Insurance Sync

On this episode of Insurance Sync, hosts Bobbie Shrivastav and Laurel Jordan, dive deep into fraud, waste, and abuse in the long-term care insurance industry with expert guest Roy Christenson. Roy, who leads the accuracy and fraud innovation operations at GE Aerospace, shares his insights and experiences from his extensive career in the industry. Roy covers everything from the importance of detection and intervention to prevention controls and the role of technology.

In this episode of Insurance Sync, host Bobbie Shrivastav and Laurel Jordan were thrilled to have Tina Marshall, the Special Investigation Unit Manager at American Fidelity Corporation, join us. Tina brings over 40 years of insurance industry experience and shares her journey from being the first SIU coordinator to leading a dedicated team tackling insurance fraud.

In this episode, Tina delves into the importance of addressing fraud, waste, and abuse in the insurance industry. She highlights the challenges of investigating fraud and the critical role of SIUs in maintaining the integrity of insurance companies. Tina also shares fascinating stories from her career, including her first prosecuted case and the complexities of dealing with fraudulent claims.

In this episode of Insurance Sync, our guest is Jonathan Ayers, a senior SIU investigator at Standard Insurance Company. In this episode, Jonathan shares his journey into insurance, memorable fraud cases, and the crucial role of human intelligence in fraud detection. Discover how AI shapes the future of fraud investigations and gain practical insights for identifying red flags. Tune in for an engaging discussion packed with expert knowledge and real-world experiences.

In this episode, we are excited to welcome Sandy Ferrer, a seasoned investigator with over 20 years of experience in combating insurance fraud. Sandy shares her unique insights from both carrier and law enforcement perspectives, revealing the hidden costs of fraud and the importance of ongoing education and vigilance. Together, we'll uncover the complexities of insurance fraud, discuss real-life cases, and explore strategies to fight back and protect consumers.

In this episode, we are thrilled to have Max Drucker, CEO of Carpe Data, as our guest. Max will share his insights on injury fraud and the innovative approaches his company is taking to tackle this pervasive issue. We'll discuss the spectrum of fraud, from intentional criminal activities to exaggerations and abuses, and the best methods for addressing them.

Max's extensive experience in creating data products for insurance carriers over the past 14 years provides a unique perspective on leveraging technology to combat fraud. He'll explain how Carpe Data uses automated solutions and the power of the internet to monitor claimants' online presence, providing insurers with actionable intelligence that can significantly reduce claim leakage.

Tune in and stay synced with the latest trends and innovations in the insurance world with "Insurance Sync."

In this episode, we are thrilled to have Sri Ramaswamy, the CEO and founder of Charlee AI, join us for an enlightening conversation. Sri brings over 22 years of experience in data analytics, with 17 years dedicated to the insurance industry. Her company, Charlee AI, leverages advanced AI to enhance efficiencies, reduce litigation, and improve reserving by extracting deep insights from unstructured and structured data.

In this episode, we dive deep into the pressing issues of fraud, waste, and abuse in the insurance industry. Sri shares her expertise on how Charlee AI detects and addresses these challenges, highlighting the importance of process efficiencies, data accessibility, and informed decision-making in complex claims scenarios. We also explore the critical connections between underwriting and claims data, discussing how insights from past claims can inform better underwriting practices.

Join us for a thought-provoking discussion on the latest trends and innovations in insurance, and learn how technology is reshaping the industry to build trust and improve outcomes for both insurers and policyholders.

Listen now to gain valuable insights and strategies to combat fraud and inefficiencies in the insurance sector.

In this episode of the Insurance Sync Podcast, hosts Bobbie Shrivastav and Laurel Jordan dive deep into the cutting-edge world of insurance fraud detection with guest speaker Manjit Rana, executive VP at ClearSpeed. Manjit shares intriguing insights into ClearSpeed's innovative fraud analytics technology, which can detect fraudulent intentions through simple yes or no answers to a minimal set of questions.

Bobbie and Laurel explore how this technology not only impacts the insurance industry but also opens up discussions on broader implications such as academic honesty and sports integrity. Manjit's innovative perspective challenges traditional methods and introduces a transformative approach to problem-solving in the industry.

Stay tuned as they uncover the potential of modern technology to reshape the landscape of insurance and discuss the ethical considerations and future applications of such disruptive innovations.

In the world of insurance, fraud is an ever-persistent threat, costing the industry an estimated $300 billion annually. On this episode of the Insurance Sync Podcast, hosts Bobbie Shrivastav and Laurel Jordan sat down with Richard Marquez, President of Diligence and a seasoned fraud expert with over four decades of experience, to discuss the current landscape of insurance fraud and strategies to combat it.