Document and alert the relevant internal parties to ensure the fraudulent activity is stopped on a timely basis and plans are made to prevent similar incidents from recurring.
December 18, 2022
Assist and ensure timely and accurate completion of ongoing projects and goals to mitigate risk and resolve disputes.
February 14, 2023
Demonstrates up-to-date expertise in Corporate Investigations - Fraud and applies this to the development, execution, and improvement of action plans by providing expert advice and guidance to others in the application of information and best practices.
July 19, 2022
Prepare suspicious activity reports (SAR) within reasonable timeframes, and in accordance with Corporate Investigations policy and procedures, requiring only minor corrections from supervisory reviews.
January 08, 2023
Collect, evaluate and analyze computerized data and other evidence (including but not limited to medical claims data, financial records and legal documents.
April 13, 2023
Participate in and coordinate meetings as it relates to preventing, detecting, and correcting FWA within the Plan, including FWA Subcommittee meetings.
April 15, 2023
Support internal and external communication strategy to proactively share with clients the value being driven for them and simultaneously engage the employee base within the business.
April 26, 2023
Management or lead experience in a Healthplan or Vendor SIU.
April 27, 2023
Provide support to integral anti-fraud personnel to identify and provide training regarding various subjects to increase fraud awareness.
May 06, 2023