Wellpoint Work Values

Daily Duties at Wellpoint:

• Investigate, review and analyze health care claims and medical record documentation to identify health care claim fraud and/or abuse. • Independently determine the most effective and efficient method of investigation for each case • Secure all necessary information and documentation to conduct analysis of each claim investigated. • Interpreting information and documenting material evidence in support of investigation findings. • Conduct interviews of patients and medical personnel. • Prepare detailed written investigative reports. • Present investigative findings in oral and written format to Senior Level Management. • Conduct field surveillance. • Utilize various Investigative tools (FAMS,Accurint,WebCrims,PACER) and databases to identify fraud. • Obtained and was certified as an Accredited Health Care Fraud Investigator (AHFI) from NHCAA. • Completed a Professional Medical Coding Curriculum by the AAPC.

What they like about Wellpoint:

You give high priority to hiring firms with prestige. Market reputation and prestige of a firm may be determined through on-line research, and conversations with individuals working in your target industry. Note that firms "in the public eye" receive a great deal more critical publicity and attention than those operating with more anonymity. So as you assess your employment opportunities, be sure to seek out the positive aspects of the firm's reputation in addition to noting negative publicity the company may have received.

Tags

Skills

These are some of the questions we asked our climbers about their experiences with Wellpoint: