Kate LindgrenKL
Open to opportunities

Kate Lindgren

@katelindgren

Experienced investigator specializing in health insurance fraud.

Zimbabwe
Message

What I'm looking for

I am looking for opportunities that allow me to leverage my investigative skills in health insurance fraud while collaborating with law enforcement to ensure compliance and justice.

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

PC

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 logoBU

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

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Kate Lindgren - SIU Investigator II - Elevance Inc./Anthem Inc. (BCBS) | Himalayas