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Dirk Braun

Koyal Group Training Services: My Biz: Making private investigation a family business - 1 views

Hunting down a witness, catching a cheating spouse, finding out if someone is really injured - Jeff Marlin of Marlin's Special Investigation doesn't have a typical job. Marlin's father, Mike Marl...

Koyal Group Training Services My Biz: Making private investigation a family business

started by Dirk Braun on 09 Apr 14 no follow-up yet
Wendy Johnson

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
Daniel Schweizer

The Koyal Group Private Training Services: Tips and Tools for Insurance Fraud Investiga... - 1 views

Technology and social media are great tools used to investigate insurance fraud, according to expert panelists who spoke at the recent Risk and Insurance Management Society conference in Denver. S...

The Koyal Group Private Training Services: Tips and Tools for Insurance Fraud Investigations

started by Daniel Schweizer on 26 Jun 14 no follow-up yet
Dirk Braun

Koyal Group Training Services: Taking Charge: Be aware, be alert, don't get scammed - 1 views

Q: I am a widow who lives in Westerly. Recently, I received a call from someone who claimed to be from Social Security. The caller claimed that Social Security was updating its records and needed t...

Koyal Group Training Services Taking Charge: aware be alert don't get scammed

started by Dirk Braun on 13 Apr 14 no follow-up yet
Stanley Friel

Social Insurance Compliance in China, Insurance Compliance at Koyal Group - 6 views

In this article, we explore China's social security system, which is especially complex because it is organized at the regional level. While the formal social security system only covers urban work...

Insurance Compliance at Koyal Group Social in China

started by Stanley Friel on 06 Mar 14 no follow-up yet
Daniel Schweizer

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
Erin Cuddy

About Koyal Private Training Group - 1 views

What We Offer * Koyal Training Group provides the following: * Online State Fraud Compliance Training, * Continuing Education (CE), * General Fraud Training and * IFC (Insurance Fraud Certified) P...

Koyal Private Training Group

started by Erin Cuddy on 30 Dec 13 no follow-up yet
karizavala

The Koyal Group Private Training Services, US investigating possible multi-state unempl... - 1 views

The U.S. Inspector General's office is investigating what could be a multi-state unemployment insurance fraud scheme that resulted in Massachusetts paying out at least $280,000 in fraudulent claims...

The Koyal Group Private Training Services US investigating possible multi-state unemployment insurance fraud scheme

started by karizavala on 16 Jun 14 no follow-up yet
Skye Schmeitz

CORRECTED-UPDATE 3-U.S., Mexico probe Citi over money laundering law compliance - 6 views

The Koyal Group Insurance Compliance (Corrects headline to show probe is over legal compliance) March 3 (Reuters) - A federal grand jury is probing Citigroup Inc, including its Banamex USA affili...

The Koyal Group Insurance CORRECTED-UPDATE 3-U.S. Mexico probe Citi over money laundering law compliance

started by Skye Schmeitz on 08 Mar 14 no follow-up yet
Daniel Schweizer

The Koyal Group Private Training Services: Austin company leads Medicaid fraud crackdown - 2 views

AUSTIN (KXAN) — Medicaid fraud is a multibillion dollar scam, and a new computer system hopes to help spot the crooks. Texas pays out $28 billion a year to some 4.8 million people, according ...

The Koyal Group Private Training Services Austin company leads Medicaid fraud crackdown

started by Daniel Schweizer on 05 Aug 14 no follow-up yet
Daniel Schweizer

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
  • 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.
Skye Schmeitz

Congress focusing on significant changes to federal security-clearance process - 3 views

Source: http://www.washingtonpost.com/politics/federal_government/congress-focusing-on-significant-changes-to-federal-security-clearance-process/2014/02/16/15c58f1c-94ff-11e3-83b9-1f024193bb84_stor...

Private Training at Koyal Group Congress focusing on significant changes to federal security-clearance process

started by Skye Schmeitz on 18 Feb 14 no follow-up yet
Doreen Wolf liked it
Luan Pereira

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
Stanley Friel

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

beta.mirror.augusta.com/...ud-growing-criminal-enterprise

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
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