Kassie Jones

• Examined and analyzed financial documents, applications, and case records for accuracy, consistency, and compliance
• Conducted research and data validation to support fraud, criminal, and regulatory investigations
• Maintained and organized databases to track operational and investigative data
• Prepared clear, concise reports summarizing findings for management and investigative teams
• Collaborated with cross-functional teams to improve review processes and ensure data integrity
• Assisted in training new staff on best practices, procedures, and compliance standards
• Managed high-volume workloads while maintaining attention to detail and meeting deadlines

Federal Bureau of Investigation (Contractor)

• Entered and validated large volumes of sensitive investigative data
• Identified and corrected discrepancies and missing information
• Maintained audit-ready records and managed databases
• Ensured timely, accurate data for investigative teams
• Applied quality control procedures to minimize errors

• Reviewed and analyzed medicare claims, billing data, and documentation to identify potential fraudulent, wasteful, or abusive activity
• Investigated flagged cases involving discrepancies, duplicate claims, improper billing, and eligibility issues
• Applied established guidelines and regulations to determine fraud risk and appropriate case disposition
• Documented investigative findings clearly and accurately to support recovery, denial, or escalation actions
• Collaborated with internal teams, providers, and compliance units to resolve fraud-related issues
• Managed multiple investigations simultaneously