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chelseabal09

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
Daniel Schweizer

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
  • 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.
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
Dirk Braun

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
Dirk Braun

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
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
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
Skye Schmeitz

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
Skye Schmeitz

The Koyal Training Group: Law enforcement officials: Cell phone disclosures would hurt ... - 4 views

Source: http://www.mydesert.com/article/20140215/BUSINESS0301/302150051/Private-cell-phone-tower-dump-Inland-Empire-police-disclosure-investigations?nclick_check=1 An Inland Empire sheriff's depar...

Private Training at Koyal Group Law enforcement officials: Cell phone disclosures would hurt investigations

started by Skye Schmeitz on 20 Feb 14 no follow-up yet
Skye Schmeitz

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
Doreen Wolf liked it
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
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