The podcast episode features Bobbie Shrivastav and Laurel Jordan interviewing Jane Menin Bagley from Fuzion about fraud, waste, and abuse (FWA) in the long-term care insurance industry. Jane shares her 30 years of experience in the field and emphasizes the importance of addressing FWA through a combination of technology and human intelligence. She discusses the challenges of proving fraud, waste, and abuse and highlights the need for continuous training, analysis, and action to combat these issues effectively. Jane also touches upon the evolving landscape of insurance fraud regulation and the importance of penalties in deterring fraudulent activities. She concludes by urging insurance carriers and TPAs to assess their capabilities, implement proactive measures, and stay vigilant against FWA. The conversation highlights the symbiotic relationship between technology and human empathy in tackling insurance fraud and underscores the urgency for action in the industry.

Ver todos los episodios