Patricia Woupio

Experience

• 

  Clark University

  Sept 1999 - May 2002

  Administrative Assistant

  Operated a multi-line phone system.Increased student enrollment through my ability to speak foreign languages.Organized student registration and orientation, as well as different activities, such as field trips, inviting guest speakers, etc.

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  Sullivan Real Estate

  May 2002 - Jul 2006

  Office manager

  Coordinated advertising for the company and created marketing newsletters.Supervised 10 real estate agents as well as coordinated sales and lease agreements.Created and put in effect office policy and company procedures.Interacted with clients, lawyers, and banks to schedule closings on property sales

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  Travelers of MA

  Sept 2007 - Jul 2012

  Claim Representative

  Proficient in the use Claim Systems and MS Office Suite.Analyzed bills and medical records while carefully investigating complex issues and complying with federal regulations.Recipient of Special Investigation Unit (SIU) & Personal Injury (PIP) partnership award two years in a row for identifying and investigating claims in the fight against insurance fraud.Successfully processed Claims involving personal lines auto, injury & litigation.Experience with medical billing, CPT coding, ICD-9, and third party policies.Conducted successful daily negotiations with attorneys and medical providers regarding claims.Possess thorough knowledge of third party reimbursement and conduct daily dealings with health insurance companies and Medicare.Met and exceeded quarterly targets and overall company goals while providing compelling claim service. Show less

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  GEICO

  Sept 2012 - Oct 2023

  Managed operations in all New England States overseeing both field and internal investigations, as well as fraud analytics and assessment, auditing, training, leadership development, and compliance. Developed and executed short and long term regional plans and strategy to include development of data analytics, staffing and budgeting. Ensured compliance with all state and federal regulations to include quarterly and yearly reporting. Conducted ongoing and daily spot check audits as well as formally through Monthly Performance Assessments that focused on operational compliance and thorough investigations, as well as Quarterly Compliance Audits for other branches of the claims operation.Met and exceeded all targets and deadlines, restoring millions of dollars in fraud avoidance on a consistent basis to include managing large scale organized fraud and affirmative litigation.Collaborated strategically with Senior leadership, and other department leads to implement best practices and generate solutions that improved fraud detection, and drove efficiencies for maximum profitability, and customer service improvements. Consistently focused on building a strong and diverse team, allowing all individuals to participate, collaborate, and generate solutions that moved the department and company forward.Reduced operational costs by implementing new processes and developing cross-functional training opportunities for different roles.Secured the best third party vendor contracts and facilitated clearance for enterprise security and data transfers. Collaborated with law enforcement, State Fraud Insurance Bureaus, and the NICB to advance fraud-fighting efforts and prosecute criminals.Led the team through multiple transitions while motivating them to navigate difficult changes and always keeping focus on top-notch results. Show less

  • Regional SIU Manager

    Dec 2016 - Oct 2023

  • Field Supervisor - SIU

    Feb 2014 - Dec 2016

  • Senior Field Investigator

    Sept 2012 - Feb 2014
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  First Chicago Insurance Company

  Dec 2023 - now

  SIU Director

  Responsible for directing all SIU operations. Building a successful team of investigators that will detect, deter, and defeat fraud.