Lora Jones Email & Phone Number
Healthcare Fraud SME @ General Dynamics Information Technology
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Lora Jones Location
- Atlanta, GA, US
Lora Jones Work
- Healthcare Fraud SME @ (September 2024 - Present)
- SIU Manager @ CareSource (August 2017 - September 2024)
- Medicare Investigator @ (August 2015 - July 2017)
- Senior Fraud Investigator @ Universal American (January 2014 - August 2015)
- Senior Forensic Investigator @ SafeGuard Services LLC, Medicare Zone Program Contractor (August 2009 - January 2014)
- Private Investigator @ Pat Diaz and Associates (December 2010 - December 2013)
- Money Laundering Compliance Investigator @ (September 2008 - February 2009)
- SIU Claims Adjuster @ (March 2001 - September 2008)
- Credit Card Fraud Analyst @ (September 1991 - April 2000)
Lora Jones Education
- University of the Incarnate Word
BAAS (Business Management, Psychology)
1997-2000
Lora Jones Skills
- Risk Management
- Insurance
- Financial Risk
- Enterprise Risk Management
- Banking
- Credit Cards
- Relationship Management
- Process Improvement
- Underwriting
- Risk Assessment
- Credit
- Policy
- Analysis
- Business Analysis
- Payments
- Claim
- Background Checks
- Fraud Detection
- Private Investigations
- Surveillance
- Government
- Security
- Health Insurance
- Medicare
- HIPAA
- Certified Fraud Examiner
- AML
- Claims Management
- Forensic Analysis
- Investigation
- Attention to Detail
- Change Impact Analysis
- Claims Processing
- Coaching
- Communication
- Contractual Obligations
- Data Manipulation
- Federal & State Regulations
- Finance
- Financial Analysis
- Fraud Investigations
- Fraud Prevention
- Government Programs
- Health Care Fraud
- Healthcare
- Insurance Industry
- Interpersonal Skills
- Justice
- Lead Generation
- Medical Terminology
- Microsoft Excel
- Negotiation
- Pattern Recognition
- Policies & Procedures
- Policy Analysis
- Problem Solving
- Regulatory Requirements
- Request for Information (RFI)
- Request for Proposal (RFP)
- Root Cause
- Settlement Agreements
- Special Investigations
- Supervisory Skills
- Team Leadership
- Team Management
- Terminology
Lora Jones Summary
- Lora Jones, based in Atlanta, GA, US, is currently a Healthcare Fraud SME at General Dynamics Information Technology. Lora Jones brings experience from previous roles at CareSource, Humana, Universal American and SafeGuard Services LLC, Medicare Zone Program Contractor. Lora Jones holds a 1997 - 2000 BAAS in Business Management, Psychology @ University of the Incarnate Word. With a robust skill set that includes Risk Management, Insurance, Financial Risk, Enterprise Risk Management, Banking and more. Lora Jones has 4 emails and 1 mobile phone numbers on RocketReach.
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