Ben Mann Email & Phone Number

Columbus, Ohio Area

Actively and independently investigates allegations of potential fraud and develops investigations that involve monetary losses, sensitive issues, work with law enforcement, determine and impose administrative actions to eliminate Medicare fraud, waste, and abuse. - Works independently and as a team - Handles sensitive and confidential information on a daily basis. - Maintains a full caseload with strict timelines - Participates in additional training as available - Data Analysis- Conducts audits via unannounced onsites- Conducts interviews - Pulls provider and beneficiary data using SAS - Utilize Fraud Investigation Database (FID) on a daily basis - Utilize Advance Track on a daily basis - Use Fraud Prevention System (FPS) on a daily basis - Works with law enforcement entities (OIG, MFCU, FBI, local police, etc.) - Works with Centers for Medicare and Medicaid Services - Works with Medicare Administrative Contractors (MAC) - Utilizes Accurint - Works with Microsoft Office products on a daily basis (Word, Excel, PowerPoint, Access and Outlook).

Columbus, Ohio Area

My responsibilities included conducting in-house investigations for Franklin County Department of Job and Family Services, conducting interviews and interrogations, researching and collecting pertinent information from internal and external sources including case files, public records, federal rules and regulations. The Investigator III position handles the most difficult and complex investigations. Other duties included communicating effectively with other government agencies, attorneys and law enforcement, preparing and referring cases to the county prosecutor, preparing for and representing the county for administrative disqualification hearings and state hearings. I was also responsible for calculating over payments for adjudication, gathering information and determining if an investigation is warranted based on submitted referrals, updating CRISE in response to claims and notifying case managers of eligibility information. Other responsibilities included keeping detailed records and logs of all completed and in progress investigations, working effectively with other agency employees, attending trainings and fraud conferences.

Springfield, Ohio

My responsibilities included conducting all in-house and field investigations as the lead investigator for Clark County and Madison County Department of Job and Family Services, conducting interviews and interrogations, researching and collecting pertinent information from internal and external sources including case files, public records, federal rules and regulations. Other duties included communicating effectively with other government agencies, attorneys and law enforcement, preparing and referring cases to the county prosecutor, preparing for and representing the county for administrative disqualification hearings and state hearings. I was also responsible for calculating over payments for adjudication, gathering information and assigning referrals from the county fraud hotline and inter-agency fraud referrals, determining if investigation is warranted based on submitted requests, updating CRISE in response to claims and notifying case managers of eligibility information. Other responsibilities included keeping detailed records and logs of all completed and in progress investigations and EDPs, working effectively with other agency employees, assisting with IEVS matches and PARIS alerts, attending trainings and fraud conferences.

Springfield, Ohio