I was hired as a Fall intern by Kaiko Insurance to join their Fraud Investigations and Prevention team. Our objective was to identify fraud patterns and develop detection mechanisms.
I researched volumes of client and health care provider records, analyzing and manipulating large amounts of data to detect fraud patterns, using industry software and computational tools. I also met with a cross-functional group of potential users of a new fraud detection software system to define and rank criteria for the new system. After we fine-tuned the system, I designed and co-presented a manual during a company-wide fraud training program. Finally, I compiled information summarizing the time and resources devoted to this project and prepared a graphics presentation for the General Counsel to submit to senior management.
Senior management used this project as the basis for the development of company-wide policies that maximized company savings and recoveries.
