Group items tagged Become - Koyal Private Training Group

Investigator Education at Koyal Group: What Credentials Are Needed to Become an Insuran... - 5 views

Work.Chron.com Insurance investigators research and verify claims to make sure no fraud or cheating is involved. They search records and databases, conduct personal interviews and inspect damaged v...

Investigator Education at Koyal Group What Credentials Are Needed to Become an Insurance Investigator?

started by Luan Pereira on 12 Mar 14 no follow-up yet

Erin Cuddy, Daniel Schweizer, Doreen Wolf, and karizavala liked it

The Koyal Training Group, Health care fraud a growing criminal enterprise - 1 views

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The Koyal Training Group Health care fraud a growing criminal enterprise

shared by Stanley Friel on 03 Feb 14 - No Cached

Stanley Friel on 03 Feb 14

Since March 2007, federal investigators have uncovered more than $5 billion in Medicare fraud, but they suspect that might just be the tip of the iceberg. As the prolific bank robber Willie Sutton reportedly said of robbing banks - because that's where the money is - health care fraud has become a huge problem throughout the country. According to the U.S. Department of Justice, Georgia ranks 12th in investigations, seventh in the number of fraud cases and sixth in total recovered - almost $98.95 million in 2012. In the Southern District of Georgia, more than $27 million in restitution was collected last year in one of the country's largest Medicare fraud prosecutions in 2005 - The Bio-Med Plus in Savannah. In Augusta, optometrist Jeffrey Sponseller was sentenced Jan. 9 to 33 months in prison and ordered to pay $441,000 in restitution for bilking Medicare. Federal investigations into Medicare fraud have exploded in response to the problem, said David Stewart, who recently left the U.S. attorney's office where one of his duties was health care fraud coordinator. Medicare fraud affects everyone because Medicare has become the primary health care coverage for most Americans when they turn 65, said Kenneth Crowder, who recently left the U.S. attorney's office and joined Stewart in private practice. When Medicare coverage started in 1966, 19.1 million were enrolled. In 2013, that number was 43.5 million, according to the Centers for Medicare and Medicaid Services. With the last of the baby boomer generation turning 50 this year and increased health insurance coverage through the Affordable Care Act, Stewart and Crowder said fraud is expected to expand. Going after health care fraud holds the promise of getting money back for the government, Stewart said, which is another reason the Justice Department has set that as a top goal. The attack on those defrauding Medicare and military health care provider TriCare occurs in crimina

<div class="cArrow"> </div><div class="cContentInner">Since March 2007, federal investigators have uncovered more than $5 billion in Medicare fraud, but they suspect that might just be the tip of the iceberg. As the prolific bank robber Willie Sutton reportedly said of robbing banks - because that's where the money is - health care fraud has become a huge problem throughout the country. According to the U.S. Department of Justice, Georgia ranks 12th in investigations, seventh in the number of fraud cases and sixth in total recovered - almost $98.95 million in 2012. In the Southern District of Georgia, more than $27 million in restitution was collected last year in one of the country's largest Medicare fraud prosecutions in 2005 - The Bio-Med Plus in Savannah. In Augusta, optometrist Jeffrey Sponseller was sentenced Jan. 9 to 33 months in prison and ordered to pay $441,000 in restitution for bilking Medicare. Federal investigations into Medicare fraud have exploded in response to the problem, said David Stewart, who recently left the U.S. attorney's office where one of his duties was health care fraud coordinator. Medicare fraud affects everyone because Medicare has become the primary health care coverage for most Americans when they turn 65, said Kenneth Crowder, who recently left the U.S. attorney's office and joined Stewart in private practice. When Medicare coverage started in 1966, 19.1 million were enrolled. In 2013, that number was 43.5 million, according to the Centers for Medicare and Medicaid Services. With the last of the baby boomer generation turning 50 this year and increased health insurance coverage through the Affordable Care Act, Stewart and Crowder said fraud is expected to expand. Going after health care fraud holds the promise of getting money back for the government, Stewart said, which is another reason the Justice Department has set that as a top goal. The attack on those defrauding Medicare and military health care provider TriCare occurs in crimina</div>

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What Credentials Are - 0 views

The Koyal Training Group What Credentials Are Needed to Become an Insurance Investigator

started by Daniel Schweizer on 14 Feb 14 no follow-up yet

The Koyal Training Group: Insurance Fraud Investigator Training and Degree Program Info... - 0 views

There are not set education standards for becoming an insurance fraud investigator. Some available options to potential insurance fraud investigators include a certificate program in private invest...

The Koyal Training Group Insurance Fraud Investigator and Degree Program Information

started by Skye Schmeitz on 13 Feb 14 no follow-up yet

The Koyal Group Private Training Services on Fraud investigation tips from Deloitte's M... - 1 views

www.fiercehealthpayer.com/...2014-06-24

The Koyal Group Private Training Services Fraud investigation tips Deloitte's Mike Little

shared by Daniel Schweizer on 30 Jun 14 - No Cached

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Daniel Schweizer on 30 Jun 14

FierceHealthPayer: Anti-Fraud: What are some early indicators SIUs can watch for signaling that reports of potential fraud, waste and abuse may become significant or urgent cases? Mike Little: Assessing allegations early is a challenge, but taking some specific and general steps can help SIUs determine if a case may become a priority. The first specific step is assessing the allegation. What's involved, and what's the scope of the issue? Could it be part of a larger problem or national scheme with the potential for media attention? Also check if patient safety is at risk. Financial harm at the expense of patients is an area that becomes urgent very quickly. And different case steps are necessary if patient safety issues are involved as opposed to financial issues alone. Are there signs that unlicensed individuals are at work? This can raise questions about your company's credentialing and due diligence processes that affect patient safety. And lastly, determine if employees from your organization may be implicated. That may cause reputational harm and indicate internal control weaknesses. But insurers and the federal government can no longer wait for complaints to arrive because often by then there's been significant loss. So SIUs should also take general steps to spot trends and risks. These steps involve knowledge. First, plug into a healthcare fraud task force. These exist nationwide and include other SIUs and federal and state law enforcers and regulators. These groups are the wave of the future in terms of public and private partnerships. There's a great deal of information shared about what's happening at other companies or in other segments of the community.

<div class="cArrow"> </div><div class="cContentInner">FierceHealthPayer: Anti-Fraud: What are some early indicators SIUs can watch for signaling that reports of potential fraud, waste and abuse may become significant or urgent cases? Mike Little: Assessing allegations early is a challenge, but taking some specific and general steps can help SIUs determine if a case may become a priority. The first specific step is assessing the allegation. What's involved, and what's the scope of the issue? Could it be part of a larger problem or national scheme with the potential for media attention? Also check if patient safety is at risk. Financial harm at the expense of patients is an area that becomes urgent very quickly. And different case steps are necessary if patient safety issues are involved as opposed to financial issues alone. Are there signs that unlicensed individuals are at work? This can raise questions about your company's credentialing and due diligence processes that affect patient safety. And lastly, determine if employees from your organization may be implicated. That may cause reputational harm and indicate internal control weaknesses. But insurers and the federal government can no longer wait for complaints to arrive because often by then there's been significant loss. So SIUs should also take general steps to spot trends and risks. These steps involve knowledge. First, plug into a healthcare fraud task force. These exist nationwide and include other SIUs and federal and state law enforcers and regulators. These groups are the wave of the future in terms of public and private partnerships. There's a great deal of information shared about what's happening at other companies or in other segments of the community.</div>

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The Koyal Training Group, Identity theft is a nightmare that can ruin lives - 1 views

www.lancastereaglegazette.com/...theft-nightmare-can-ruin-lives

The Koyal Training Group Identity theft is a nightmare that can ruin lives

shared by Wendy Johnson on 06 Feb 14 - No Cached

Wendy Johnson on 06 Feb 14

LANCASTER - Local law enforcement officials say identity theft is a nightmare that can ruin its victims' lives. Unfortunately for Maryanne Sicat, of Lancaster, she is living that nightmare. "For the last three years, I've been trying to clean up my credit and fix my finances and rebuild financially because I had my identity taken and used at several places," she said. Sicat has received bills from stores and utility companies for goods and services she did not purchase. Also, she was buying a television in 2013 at a big-box store and her telephone number came up under the name of a California man. "One time is OK," Sicat said. "The second store makes you wonder. But then every single store that I went to Christmas shopping, it was the same thing. So that's why I started checking into it more." She has the name of the person she thinks is using her information but has no idea how the person got her phone number. So Sicat filed a complaint with the Federal Trade Commission and the Lancaster Police Department, and she has become another identity fraud statistic. The FTC said identity fraud is the top complaint it has dealt with in the past 13 years. It received 369,132 such complaints in 2012, or 18 percent of its total complaints. Identity fraud dwarfed complaints about debt collectors, which was in second place with 199,721, according to information the FTC provided. Fairfield County Sheriff Dave Phalen said there have not been a large number of identity fraud and identity theft cases locally. However, that is little consolation to Sicat and others like her. "Everything's on credit," she said. "So you can't do anything. You can't buy anything. It's embarrassing, and it's extremely frustrating because it makes me paranoid. I don't trust anybody." What is identity fraud? Detective James Nicolia, of the Fairfield County Sheriff's Office, said identity fraud is when a person uses another's identity for financial gain o

<div class="cArrow"> </div><div class="cContentInner">LANCASTER - Local law enforcement officials say identity theft is a nightmare that can ruin its victims' lives. Unfortunately for Maryanne Sicat, of Lancaster, she is living that nightmare. "For the last three years, I've been trying to clean up my credit and fix my finances and rebuild financially because I had my identity taken and used at several places," she said. Sicat has received bills from stores and utility companies for goods and services she did not purchase. Also, she was buying a television in 2013 at a big-box store and her telephone number came up under the name of a California man. "One time is OK," Sicat said. "The second store makes you wonder. But then every single store that I went to Christmas shopping, it was the same thing. So that's why I started checking into it more." She has the name of the person she thinks is using her information but has no idea how the person got her phone number. So Sicat filed a complaint with the Federal Trade Commission and the Lancaster Police Department, and she has become another identity fraud statistic. The FTC said identity fraud is the top complaint it has dealt with in the past 13 years. It received 369,132 such complaints in 2012, or 18 percent of its total complaints. Identity fraud dwarfed complaints about debt collectors, which was in second place with 199,721, according to information the FTC provided. Fairfield County Sheriff Dave Phalen said there have not been a large number of identity fraud and identity theft cases locally. However, that is little consolation to Sicat and others like her. "Everything's on credit," she said. "So you can't do anything. You can't buy anything. It's embarrassing, and it's extremely frustrating because it makes me paranoid. I don't trust anybody." What is identity fraud? Detective James Nicolia, of the Fairfield County Sheriff's Office, said identity fraud is when a person uses another's identity for financial gain o</div>

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Koyal Group Training Services, How to prevent fraudulent claims? - 4 views

How to prevent, detect and investigate fraudulent claims Insurance fraud equates to around £16m every week and £840m a year. The footage below shows a college student noticing water in the recepti...

How to prevent detect and investigate fraudulent claims Koyal Group Training Services

started by Daniel Schweizer on 29 May 14 no follow-up yet

Erin Cuddy, Daniel Schweizer, and Doreen Wolf liked it

The Koyal Training Group, How to pay off multiple credit cards - 1 views

www.latimes.com/...talk-20140202,0,4575804.column

The Koyal Training Group How to pay off multiple credit cards

shared by Doreen Wolf on 07 Feb 14 - No Cached

Doreen Wolf on 07 Feb 14

Dear Liz: I'm confused about paying down credit card debt. Some say to pay the lowest-balance cards first and others say the highest balance or the one with the highest interest. I have almost $16,000 on credit cards ranging from a $4,930 balance on a card with an 8.24% interest rate to $660 on a card with an 18% rate. Answer: Actually, the first question you should ask is "How much credit card debt do I have compared to my income?" If your balances equal half or more of your annual earnings, you may not be able to pay it all off. You should make appointments with a legitimate credit counselor (such as one affiliated with the National Foundation for Credit Counseling at http://www.nfcc.org) and a bankruptcy attorney (referrals from the National Assn. of Consumer Bankruptcy Attorneys at http://www.nacba.org). If your situation isn't that dire, the fastest way out of debt is to pay the minimums on your lower-rate cards and send as much money as possible to your highest-rate card. Once that's paid off, concentrate on paying off the next-highest-rate card, and so on. Some people instead like to target balances from smallest to largest to get a quicker feeling of victory, but you typically pay more in interest with that approach. Ranking credit card firms Dear Liz: My wife and I have had our bank's airline cards a long time, but we want to change because it's become almost impossible to cash in the miles. What I don't see in various card-comparison articles are ratings of the card issuers for customer service and fraud protection. Our bank has been quite good at both, but what about the other issuers? Answer: People are often unduly impressed when their credit card issuers contact them frequently about possibly fraudulent charges. The issuers are the only ones at risk in these situations, since under "zero liability" policies you can't be held responsible for bogus charges. Also, if their software were better, they might do a better job of separating legitimate f

<div class="cArrow"> </div><div class="cContentInner">Dear Liz: I'm confused about paying down credit card debt. Some say to pay the lowest-balance cards first and others say the highest balance or the one with the highest interest. I have almost $16,000 on credit cards ranging from a $4,930 balance on a card with an 8.24% interest rate to $660 on a card with an 18% rate. Answer: Actually, the first question you should ask is "How much credit card debt do I have compared to my income?" If your balances equal half or more of your annual earnings, you may not be able to pay it all off. You should make appointments with a legitimate credit counselor (such as one affiliated with the National Foundation for Credit Counseling at <a href="http://www.nfcc.org" rel="nofollow" target="_blank">http://www.nfcc.org</a>) and a bankruptcy attorney (referrals from the National Assn. of Consumer Bankruptcy Attorneys at <a href="http://www.nacba.org" rel="nofollow" target="_blank">http://www.nacba.org</a>). If your situation isn't that dire, the fastest way out of debt is to pay the minimums on your lower-rate cards and send as much money as possible to your highest-rate card. Once that's paid off, concentrate on paying off the next-highest-rate card, and so on. Some people instead like to target balances from smallest to largest to get a quicker feeling of victory, but you typically pay more in interest with that approach. Ranking credit card firms Dear Liz: My wife and I have had our bank's airline cards a long time, but we want to change because it's become almost impossible to cash in the miles. What I don't see in various card-comparison articles are ratings of the card issuers for customer service and fraud protection. Our bank has been quite good at both, but what about the other issuers? Answer: People are often unduly impressed when their credit card issuers contact them frequently about possibly fraudulent charges. The issuers are the only ones at risk in these situations, since under "zero liability" policies you can't be held responsible for bogus charges. Also, if their software were better, they might do a better job of separating legitimate f</div>

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Travel Agent: A Veteran Private Investigator Goes on Trial. But Some Say It's a Set-Up - 2 views

Private Training at Koyal Group Travel Agent: Veteran Investigator Goes on Trial. But Some Say It's a Set-Up

started by Skye Schmeitz on 17 Feb 14 no follow-up yet

The Koyal Training Group: Fair Claims Training - 1 views

<img src="http://koyaltraininggroup.org/img/pic6.jpg" alt=""> Koyal Training is dedicated to delivering high-value insurance education to all California Insurance Companies, Self Insured's, a...

The Koyal Training Group Fair Claims

started by Skye Schmeitz on 15 Feb 14 no follow-up yet

The Koyal Group Private Training Services - Watching the detectives: behind the scenes ... - 1 views

Koyal Group Private Training Services - Watching the detectives: behind scenes with crime-fighting Sian Lloyd

started by Daniel Schweizer on 13 Jun 14 no follow-up yet

Texas Investigated Insurance Fraud Cases in 2013 by Koyal Group Training Services - 4 views

Texas Investigated More than 550 Insurance Fraud Cases in 2013 Texas Department of Insurance Fraud Unit opened investigations into more than 550 insurance fraud cases in 2013. More than $10.3 mil...

Texas Investigated More than 550 Insurance Fraud Cases in 2013 Koyal Group Training Services

started by Daniel Schweizer on 31 May 14 no follow-up yet

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Koyal Group Training Services: 5 tips for new parents considering life insurance - 3 views

Original Source at starherald.com Few personal milestones compel someone to buy life insurance coverage like becoming a parent. In the event of an untimely death, life insurance can serve as a fi...

5 tips for new parents considering life insurance Koyal Group Training Services

started by Daniel Schweizer on 26 May 14 no follow-up yet

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The Koyal Group Private Training Services - 'It defies belief': Snowden condemns UK's n... - 1 views

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The Koyal Group Private Training Services It defies belief: Snowden condemns UK's new surveillance bill

started by Daniel Schweizer on 22 Jul 14 no follow-up yet

Two million of us guilty of this insurance fraud of Koyal Group Training Services - 1 views

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Two million of us guilty this insurance fraud Koyal Group Training Services

started by karizavala on 21 May 14 no follow-up yet

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The Koyal Group Training: Social Media, a Trove of Clues and Confessions - 4 views

Source: http://www.nytimes.com/2014/02/16/sunday-review/social-media-a-trove-of-clues-and-confessions.html?hpw&rref=opinion&_r=0 IT seems as if every week there's a news story about someone commit...

Private Training at Koyal Group Social Media a Trove of Clues and Confessions

started by Skye Schmeitz on 21 Feb 14 no follow-up yet

Erin Cuddy, Stanley Friel, and Doreen Wolf liked it

The Koyal Training Group: Professional help is at hand - 2 views

Source: http://www.theage.com.au/national/education/professional-help-is-at-hand-20140214-32q1k.html Jack is in grade 2 and can't read simple three-letter words, but he seems quite smart. His t...

Private Training at Koyal Group Professional help is hand

started by Skye Schmeitz on 19 Feb 14 no follow-up yet

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Investigative Training at Koyal Group: Labour calls for new cyber-crime powers - 6 views

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Investigative Training at Koyal Group Labour calls for new cyber-crime powers

started by Erin Cuddy on 05 Mar 14 no follow-up yet

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The Koyal Group Private Training Services: Minimizing the risk of identity theft - 1 views

(Special) - Identity theft is a very real and present danger. In the past 12 months some seven million Canadians became victims of identity theft with an average direct cost per victim of US$372.00...

The Koyal Group Private Training Services

started by chelseabal09 on 09 Aug 14 no follow-up yet

The Koyal Group Private Training Services: 30 Day Sharp Shooter - 1 views

The Koyal Group Private Training Services 30 Day Sharp Shooter

started by Skye Schmeitz on 17 Jul 14 no follow-up yet

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Investigator Education at Koyal Group: What Credentials Are Needed to Become an Insuran... - 5 views

The Koyal Training Group, Health care fraud a growing criminal enterprise - 1 views

What Credentials Are - 0 views

The Koyal Training Group: Insurance Fraud Investigator Training and Degree Program Info... - 0 views

The Koyal Group Private Training Services on Fraud investigation tips from Deloitte's M... - 1 views

The Koyal Training Group, Identity theft is a nightmare that can ruin lives - 1 views

Koyal Group Training Services, How to prevent fraudulent claims? - 4 views

The Koyal Training Group, How to pay off multiple credit cards - 1 views

Travel Agent: A Veteran Private Investigator Goes on Trial. But Some Say It's a Set-Up - 2 views

The Koyal Training Group: Fair Claims Training - 1 views

The Koyal Group Private Training Services - Watching the detectives: behind the scenes ... - 1 views

Texas Investigated Insurance Fraud Cases in 2013 by Koyal Group Training Services - 4 views

Koyal Group Training Services: 5 tips for new parents considering life insurance - 3 views

The Koyal Group Private Training Services - 'It defies belief': Snowden condemns UK's n... - 1 views

Two million of us guilty of this insurance fraud of Koyal Group Training Services - 1 views

The Koyal Group Training: Social Media, a Trove of Clues and Confessions - 4 views

The Koyal Training Group: Professional help is at hand - 2 views

Investigative Training at Koyal Group: Labour calls for new cyber-crime powers - 6 views

The Koyal Group Private Training Services: Minimizing the risk of identity theft - 1 views

The Koyal Group Private Training Services: 30 Day Sharp Shooter - 1 views

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