Experience

USAA Life Insurance Company

• United States
• Insurance
• 1 - 100 Employee

• Chief Claims & Fraud Officer

  • Jun 2021 - Present

  San Antonio, Texas, United States Chief Life, Annuity & Health Claims, Fraud and AML Officer for USAA Life Insurance Company.



Mody Data

• United States
• Insurance

• Chief Operating Officer

  • Nov 2017 - Jun 2021

  Ridgewood, NJ Lead operations, strategic business strategies and business development for startup business using artificial intelligence (AI) which improves insurance fraud detection and risk mitigation while driving improved profitability and operational efficiency for clients. Bridge AI and data analytics with strategic execution that enable clear insights for claim and underwriting decisions. Engage and establish fruitful, trusted partnerships with forward-thinking insurers and companies.



MetLife

• United States
• Insurance
• 700 & Above Employee

• Vice President

  • 2016 - Jul 2017

  Bridgewater, NJ Head of Fraud and Investigations for US Group Health and Retail Life Claims. Provided Investigative leadership and support for 2.3K+ employee organization, 38M claims for $15B in the United States. Critical Subject Matter Expert (SME) and Leader for MetLife Global Claims. Fraud Management: Led tactical business operations plans, increased operating leverage and executed fraud waste and abuse investigations. Investigations: Implemented cost effective process improvement and fraud… Show more Head of Fraud and Investigations for US Group Health and Retail Life Claims. Provided Investigative leadership and support for 2.3K+ employee organization, 38M claims for $15B in the United States. Critical Subject Matter Expert (SME) and Leader for MetLife Global Claims. Fraud Management: Led tactical business operations plans, increased operating leverage and executed fraud waste and abuse investigations. Investigations: Implemented cost effective process improvement and fraud detection increased by over 26%. Strategic Execution and Transformation: Implemented culture of continuous improvement and delivered world class investigative service.

• Vice President

  • 2007 - 2016

  Head of Investigations, Controls and Advisory Services and led staff of 24 supporting US Life Claims Operations. Provided technical claims and investigation support in the United States. Successfully led financial risk strategy for $10B Claims, Retail In Force, Group and Direct Distribution Operations. Directed risk mitigation strategy ensuring Retail policies and procedures were in compliance with applicable state rule, law or regulation.

• Assistant Vice President - Corporate Ethics & Compliance

  • 2000 - 2007

• Manager - Life Claims and Investigations

  • 1998 - 2000

• Claims Reference Advisor

  • 1990 - 1998