The Importance of Link Analysis and
Data Visualization in Fraud Mitigation

Jeffrey Ferrand, J.D.

December 12, 2018

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Program Description and Bio

Description: Identifying and mitigating fraud, waste, and abuse in the long-term care insurance industry is a very hot topic. Carriers are finding that advancements in this area can deliver significant bottom-line financial results. This webinar will highlight a variety of tools and techniques that can be utilized to allow claims handlers and SIU professionals to work together to improve efforts in combatting LTCi fraud.

Bio: Jeff Ferrand serves as Fuzion’s chief fraud officer, where he oversees claims FWA mitigation efforts and all claims special investigations. Jeff designs and implements FWA programs, focusing on referral training and engagement, strengthening SIU investigations, and developing FWA claim mitigation strategies. His dynamic presentation style makes him extremely effective at fraud program trainings and a highly sought after speaker on a variety of insurance fraud topics at industry conferences. Jeff places a lot of emphasis on utilizing performance-based metrics to improve activities that yield fraud mitigation results.

Prior to joining Fuzion, Jeff was a trial attorney defending insurers and their insureds in a wide range of legal issues, specializing in insurance fraud and coverage. In addition to trial work, his practice included overseeing fraud investigations, taking witness interviews, and securing Examinations Under Oath of parties suspected of fraudulent behavior. After approximately 13 years of private law practice, he transitioned his expertise to Fuzion where he has remained very active in fraud and legal communities.

Jeff is the current chair of the Long-term Care Insurance Anti-Fraud Forum Governance Committee; was the 2016 President of the National Society of Professional Insurance Investigators (NSPII), a leading national anti-fraud professional organization; and serves on numerous other professional boards and committees. Jeffrey received a Bachelor of Arts degree in Psychology from Wabash College and his J.D. from Indiana University School of Law - Indianapolis.