Eric Mumau
Senior Siu Investigator @Centene Corporation
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WORK HISTORY
Senior Siu Investigator @Centene Corporation
Greensburg, PA, US
Conducting investigations of potential fraud, waste, and abuse. Focusing on home health, recipient, durable medical equipment, and CHIP fraud, waste, and abuse- Documenting activity on each case and refer issues to the appropriate party- Performing data mining and analysis to detect aberrancies and outliers in claims- Developing new queries and reports to detect potential fraud, waste, and abuse- Providing case updates on progress of investigations and coordinate with health plans on recommendations and further actions and/or resolutions- Leading investigations regarding complex allegations of healthcare fraud- Preparing summary and detailed reports on investigative findings for referrals to federal and state agencies.
EDUCATION
West Liberty University
Bachelor's degree, Criminal Justice and Corrections
ABOUT ERIC MUMAU
Accomplished professional with extensive experience in conducting a diverse array of investigations, specializing in criminal, civil, claims, and SIU cases. Expertise in leading and managing high-performing investigation teams spanning multiple states. Proficiency in conducting thorough and compliant investigations while adhering to policies and regulations. I Possess exceptional skills in documenting investigations, including witness statements, surveillance materials, and comprehensive reports. Proven track record of developing and implementing training programs for company personnel. Adept at conducting internal audits and client-contracted rate evaluation assessments while ensuring full compliance and financial optimization.
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