My name is, Bo Barber. I am a Certified Fraud Examiner (CFE) with over 25 years of insurance fraud investigative and management experience. I spent over 13 years specifically investigating healthcare & provider frauds including organized insurance crimes, medical mills, and patient sharing schemes.

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Prior to joining the Special Investigations industry in 1991, I was a decorated law enforcement officer in Los Angeles County. I have over 33 years of criminal and insurance fraud investigative experience.

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I have traveled both nationally and internationally presenting training and serving as a subject matter expert before insurers; anti-fraud industry conferences; investigators; state and federal law enforcement; and prosecutors on a wide range of medical provider fraud topics and risk mitigation strategies including:

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• Conducting Major Fraud & Organized Insurance Crime Investigations;

• Proactively Identifying Fraud Trends, Predictors, & Exposures;

• Investigative Aspects of Medical Billing; and

• Provider Fraud in Legal Cases

 

Among my professional accolades, I was honored with a Letter of Commendation from the Los Angeles County District Attorney’s Office for my investigative role in uncovering key evidence and developing an informant inside a massive organized healthcare crime ring involving dozens of medical providers. The case became known as, “The Largest Workers’ Compensation Fraud in California’s History!”

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I have worked cases with local, state, and federal law enforcement agencies including the FBI, the Secret Service, the Department of Health & Human Services, and with various district attorney and United States Attorney Offices. In addition, I have worked with various Department of Insurance Fraud Bureau’s as well as with various state Healing Arts Boards and regulatory agencies. Outcomes from my casework has even been presented before state legislators in support of new anti-fraud laws, rules, and regulations.

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Before consulting on questionable and suspected fraudulent insurance issues, I served in lead investigative and management roles in two of our nation’s oldest, largest, and most respected insurance giants. As the founder of one of those company’s first ever dedicated medical provider fraud units, I proposed the unit; wrote the policies & procedures; hand selected and trained the investigative, legal, medical, and analyst staff; and then directed and oversaw each and every investigation the unit handled.

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I have personally trained insureds, claims adjusters, claims managers, SIU investigators, attorneys, nurses, risk managers, safety specialists, medical management consultants, loss prevention specialists, and private investigators, as well provided consultation to law enforcement investigators and deputy district attorneys on how to detect, investigate, mitigate, defeat, and abate suspected medical provider frauds.

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Outside of my professional fraud management duties,

I am a Master Freemason and an international selling novelist.

My hit 5 star rated insurance fraud-based crime thriller, Indemnity,

is available in hard copy & eReader versions from Amazon.