Suzanne Taylor
Fort Worth,TX
Summary
Experienced professional skilled in investigating healthcare fraud, conducting federal background investigations, and working in broadcast news. Proficient in interviewing, fact-checking, research, and effective oral and written communication. Recognized for building strong relationships to develop solutions and achieve impactful outcomes.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Content Editor
WFAA/Tegna
09.2023 - Current
- Tracking and following news developments throughout the day
- Assigning reporters and photographers to cover specific stories
- Coordinating live shots, monitoring police, fire and EMS scanners, following up on news tips from viewers
- Maintaining contact with law enforcement and emergency services agencies to stay abreast of breaking news
- Developing a network of contacts and sources to use for obtaining exclusive local news content
- Researching and verifying information for news stories
- Communicating effectively with newsroom staff to ensure smooth coordination of news coverage
- Ensuring news content adheres to journalistic ethics and standards of accuracy
Senior Investigator
Optum/UnitedHealthcare
03.2021 - 05.2023
- Investigate medium to highly complex cases of fraud, waste and abuse
- Detect fraudulent activity by members, providers, employees and other parties against the Company
- Develop and deploy the most effective and efficient investigative strategy for each investigation
- Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system
- Collect and secure documentation or evidence and prepare summaries of the findings
- Participate in settlement negotiations and/or produce investigative materials in support of the later
- Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals
- Ensure compliance of applicable federal/state regulations or contractual obligations
- Report suspected fraud, waste and abuse to appropriate federal or state government regulators
- Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership
- Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at work-groups or regulatory meetings
- Ability to participate in legal proceedings, arbitrations, depositions, etc.
Freelance Assignment Editor
CBS News and Stations - KTVT
03.2019 - 10.2019
- Assign news crews to news stories
- Monitor police, fire and EMS scanners for breaking news
- Confirm facts with Public Information Officers
- Manage live trucks, live shots, equipment
- Coordinate with producers for live news broadcasts
- Document all factual information in INEWS system
- Build and maintain rapport with community leaders and members for resources and generate story ideas
- Respond to alerts accordingly to notify the public for safety matters - Amber Alerts, Silver Alerts, Severe Weather Alerts, Police and Fire safety issues or emergencies impacting the community
Speaker Coordinator
Real News Public Relations
03.2018 - 03.2019
- Research events to match with opportunities with public speaking clients
- Develop and maintain relationships with organizations, clubs, community groups to pitch speakers for various events
- Meet with clients to develop, write and practice speeches for their brand, product or service
- Maintain multiple clients events calendars in Base Camp
- Attend all clients events for support and provide any onsite assistance needed
- Maintain assertive outreach on behalf of all speaking clients
Weekend Assignment Editor
KTVT CBS
12.2015 - 02.2018
- Research and assign news crews to news stories for multiple shows
- Monitor police, fire and EMS scanners for breaking news
- Confirm facts with Public Information Officers
- Manage live trucks, live shots, equipment
- Coordinate with producers for live news broadcasts
- Document all factual information in INEWS system
- Build and maintain rapport with community leaders and members for resources and generate story ideas
- Respond to alerts accordingly to notify the public for safety matters regarding safety issues or emergencies impacting the community
Health Fraud Investigator Lead
Health Integrity (now Qlarant)
01.2009 - 01.2015
- Reported directly to the VP, SVP, prepared weekly reports regarding case tracking and file review status
- Supervised team of healthcare fraud investigators in multiple offices investigating cases of healthcare fraud, waste and abuse
- Submitted law enforcement referrals to the Department of Health and Human Services Office of the Inspector General and Federal Bureau of Investigation for prosecution
- Investigated Medicare fraud cases in multiple states involving physicians, clinics, hospitals, durable medical equipment suppliers, home health providers and hospice providers
- Analyze claims data, review medical records and interview patients to determine if there is any healthcare fraud, waste or abuse
Fraud Investigator
TriCenturion
08.2007 - 12.2008
- Performed detailed background checks on individuals suspected of fraudulent activity to gather critical information needed for successful investigations.
- Conducted prompt and thorough investigations on referred files.
- Collaborated with law enforcement agencies to resolve complex fraud cases, leading to successful prosecution of offenders.
- Interviewed witnesses thoroughly, asking appropriate questions to ascertain critical details about each case.
- Summarized all key information regarding investigation into detailed report for delivery to client.
Field Investigator
US Investigation Services (USIS)
01.2002 - 01.2007
- Collected records to verify employment, residence, education, legal, and financial information for background investigations
- Interviewed subject for employment as initial part of the federal background investigation to obtain national security clearance
- Interview sources to corroborate critical information regarding the subject' employment, residential, education history and develop any additional information disclosed during the interviews
- Document all record findings and interviews in a report of investigation and submit for for approval
Education
Bachelor's degree - Broadcast Journalism
Texas Wesleyan University
Fort Worth, TXAssociate's Degree - Mass Communications
Tarrant County College
Fort Worth, TXHigh School Diploma -
Castleberry High School
Fort Worth, TXSkills
- Objective analysis
- Thorough document review
- Ability to meet tight deadlines
- Accuracy verification
- Skilled in utilizing research platforms
- Skilled in proofreading and editing
- Prioritization and scheduling
- Problem-solving skills
- Cross-functional collaboration
Certification
- Certified Fraud Examiner
- October 2008 to November 2015
- Certified Fraud Examiner designation focused on investigating healthcare fraud waste and abuse.
Awards
Stellar Award - 4th Quarter, December 2017 I received the Stellar Award from CBS 11 for my contributions to a news story featuring News Anchor, Doug Dunbar, and his work with Snowball Express. https://www.youtube.com/watch?v=dyQg7XKAXSc
Timeline
Content Editor
WFAA/Tegna
09.2023 - Current
Senior Investigator
Optum/UnitedHealthcare
03.2021 - 05.2023
Freelance Assignment Editor
CBS News and Stations - KTVT
03.2019 - 10.2019
Speaker Coordinator
Real News Public Relations
03.2018 - 03.2019
Weekend Assignment Editor
KTVT CBS
12.2015 - 02.2018
Health Fraud Investigator Lead
Health Integrity (now Qlarant)
01.2009 - 01.2015
Fraud Investigator
TriCenturion
08.2007 - 12.2008
Field Investigator
US Investigation Services (USIS)
01.2002 - 01.2007
Bachelor's degree - Broadcast Journalism
Texas Wesleyan University
Associate's Degree - Mass Communications
Tarrant County College
High School Diploma -
Castleberry High School
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