Michael Jenschke

Conducted investigations into dental providers, long-term and short-term disability claims, life insurance claims, account takeovers, elder abuse, and financial exploitation to guarantee compliance and mitigate risk. Collaborated with Anti-Money Laundering (AML) teams and coordinated efforts with various law enforcement agencies. Spearheaded state fraud reporting processes and orchestrated special

Handled complex Workers' Compensation claims for Pennsylvania and New Jersey, independently managing high-exposure files across multiple jurisdictions to mitigate financial risk. Achieved favorable outcomes on complex claims by thoroughly analyzing high-exposure files. Increased financial recoveries by pinpointing subrogation opportunities in Workers' Compensation cases.

Served as a liaison between agencies and all lines of business within Harleysville, representing company in agency relations and industry presentations. Nurtured client and agency relations throughout Northeast Region as trusted representative during onsite visits. Delivered presentations to agency partners, enhancing brand credibility and alignment.

Specialized in Workers Compensation claims. Handled various aspects of claims processing and resolution. Collaborated with internal and external stakeholders to ensure efficient claim management.

Administered Workers Compensation claims. Ensured compliance with relevant regulations and company policies. Managed claim processes from initiation to resolution.

Prepared and submitted required state reports to maintain regulatory compliance. Executed fraud, waste, and abuse investigations to safeguard company resources. Cooperated with Broadspire to streamline investigative operations.

Conducted investigations of Workers' Compensation claims across Pennsylvania to assess legitimacy and compliance. Completed and submitted state reports to regulatory authorities within mandated timeframes. Maximized compliance through consistent and timely submission of state reporting documentation.

Studied criminal justice, focusing on the legal system and its applications. Gained foundational knowledge in criminology and justice administration.

Undertook studies in Criminal Justice, gaining insights into the field. Developed an understanding of key concepts and principles within the discipline.

Completed the Disability Insurance Associate program, enhancing expertise in disability insurance. Acquired specialized knowledge in fraud detection and prevention within the insurance sector.

Achieved the Disability Insurance Fellow designation, demonstrating advanced proficiency in disability insurance. Deepened understanding of complex insurance concepts and fraud investigation techniques.

Obtained the Healthcare Anti-Fraud Associate certification, specializing in healthcare fraud prevention. Developed skills in identifying and mitigating fraudulent activities in healthcare.