Support Beneficiaries, Spot Errors, and Help Prevent Health Care Fraud
Opportunity Overview
As a Complex Interactions Specialist, you become a trusted expert in recognizing and responding to health care fraud, which is one of the fastest‑growing threats facing older adults today. You’ll learn how to spot the latest fraud methods, understand how scammers operate, and gain the confidence to guide beneficiaries through confusing or stressful situations with clarity and care.
Many volunteers choose this role because they or someone they love has been affected by fraud. This opportunity lets you stand on the other side by helping others avoid the harm, fear, and financial loss that you or your loved ones may have experienced.
Health care fraud is a major issue nationwide:
- An estimated $60 billion is lost to Medicare fraud each year.
- Nearly 1 in 10 adults over 65 reports being targeted by health‑related scams annually.
Your voice can help stop it.
This is a fully virtual volunteer role, with all interactions handled by phone through the SMP Helpline. You’ll have meaningful, in‑depth conversations with beneficiaries, caregivers, and family members who reach out with concerns. You help them feel heard, supported, and guided.
You may act on behalf of a beneficiary to correct an error or refer suspected fraud to the proper authorities. Many interactions involve reviewing personal information such as billing statements or other related financial and health documents, always with care and confidentiality.
What You’ll Do
- Respond to helpline calls routed to your SMP‑provided cellphone
- Review documents such as billing statements when needed
- Help identify errors and support beneficiaries in correcting them
- Refer suspected fraud to appropriate authorities
- Provide clear guidance with patience and professionalism
- Maintain confidentiality and handle sensitive information with care
Why This Role Matters
Health care fraud and billing errors can be overwhelming for older adults and caregivers. Your support helps beneficiaries feel safe, informed, and empowered and ensures concerns are addressed quickly and accurately. Every call you take helps protect someone’s health, finances, and peace of mind.
Who Thrives in This Role
- Volunteers who enjoy detailed, meaningful conversations
- People who are calm, patient, and good at explaining complex topics
- Helpers comfortable reviewing documents and spotting inconsistencies
- Anyone who wants to make a real, tangible difference in someone’s life
Time Commitment
- Flexible shifts ranging from 1–6 hours per week
- Volunteers sign up for shifts based on their availability
- All shifts are completed virtually using your SMP‑provided cellphone
Training & Requirements
- Orientation and training provided in‑person and online
- Background check required
- Training ensures you feel confident, knowledgeable, and ready to support community members
Impact
Your voice, your clarity, and your care help beneficiaries navigate confusing situations with confidence. You become a trusted guide — and a key part of protecting older adults from fraud, errors, and abuse.
If you'd like to learn more or get involved, simply select the green respond button. If this role isn’t quite the right fit, reach out! Let’s find a way for you to get involved that matches your life, your skills, and what you’re hoping to get out of volunteering.
