Accredited Healthcare Fraud Investigator

An accredited healthcare fraud investigator can help your organization in a number of ways, such as: 

  1. Detecting and preventing fraudulent activity for an organization, such as reviewing claims for suspicious patterns or inconsistencies, interviewing claimants and/or medical providers. 
  2. Helping gather and analyze evidence to support or refute allegations of fraud. 
  3. Developing and implementing policies and procedures to prevent fraud from occurring in the first place.
  4. Reviewing policies and procedures related to fraudulent activity and identifying areas of improvement. 
  5. Training employees on how to detect suspicious activity or fraudulent behavior.