Cory Gerstenschlager Email & Phone Number

St. Louis, Mo, Us

-Collaboratively enhanced efficiencies in workflows and procedures for fraud monitoring and mitigation. -Developed fraud monitoring and dispute resolution procedures for newly implemented credit card services and BaaS products. -Promoted a cross team collaborative environment to enhance communications for related activities between the Fraud Team, Customer Experience Team, BSA/AML Team and Information Security Team. -Maintained strong partnerships with marketing to develop scam awareness television and social media educational materials. -Evaluated and updated physical security assets, to include video surveillance, facility and ATM alarm systems and monitoring, and controlled access for over 35 sites.

Chesterfield, Missouri, United States

-Led a leadership team of 6 managers who managed over 35 investigators to oversee the investigative operations for the western United States, which included 15 health plans in support of over 6 million lives. -Selected to lead a transformative focus group in governance and transparency to enhance inter-departmental communications and more accurately monitor key performance metrics. -Increased productivity, by decreasing the investigative lifecycle and subsequently increasing the number of investigations conducted, which allowed for improved identification and mitigation of risks. -Partnered with the data science team in the development and reinforcement of predictive models for increased detection of risk gaps.

Chesterfield, Mo

-Led a team of over 30 investigators, analysts and supervisors, who conducted compliance and potential fraud risk investigations for 12 health plans, resulting in the identification and recovery of several million dollars of incorrectly paid claims. -Drafted and enhanced business policies, procedures, and workflows, for medical and pharmacy investigations, to include and enhance best practices. -Successfully developed and implemented risk monitoring and control measures to identify compliance risks related to fraud, waste and abuse. -Implemented compliance risk monitoring strategies for newly developed business ventures, which resulted in increased collaboration with business stakeholders and government regulators.

Chesterfield, Mo

-Awarded the 2016 Investigator of the year. -Primary investigator for a multi-provider, multimillion-dollar exposure health care fraud risk brought to resolution through civil and criminal actions. -Monitored business processes and systems to assure integrity and compliance in billing and claims payments as a team lead. -Created and introduced new report templates based on business needs and industry best practices. - Provided training on fraud investigation practices and interviewing techniques.

Chesterfield, Missouri

-Utilized various information system tools for data mining and analysis of large datasets to detect aberrancies and risks. -Conducted research on regulatory requirements and identified several potential risks in program integrity operations, which were mitigated through collaboratively developed work plans. -Collaborated with stakeholders within various business units and government regulators to identify risks in managed care program integrity. -Developed risk control monitoring and mitigation strategies for newly developed programs.

Pevely, Missouri

-Investigated violations of state statutes and municipal ordinances.-Drafted and implemented policies and procedures for the operation of the municipal jail. -Liaised with local school officials to implement school safety procedures and serious incident response protocols, as an ALICE instructor. -Implemented training for newly appointed officers, as a field training officer. -Received two letters of commendation for the successful resolution of complicated financial loss investigations.

Saint Louis, Missouri

-Inspected assigned fire sites as prescribed by company policy and industry standards, including, but not limited to appropriate digital and film photography, video, diagrams, and written/recorded statements. -Documented, collected, secured, and transported evidence in a manner prescribed by industry standards to ensure chain of custody procedures are followed. -Responsible for the appropriate handling of records of assignments, referrals, follow-up with Claims Adjusters, interviews with property owners, witnesses, and fire department personnel. -Promoted and provided superior customer service and responsiveness to customer needs. -Completed all fire investigations in a timely manner. Provided written reports that were clear and concise, written in a manner that conforms to industry standards. -Sustained current knowledge of approved Fire Investigation practices. -Provided expert testimony and consultation.

Jefferson County, Missouri

-Conducted multi-line criminal investigations. -Involved in a long term, high profile, child abduction investigation. -Conducted forensic interviews of child and adult victims and suspects. -Special task force investigator assigned to the Federal Bureau of Alcohol, Tobacco and Firearms (ATF). -Investigator with the Major Case Squad of Greater St Louis.-Member of the Jefferson County Fire Investigation Team.-Crisis Negotiator with the Sheriff’s Emergency Response Team (SERT).-Computer voice stress analysis-Awarded multiple letters of recognition.

St Louis, Missouri, United States

Master Of Business Administration - Mba

Bachelor Of Science (Bs), Criminal Justice And Computer Information Systems