Essentially, fraud investigators work in corporate environments where they are expected to
investigate claims of fraud that may have resulted in some loss to the company.
Faced with the prospect of large losses, banks and traders have been scrambling to limit their exposure to financing agreements after Chinese authorities in May started to
investigate claims of fraud at warehouses in Qingdao and Penglai.
Not exact matches
Some
of the posts
claimed that a company called Audience was being criminally
investigated for «rumored
fraud.»
BEIJING (AP)-- Sino Forest Corp. says its chief executive has resigned as Canadian regulators
investigate fraud allegations against the Hong Kong - based company following
claims it exaggerated the size
of its forest holdings in China.
The Union Election Commission, responding to
claims of fiddled voter lists and wax covering the NLD box on the ballot papers, has vowed to
investigate and prosecute electoral
fraud.
Liberia's Supreme Court on Monday put a presidential run - off on hold until the electoral commission can
investigate claims of irregularities and alleged
fraud in last month's first round
of voting.
Earl Mazo, a reporter for the pro-Nixon New York Herald Tribune,
investigated the voting in Chicago and «
claimed to have discovered sufficient evidence
of vote
fraud to prove that the state was stolen for Kennedy.»
Claims of election
fraud are being
investigated by police after fake election pamphlets were reportedly handed out in the name
of a candidate.
Jill Stein, 2016 Green Party Presidential candidate, responded to President Trump's announcement
of an election integrity commission to
investigate the President's unsubstantiated
claims about widespread voter
fraud.
Sadly enough, the agency in question which
claims to be
investigating the
fraud is ironically directly and brazenly facilitating the concealment
of the looted several billions
of naira belonging to the Niger Delta Amnesty Programme.
We've touched on the veracity
of renters insurance
claims in the past, asking how insurance companies detect renters insurance
fraud, addressing a woman who asked on Yahoo Answers why her renters insurance
claim was being
investigated, and even reviewing the worst renters insurance
fraud of the year.
The mendacious Cuccinelli and his deputy W. Russell
claim that Dr. Michael Mann is being
investigated for
fraud, not because he is one
of the world's foremost climate scientists.
The Rasoul decision shows that the onus on
investigating the bone fides
of a
claim rests not simply upon the defendant to attempt to winkle out the
fraud, but — in appropriate circumstances — upon the claimant solicitor's too.
In the subsequent fishing season, the RCMP
investigated fraud allegations made by three other lobster companies, including a third Nova Scotia company that
claimed they were defrauded
of more than $ 1.7 million and another one in Taiwan which
claimed that they were defrauded
of more than $ 250,000.
Matt DiBlasi practices in the area
of complex commercial litigation with a focus on
investigating and litigating
fraud claims.
At Signature we have extensive experience in
investigating, initiating and defending all types
of civil
fraud claims.
Contestability Period Within the first 2 years
of an insurance policy, the insurance company has the right to
investigate a death
claim for
fraud and misrepresentation.
They won't usually tell you they suspect you
of fraud, just that your
claim is being
investigated.
Anytime they suspect
fraud,
of course, they'll
investigate, but the above is in reference to run
of the mill
claims.
Within the first 2 years
of an insurance policy, the insurance company has the right to
investigate a death
claim for
fraud and misrepresentation.
We've touched on the veracity
of renters insurance
claims in the past, asking how insurance companies detect renters insurance
fraud, addressing a woman who asked on Yahoo Answers why her renters insurance
claim was being
investigated, and even reviewing the worst renters insurance
fraud of the year.
As Swapan Khanna, co-founder
of I - Save, insurance research and analysis firm, says, «All early
claims or
claims that occur within two years
of taking a policy are bound to be
investigated since the probability
of deliberate
fraud in such cases is higher.
Coding Specialist • Handle development
of new coding policies and procedures • Ensure accuracy
of coded services and make sure that they are complete • Manage accurate and timely ICD - 9 and CPT code selection in accordance to services performed • Handle reviewing duties aimed at
claims accuracy and coding compliance • Ensure that patient statements are properly reviewed • Assist in processing payments from insurance companies • Handle organization
of patient charts and follow upon
claims •
Investigate reasons for rejected
claims and handle paperwork for refilling
claims • Assist in
investigating insurance
frauds and take appropriate measures to report them
Highlights Background with tough and hard - to - solve
claims Knowledge of investigative report writing Skilled as a case manager Updated with latest insurance compliance knowledge Ability to interpret policies Able to identify instances to improve risk management Extensive experience dealing with customers Top skills identifying possible fraud issues Strong background in accident investigation Skills with data and numerical quantities Excellent communicator Organized and effective at keeping materials together Trustworthy and honest Commitment to excellence Experience Insurance Claims Adjuster 10/1/2001 — 11/1/2009 Discovery Insurance — Orlando, FL Investigated and completed over 10,000 insurance c
claims Knowledge
of investigative report writing Skilled as a case manager Updated with latest insurance compliance knowledge Ability to interpret policies Able to identify instances to improve risk management Extensive experience dealing with customers Top skills identifying possible
fraud issues Strong background in accident investigation Skills with data and numerical quantities Excellent communicator Organized and effective at keeping materials together Trustworthy and honest Commitment to excellence Experience Insurance
Claims Adjuster 10/1/2001 — 11/1/2009 Discovery Insurance — Orlando, FL Investigated and completed over 10,000 insurance c
Claims Adjuster 10/1/2001 — 11/1/2009 Discovery Insurance — Orlando, FL
Investigated and completed over 10,000 insurance
claimsclaims.
• Working knowledge
of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in
investigating rejected
claims and ensuring that they are resubmitted and paid • Special talent for
investigating insurance
fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners
of obtaining them) for insurance
claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization
of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge
of carriers and appeal processes • Special talent for increasing reimbursements by
investigating denied
claims and providing alternatives to denials
• Trained 36 members
of the anti-
fraud team to work with First Data System and STAR thereby increasing their ability to
investigate fraud claims.
JPMorgan Chase (Chicago, IL) 2007 — 2010 Branch Manager • Managed all aspects
of JPMorgan Chase branch including daily operations and personnel • Responsible for $ 40 million in deposits, $ 20 million in loans, and $ 50 billion in accounts • Consistently exceeded quarterly acquisition goals through effective product positioning • Ensured banking compliance with state, federal, and internal regulations • Conducted audits to maintain responsible, profitable, and efficient operations •
Investigated issue escalation,
fraud, theft, forgery, and identity theft
claims as needed • Delivered excellent customer service ensuring client satisfaction and repeat business