Special Investigations Unit

Global Excel Management Modernizes Claims Experience with Appian Connected Claims

Retrieved on: 
Wednesday, February 21, 2024

MCLEAN, Va., Feb. 21, 2024 /PRNewswire/ -- Appian (Nasdaq: APPN) announced today that Global Excel Management Inc. (Global Excel) has selected Appian and the Appian Connected Claims Solution to enhance Global Excel's insurance claims processes. Global Excel is a leading health insurance claims management company offering a complete range of risk mitigation, cost containment, claims management, and medical assistance services to clients around the world. With Appian Connected Claims, Global Excel will modernize operations and optimize claims processes using the solution's data integration, AI, and process automation capabilities.

Key Points: 
  • MCLEAN, Va., Feb. 21, 2024 /PRNewswire/ -- Appian (Nasdaq: APPN) announced today that Global Excel Management Inc. (Global Excel) has selected Appian and the Appian Connected Claims Solution to enhance Global Excel's insurance claims processes.
  • With Appian Connected Claims, Global Excel will modernize operations and optimize claims processes using the solution's data integration, AI, and process automation capabilities.
  • With Appian Connected Claims, Global Excel will modernize operations and optimize claims processes.
  • Through this intelligent and connected approach to claims management , Global Excel Management aims to further expedite claim settlements, reduce costs, and enhance the customer experience.

Gomez Trial Attorneys announces the addition of Trial Attorney Ben Anderson

Retrieved on: 
Monday, January 8, 2024

Ben wanted to gain more trial experience, so he switched sides and became an in-house trial attorney for the largest insurance company, where he worked for 11 years.

Key Points: 
  • Ben wanted to gain more trial experience, so he switched sides and became an in-house trial attorney for the largest insurance company, where he worked for 11 years.
  • Ben's trial success led to him being a Co-Chair and instructor of an in-house trial skills program hosted annually and included dozens of attorneys from 8 west coast offices.
  • Ben then helped launch the program across the country so all 38 litigation offices could continue to enhance their trial skills.
  • – Attorney John Gomez | Founder
    Gomez Trial Attorneys is one of California's leading plaintiffs trial firms with the resources, experience, and knowledge to take on the biggest defendants and most challenging personal injury and employment cases.

Australia is still reckoning with a shameful legacy: the resettlement of suspected war criminals after WWII

Retrieved on: 
Thursday, January 4, 2024

It turned out Hunka had fought against the Allies as a voluntary member of the Nazi German Waffen-SS Galizien division.

Key Points: 
  • It turned out Hunka had fought against the Allies as a voluntary member of the Nazi German Waffen-SS Galizien division.
  • As I discuss in my new book, Fascists in Exile, Canada isn’t the only country where former Nazis fled after the second world war.
  • Last year, however, his secret history was revealed: he was found to be a member of Nazi intelligence in occupied Lithuania during the second world war.
  • He was almost certainly involved in the persecution and murders of Jews.

Denial, then investigations

  • This group included soldiers who had fought in German military units, as well as civilian collaborators.
  • But their resettlement in any country that would take them was a matter of political expediency in the fraught post-war and early Cold War period.
  • The then immigration minister, Arthur Calwell, dismissed their claims as a “farrago of nonsense”.
  • The migrants were used as labourers under a two-year indentured labour scheme and transformed into what the government called “New Australians”.
  • Australia received at least eight extradition requests between 1950 and the mid-1960s for individuals suspected of WWII-era crimes from Yugoslavia and the Soviet Union.
  • As a result, there would be no further official discussions about any alleged perpetrators residing in Australia.

Family histories unearthed

  • Many alleged perpetrators of crimes never appeared on any official, or unofficial, list, either before or after the Australian investigation.
  • My own research, for example, has resulted in the compiling of hundreds of such names by painstakingly piecing together various archival fragments.
  • For example, a colleague and I were alerted to some suspicious phrasing when the family of Hungarian migrant Ferenc Molnar, now deceased, placed a commemorative biography on the website Immigration Place Australia.
  • The SBS television show Every Family Has a Secret has been approached by at least four people who have suspected a deceased family member was a Holocaust perpetrator or collaborator.


Dr Jayne Persian receives funding from the Australian Research Council.

NICB Announces New Board of Governors Chair and Vice Chair

Retrieved on: 
Monday, December 18, 2023

Murphy previously served as Vice Chair of the Board and replaces James McSheffrey.

Key Points: 
  • Murphy previously served as Vice Chair of the Board and replaces James McSheffrey.
  • Along with Murphy's election, Jeremy T. Connor of GEICO was elected Vice Chair and will assume that role.
  • "I look forward to working with Matthew and Jeremy in their new roles as Chair and Vice Chair of NICB's Board of Governors," said David J. Glawe, President and CEO of the National Insurance Crime Bureau.
  • Murphy was elected to the NICB Board of Governors in 2014 and has served as NICB's Vice Chair since 2022.

Codoxo Shares Payment Integrity AI Outcomes at 2023 NHCAA Annual Training Conference

Retrieved on: 
Tuesday, October 31, 2023

DULUTH, Ga., Oct. 31, 2023 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), today announced it will present live at the NHCAA Annual Training Conference on Tuesday, November 7, at 2:15 p.m. Central Time at the Hyatt Regency in Dallas, Texas. A Platinum Sponsor, Codoxo is proud to participate in the premier event hosted by the industry's leading provider of training and education for those fighting healthcare fraud.

Key Points: 
  • Codoxo will showcase its Unified Cost Containment Platform and new generative AI capabilities for payment integrity in Booth 300.
  • Additionally, Codoxo will participate in the Symposium for Artificial Intelligence in Payment Integrity live event hosted by the AI for PI Community on Monday, November 6, prior to the start of the NHCAA conference.
  • The AI for PI community is an exclusive community of like-minded healthcare payment integrity professionals interested in the application and value of artificial intelligence.
  • Through its proprietary Forensic AI Engine, Unified Cost Containment Platform, and new generative AI capabilities, it is disrupting the cost containment and payment integrity industry by implementing the most innovative and effective AI available to reduce fraud, waste, and abuse and ensure payment integrity for health payers, agencies and PBMs.

FINRA Promotes Omer Meisel to Executive Vice President of the National Cause and Financial Crimes Detection Program

Retrieved on: 
Thursday, October 5, 2023

FINRA announced today that it has promoted Omer Meisel to Executive Vice President of the National Cause and Financial Crimes Detection Program (NCFC), effective October 2.

Key Points: 
  • FINRA announced today that it has promoted Omer Meisel to Executive Vice President of the National Cause and Financial Crimes Detection Program (NCFC), effective October 2.
  • View the full release here: https://www.businesswire.com/news/home/20231005617612/en/
    In his new role, Meisel reports to Greg Ruppert, Executive Vice President, Member Supervision at FINRA .
  • Meisel had served as acting head of the NCFC since St. Louis stepped into his new role.
  • “Omer has contributed significantly to FINRA’s increased focus on the critical areas of complex investigations, including cybersecurity and crypto assets.

GardaWorld Cash Offers Up to $50,000 Reward for Information in Dallas Homicide

Retrieved on: 
Friday, September 15, 2023

BOCA RATON, Fla., Sept. 15, 2023 /PRNewswire/ - GardaWorld Cash today announced it is seeking public assistance to help law enforcement apprehend the individuals responsible for the reprehensible fatal shooting of a GardaWorld Cash employee in Dallas, Texas.

Key Points: 
  • BOCA RATON, Fla., Sept. 15, 2023 /PRNewswire/ - GardaWorld Cash today announced it is seeking public assistance to help law enforcement apprehend the individuals responsible for the reprehensible fatal shooting of a GardaWorld Cash employee in Dallas, Texas.
  • GardaWorld Cash is appreciative of the efforts of law enforcement and would like to assist the ongoing investigation.
  • GardaWorld Cash is offering a reward of up to $50,000 for information leading to the arrest and indictment of those responsible for this heinous crime and/or recovery of the stolen funds.
  • GardaWorld Cash will determine the appropriate amount and timing of the reward to be paid, up to $50,000, at its sole direction.

Advize Health Is Pleased to Announce Rachel Jones as Its President

Retrieved on: 
Tuesday, June 20, 2023

"I am excited to be joining the Advize Health team as it continues to evolve and expand its product and service offerings in the Program Integrity industry. Over the last ten years, Advize has consistently dedicated itself to combating healthcare fraud, waste and abuse, and I look forward to joining such a talented, passionate team of individuals that live by this mission every day." --Rachel Jones, President, Advize Health

Key Points: 
  • PITTSBURGH, June 20, 2023 /PRNewswire-PRWeb/ -- Advize Health is pleased to announce Rachel Jones has joined the company as President.
  • "I am excited to be joining the Advize Health team as it continues to evolve and expand its product and service offerings in the Program Integrity industry.
  • Rachel is a high-energy executive with a proven record of building and leading effective teams, successfully shepherding programs, and establishing best practices.
  • In addition to her time at Clover Health, Rachel also spent over ten years at Highmark Blue Cross Blue Shield.

ACAMS FinTech and Crypto Summit Takes Aim at Financial Crime with Expert Speakers from SEC, NYSDFS, and More

Retrieved on: 
Wednesday, June 14, 2023

WASHINGTON, June 14, 2023 /PRNewswire/ -- To help anti-financial crime (AFC) professionals navigate the perils and promises of technology in the fight against illicit finance, ACAMS will host a special training and networking event for its 4th FinTech and Crypto Summit. Beginning on June 27th, attendees of this Austin, TX-based event will learn the latest industry guidance on a broad array of AFC issues, including practical takeaways on complying with evolving federal and state regulatory priorities, strategies to identify peer-to-peer fraud via payment apps, and mitigating terrorism-financing and sanctions-evasion risks linked to digital assets and blockchain technology.

Key Points: 
  • "As FinTech firms and cryptoasset companies continue to drive change in the financial sector, it's critical that they understand evolving AFC regulations and rising industry expectations in the fight against illicit finance," said ACAMS CEO Scott Liles.
  • "The ACAMS FinTech and Crypto Summit is a platform for the best and brightest in this space to share their compliance recommendations and drive public- and private-sector dialogue that can ensure the sector not only weathers economic downturns but thrives in the years ahead."
  • "Whether you're researching the hurdles of obtaining a FinTech bank charter, assessing the lessons of recent scandals in the crypto sector, or seeking to understand the impact of recent innovations in artificial intelligence, this event offers practical steps on your path to success," he said.
  • Find out more about the ACAMS FinTech and Crypto Summit, including how to register, here: https://www.acams.org/en/events/conferences/acams-fintech-crypto-summit
    Members of the media who wish to attend in person, can email their request directly to Lashvinder Kaur at [email protected] .

WITH KIA AND HYUNDAI THEFTS SPIKING, INSURANCE INDUSTRY ASSOCIATIONS ENCOURAGE YOUTUBE TO REMOVE 'HOW TO' VIDEOS

Retrieved on: 
Thursday, January 19, 2023

DES PLAINES, Ill., Jan. 19, 2023 /PRNewswire/ -- Thefts of Kia and Hyundai automobiles increased dramatically across the United States in 2022, and insurance industry associations say misuse of social media platforms, like YouTube, by individuals and criminal organizations are contributing to the spike in illegal activity. The National Insurance Crime Bureau, Coalition Against Insurance Fraud, and International Association of Special Investigation Units sent a joint letter to YouTube Chief Executive Officer Susan Wojcicki requesting the social media platform remove "how to" videos that provide detailed instructions for stealing Kia and Hyundai automobiles.

Key Points: 
  • The National Insurance Crime Bureau, Coalition Against Insurance Fraud, and International Association of Special Investigation Units sent a joint letter to YouTube Chief Executive Officer Susan Wojcicki requesting the social media platform remove "how to" videos that provide detailed instructions for stealing Kia and Hyundai automobiles.
  • Los Angeles: An 85% increase in Kia and Hyundai thefts were committed in 2022 compared to 2021, according to Los Angeles police officials.
  • Milwaukee (where the original video was filmed): Two thirds of the 5,144 vehicles stolen in 2021 (through July) were Kia and Hyundai models.
  • We can all play a part in fighting insurance crime," said Matthew Smith, Executive Director of the Coalition Against Insurance Fraud.