Richard West

Senior Counter Fraud Specialist at Kirontech
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Contact Information
us****@****om
(386) 825-5501
Location
UK

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Credentials

  • Data Fluency: Exploring and Describing Data
    LinkedIn
    Jun, 2020
    - Nov, 2024
  • Data Science Foundations: Fundamentals
    LinkedIn
    May, 2020
    - Nov, 2024
  • Certificate in Fraud Risk Management
    CIPFA
    Mar, 2020
    - Nov, 2024
  • Accredited Counter Fraud Specialist
    -
    Sep, 2012
    - Nov, 2024

Experience

  • Kirontech
    • United Kingdom
    • Software Development
    • 1 - 100 Employee
    • Senior Counter Fraud Specialist
      • Jan 2021 - Present

  • AXA Health
    • United Kingdom
    • Financial Services
    • 700 & Above Employee
    • Investigations Manager
      • Jul 2017 - May 2022

      I lead a team of fraud investigators. My team identifies risk and investigates healthcare provider fraud within the private medical insurance industry. I am a graduate, Registered Nurse, Accredited Counter Fraud Specialist and trained in open source intelligence gathering, including the Dark Web. I am experienced in leading investigations in healthcare provider fraud, preparing and gathering evidence to court standards and giving evidence at regulatory hearings. I am also conversant in data mining techniques. I won the Health Insurers Counter Fraud Group's (HICFG) Best Newcomer Award following my first year in the industry and the HICFG PMI Investigator of Year Award in 2013. In 2014 I was a member of the team that won the HICFG Investigation Team of year Award. I was a member of the HICFG Steering Committee between 2015-2017. Show less

    • Fraud Investigator
      • Oct 2010 - Jul 2017

    • Nurse Case Manager
      • Oct 2008 - Oct 2010

      Managing high cost hospital admissions and assessing the eligibility of claims.

  • Burrswood Hospital
    • Registered Nurse
      • Sep 2004 - Oct 2008

  • Guys Hospital
    • London, United Kingdom
    • Registered Nurse
      • Nov 1990 - Jul 1999

  • Hillingdon, Harefield and Mount Vernon School of Nursing
    • Nursing Student
      • Jul 1988 - Nov 1990

Education

  • Goldsmiths College, U. of London
    BA (Hons), History
    1999 - 2002
  • University of Portsmouth
    Accredited Counter Fraud Specialist, UCPD Corporate Fraud Investigator Course
    2011 - 2012
  • Kings College London
    Registered Nurse, Enrolled Nurse conversion course
    1996 - 1997
  • Hillingdon, Harefield and Mount Vernon School of Nursing
    Enrolled Nurse General, Nursing
    1988 - 1990

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