Group items matching "fraud" in title, tags, annotations or url - Koyal Private Training Group

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 Training Group,Tis The Season For Tax Identity Theft - 1 views

www.forbes.com/...-season-for-tax-identity-theft

http:__www.forbes.com_sites_irswatch_2014_01_28_tis-the-season-for-tax-identity-theft_

shared by Daniel Schweizer on 04 Feb 14 - No Cached

Daniel Schweizer on 04 Feb 14

"Identity Thief" is a 2013 movie starring Jason Bateman and Melissa McCarthy about a woman who steals the identity of a man named "Sandy." After the McCarthy character steals the Bateman character's identity, all types of high-jinx ensue. In real life, identity fraud is a very serious matter that frequently ruins the credit of the victim and takes a great deal of time and effort to resolve. With the 2013 tax filing season starting on January 31, 2014, the season for tax identity fraud is also upon us. Stolen identity refund fraud (SIRF) is a subset of identity theft that involves the criminal stealing the tax "identity" of an individual. Similar to any identity fraud, a criminal committing tax identity fraud obtains key information about the victim. In the tax context, the key is obtaining the individual's name matched with his or her social security number. Once that is obtained, the SIRF thief submits a false tax return in the name of the victim claiming a tax refund. Unfortunately, in many instances the refunds are issued. The fraud may be discovered when the unsuspecting victim files his or her own return and discovers that the IRS will not issue a refund because a return has already been filed under their social security number. It can be very difficult for the individual to get this straightened out with the IRS once the tax identity theft has been committed. Like other identity theft, tax identity theft frequently causes the victim a number of problems including damaging credit ratings, and reducing state or federal benefits. The victims of tax identity fraud are frequently the elderly, or individuals collecting subsistence payments who are not required to file federal income tax returns. For the elderly and those who are not required to file tax returns, it may take much longer for such individuals to discover that they were victims of tax identity fraud. Nevertheless, the fraud may impact those individuals by reducing state or

<div class="cArrow"> </div><div class="cContentInner">"Identity Thief" is a 2013 movie starring Jason Bateman and Melissa McCarthy about a woman who steals the identity of a man named "Sandy." After the McCarthy character steals the Bateman character's identity, all types of high-jinx ensue. In real life, identity fraud is a very serious matter that frequently ruins the credit of the victim and takes a great deal of time and effort to resolve. With the 2013 tax filing season starting on January 31, 2014, the season for tax identity fraud is also upon us. Stolen identity refund fraud (SIRF) is a subset of identity theft that involves the criminal stealing the tax "identity" of an individual. Similar to any identity fraud, a criminal committing tax identity fraud obtains key information about the victim. In the tax context, the key is obtaining the individual's name matched with his or her social security number. Once that is obtained, the SIRF thief submits a false tax return in the name of the victim claiming a tax refund. Unfortunately, in many instances the refunds are issued. The fraud may be discovered when the unsuspecting victim files his or her own return and discovers that the IRS will not issue a refund because a return has already been filed under their social security number. It can be very difficult for the individual to get this straightened out with the IRS once the tax identity theft has been committed. Like other identity theft, tax identity theft frequently causes the victim a number of problems including damaging credit ratings, and reducing state or federal benefits. The victims of tax identity fraud are frequently the elderly, or individuals collecting subsistence payments who are not required to file federal income tax returns. For the elderly and those who are not required to file tax returns, it may take much longer for such individuals to discover that they were victims of tax identity fraud. Nevertheless, the fraud may impact those individuals by reducing state or </div>

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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

Erin Cuddy, Daniel Schweizer, and Doreen Wolf liked it

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

<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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Koyal Group Training Services, Insurance fraud tipped to rise amid tough economic condi... - 5 views

Koyal Group Training Services Insurance fraud tipped to rise amid tough economic conditions

started by Skye Schmeitz on 05 May 14 no follow-up yet

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

Koyal Group Training Services: 2018 Fraud Detection and Prevention Market Forecasts & O... - 1 views

Research and Markets has announced the addition of the "Fraud Detection and Prevention Market Forecasts& Opportunities, 2018" report to its offerings. In a release, Research and Markets noted that ...

Koyal Group Training Services 2018 Fraud Detection and Prevention Market Forecasts & Opportunities

started by Dirk Braun on 10 Apr 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

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

Koyal Group Training Services, Big risks and big data - 1 views

Imagine now, that ocean as the vast body of data and information that flows through the average company in a given year. Sales, collections, purchases, payments, transactions, communications, e-mai...

Koyal Group Training Services risks and big data

started by Dirk Braun on 07 Apr 14 no follow-up yet

Insurance Fraud Certified at Koyal Group: Learn how to spend smart, spend safe during F... - 1 views

SAINT JOHN, N.B. - Consumers are encouraged to learn how to spend smart and spend safe during Fraud Prevention Month. The Financial and Consumer Services Commission is providing resources to New Br...

Learn how to spend smart safe during Fraud Prevention Month Insurance Certified at Koyal Group

started by Dirk Braun on 14 Mar 14 no follow-up yet

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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The Koyal Training Group: UK fraud specialist launches in Australia - 0 views

The Koyal Training Group UK fraud specialist launches in Australia insurance

started by Erin Cuddy on 12 Feb 14 no follow-up yet

The Koyal Group Private Training Services on Fraud investigation tips from Deloitte's Mike Little - 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: 'Let the Crime Spree Begin': How Fraud Flourishes in Medicare... - 0 views

The federal government does little to stop schemers from stealing from Medicare Part D, the program that provides prescription drugs to more than 36 million seniors and disabled people. With just a...

Koyal Training Group Let the Crime Spree Begin How Fraud Flourishes in Medicare's Drug Plan

started by Skye Schmeitz on 11 Feb 14 no follow-up yet

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

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

Investigative Training at Koyal Group: Cops get tips to bust Internet fraud - 6 views

Timesofindia.Indiatimes.com LUCKNOW: Internet fraud took centrestage for 44 cops posted in Lucknow zone (11 districts). A workshop for khaki-clad was organised at Mahanagar police lines on early M...

Investigative Training at Koyal Group Cops get tips to bust Internet fraud

started by Luan Pereira on 04 Mar 14 no follow-up yet

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

Koyal Group Training Services - Beverly Hills dentist pays insurance fraud restitution - 4 views

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Koyal Group Training Services Beverly Hills dentist pays insurance fraud restitution

started by Daniel Schweizer on 20 May 14 no follow-up yet

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

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

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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

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The Koyal Training Group: Fair Claims Training - 1 views

The Koyal Training Group,Tis The Season For Tax Identity Theft - 1 views

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

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

Koyal Group Training Services, Insurance fraud tipped to rise amid tough economic condi... - 5 views

Koyal Group Training Services: 2018 Fraud Detection and Prevention Market Forecasts & O... - 1 views

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

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

Koyal Group Training Services, Big risks and big data - 1 views

Insurance Fraud Certified at Koyal Group: Learn how to spend smart, spend safe during F... - 1 views

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

The Koyal Training Group: UK fraud specialist launches in Australia - 0 views

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

The Koyal Training Group: 'Let the Crime Spree Begin': How Fraud Flourishes in Medicare... - 0 views

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

About Koyal Private Training Group - 1 views

Investigative Training at Koyal Group: Cops get tips to bust Internet fraud - 6 views

Koyal Group Training Services - Beverly Hills dentist pays insurance fraud restitution - 4 views

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

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

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The Koyal Training Group: Fair Claims Training - 1 views

The Koyal Training Group,Tis The Season For Tax Identity Theft - 1 views

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

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

Koyal Group Training Services, Insurance fraud tipped to rise amid tough economic condi... - 5 views

Koyal Group Training Services: 2018 Fraud Detection and Prevention Market Forecasts & O... - 1 views

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Koyal Group Training Services, Big risks and big data - 1 views

Insurance Fraud Certified at Koyal Group: Learn how to spend smart, spend safe during F... - 1 views

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

The Koyal Training Group: UK fraud specialist launches in Australia - 0 views

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

The Koyal Training Group: 'Let the Crime Spree Begin': How Fraud Flourishes in Medicare... - 0 views

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

About Koyal Private Training Group - 1 views

Investigative Training at Koyal Group: Cops get tips to bust Internet fraud - 6 views

Koyal Group Training Services - Beverly Hills dentist pays insurance fraud restitution - 4 views

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

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