Conduct complex investigations involving more than one claimant, victim, and/or issue including those of possible or probable fraud.Investigate possible fraudulent Pandemic Unemployment Assistance (PUA) claims.Review completed reports for accuracy, clarity, appropriate fact-finding, as well as, compliance with established policy and procedures.Coordinate fraud cases of mutual interest with federal, state, and local agencies, including law enforcement agencies. Participate in field evidence collection with partner agencies.Prepare subpoenas for investigations.Testify in administrative hearings. Appear in Superior and District Courts as a witness for the state criminal cases.Experienced Senior Operations Supervisor with a demonstrated history of working in the hospital & health care industry. Skilled in eClinical Works, Medical Billing, Team Building, Quality Assurance, and Healthcare Information Technology (HIT). Strong operations professional with a Diploma focused in Medical billing and coding from Everest College-Vancouver.
Listed skills include Process Improvement, Healthcare Information Technology, Leadership, Healthcare, and 15 others.