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:

Working for a company with an emphasis on social values and helping society is a clear and important priority for you - a critical factor in who you choose to work for. In contrast to other factors, you place an organization's reputation for fairness and concern for the community above most other aspects of the company. As you search for a new job opportunity, it is usually possible to find out if the company is involved in the community and/or if it is addressing problems and issues in society. Pay special attention to non-profit organizations and those specifically involved in social action. Moreover, speaking with current and former employees should enlighten you to perceptions of the fairness of the company's leaders and the treatment of employees.

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