providers the OIG's Debarring Official for possible suspension or debarment from the FEHBP.

ALERT! Don't be a victim of medical identity theft. Protect your insurance policy number as you would your credit card information and review your medical bills and explanation of benefits statements.
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