Kate Lindgren
@katelindgren
Experienced investigator specializing in health insurance fraud.
What I'm looking for
I am a dedicated investigator with extensive experience in health insurance fraud, specializing in both government and private insurance investigations. With 19 years of experience, I have honed my skills in healthcare law and compliance, particularly in relation to HIPAA regulations and medical records requirements. My background includes working with the Centers for Medicare & Medicaid Services (CMS) and various state agencies, where I have developed a keen understanding of the complexities involved in health insurance fraud investigations.
Throughout my career, I have successfully identified and investigated numerous cases of health insurance fraud, waste, and abuse. My role as a SIU Investigator at Elevance Inc. has allowed me to utilize data analytics and strategic thinking to uncover billing schemes and recover health-plan overpayments. I pride myself on my ability to collaborate effectively with state and federal law enforcement agencies, ensuring that justice is served through civil and criminal prosecutions.
Experience
Work history, roles, and key accomplishments
SIU Investigator II
Elevance Inc./Anthem Inc. (BCBS)
Sep 2021 - Nov 2024 (3 years 2 months)
Identified and investigated health insurance fraud, waste, and abuse billing schemes through data analytics and direct allegations. Developed cases using investigative techniques to recover health-plan overpayments and pursue civil/criminal prosecution.
SIU Investigator
Premera Blue Cross
Jan 2011 - Dec 2016 (5 years 11 months)
Identified and investigated health insurance fraud, waste, and abuse billing schemes via data analytics and direct allegations. Developed cases utilizing investigative techniques to recover health-plan overpayments and pursue civil/criminal prosecution.
Education
Degrees, certifications, and relevant coursework
Boston University
BA Economics, Economics
Studied economic principles and theories at Boston University. Gained a foundational understanding of economic systems and their impact.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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