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 in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

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Skills

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