Mike Aucoin
Senior Fraud Investigator at Integrity Management Services, Inc.- Claim this Profile
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English -
Topline Score
Bio
Credentials
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Certified Fraud Examiner
Association of Certified Fraud Examiners (ACFE)Jan, 2015- Nov, 2024 -
The Reid Technique of Interviewing and Interrogation
John E. Reid & Associates, Inc.Oct, 2014- Nov, 2024
Experience
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Integrity Management Services, Inc.
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United States
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Business Consulting and Services
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1 - 100 Employee
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Senior Fraud Investigator
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Jul 2018 - Present
● Conduct investigations detect fraud, waste, or abuse within The Marketplace.● Communicate with federal/state agencies and providers regarding issues discovered during investigative process.● Develop and document reports of investigative findings, issue findings, recommendations, and corrective actions in accordance with applicable regulations, policies, and procedures.● Train and mentor new and established members of the team. ● Conduct investigations detect fraud, waste, or abuse within The Marketplace.● Communicate with federal/state agencies and providers regarding issues discovered during investigative process.● Develop and document reports of investigative findings, issue findings, recommendations, and corrective actions in accordance with applicable regulations, policies, and procedures.● Train and mentor new and established members of the team.
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NCI Information Systems, Inc
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United States
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IT Services and IT Consulting
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700 & Above Employee
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Fraud Investigator
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Jul 2016 - Mar 2018
-Conduct independent investigations resulting from the discovery of situations that potentially involve fraud, waste, or abuse. -Utilize data analysis techniques to detect aberrancies in Medicare claims data, and proactively seek out and develop leads received from a variety of sources (e.g., CMS, OIG, fraud alerts). -Develop and prepare potential Fraud Alerts and Program Vulnerabilities for submission to CMS. -Conduct independent investigations resulting from the discovery of situations that potentially involve fraud, waste, or abuse. -Utilize data analysis techniques to detect aberrancies in Medicare claims data, and proactively seek out and develop leads received from a variety of sources (e.g., CMS, OIG, fraud alerts). -Develop and prepare potential Fraud Alerts and Program Vulnerabilities for submission to CMS.
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Tennessee Department of Commerce and Insurance
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United States
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Government Administration
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1 - 100 Employee
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Fraud Investigator III
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May 2014 - Jul 2016
The TN Insurance Financial Services Investigations Unit is designed for the reduction and elimination of insurance fraud in Tennessee. The unit receives complaints from victims, companies, law enforcement, producers, as well as citizens. The unit will then conduct an investigation into the allegations of fraudulent activities by interviewing witnesses, victims and the subjects. We perform background checks, and collect evidence. Online resources used can include, but are not limited to Criminal Justice Portal, SBS, NAIC, CLEAR, PACER, and FINRA. During investigations, the unit will prepare memorandums of interview, Inquisitorial Order requests, and subpoena requests. The unit has worked with local law enforcement, Tennessee Bureau of Investigations, Federal Bureau of Investigations, District Attorneys on state and federal levels, as well as other Department of Insurance investigators and SIU agents of various companies. The unit has testified in hearings for both civil and criminal proceedings.
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Executive Administrative Assistant
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Jul 2011 - May 2014
∙Find, manage and track proposed bills that might affect department∙File final bill analysis, fiscal note, and fiscal note support form for each bill∙Provide assistance for Policy Commissioner’s schedule, daily paperwork and travel arrangements∙Oversee all legislative Contact Forms, ensuring inquiries are answered properly∙Received and administered Regulatory Board complaints and inquiries, guaranteeing proper responses from directors∙Tracked and refigured case complaints into Excel files for attorneys ∙Aided in administrative auditing of Regulatory Board’s divisions
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Legislative Liaison Assisant
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Nov 2010 - Jan 2011
∙Developed and maintained a professional relationship with elected officials of Tennessee.∙Helped in developing various events for the Inauguration weekend.∙Received and compiled information in Excel spreadsheets and Word documents Daily and published for office use. ∙Developed and maintained a professional relationship with elected officials of Tennessee.∙Helped in developing various events for the Inauguration weekend.∙Received and compiled information in Excel spreadsheets and Word documents Daily and published for office use.
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Bill Haslam for Governor
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Government Relations Services
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1 - 100 Employee
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Intern
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Mar 2010 - Nov 2010
∙Mailed several thousands of correspondence.∙Installed signage in Davidson and surrounding counties.∙Represented the candidate at events.∙Acted as advanced party, setting up each sight when candidate was on his bus tour ∙Helped organize debate rallies. ∙Mailed several thousands of correspondence.∙Installed signage in Davidson and surrounding counties.∙Represented the candidate at events.∙Acted as advanced party, setting up each sight when candidate was on his bus tour ∙Helped organize debate rallies.
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US Army
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United States
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Armed Forces
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700 & Above Employee
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Infantryman
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Jan 1998 - Jan 2002
· Directed, disciplined and protected up to 8 personnel at a time. · Led an infantry squad in combat training, providing tactical and technical guidance to subordinates.· Supported both superiors and subordinates in the accomplishment of their duties. · Received and implemented combat orders, directed deployment of personnel in offensive and defensive operations in high-pressure environments.· Deployed to three countries, and maintained a professional, courteous relationship with the citizens.· Awards include Good Conduct Medal, Army Commendation Medal, Army Achievement Medal, as well as Unit Awards.
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Education
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2009 - 2013
Middle Tennessee State University (MTSU)
Political Science and Government -
2007 - 2013
Middle Tennessee State University
Bachelor of Arts (B.A.), Political Science
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