-- Research and reporting aberrant claims in coordination with Special Investigations Examiner.-- Identifying recovery opportunities through detailed review of claims and applied medical policies involving CPTs and ICDs coding.-- Assisting lead investigators in developing investigative plans.-- Performing record searches, using Accurint (LexisNexis), the Internet, and other public databases for complex cases.-- Extensive experience with Microsoft Office Suite, highly proficient in Excel, Access.-- Documenting and applying pertinent process and business rules.-- Effective analytical and problem solving skills through my participation and leading many group projects.-- Making recommendations for additional investigation opportunities.-- Highly self motivated, work effectively both as a team member and independently, HIPPA certified.