Virtual Pre-Conference Day One - Wed, October 4, 2023
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October 4th @ 8:10am to 9:00am US Central Time – Raimund Laqua
Title: Effective Compliance: A Strong Defense Against Mission Failure
Description: Across all sectors, businesses are increasingly facing threats from both internal and external sources. For those entrusted with keeping organizations between the lines and ahead of risk, this task can feel daunting. It does not help when compliance is viewed more as a hinderance rather than some help. However, compliance when effective can strengthen corporate integrity, organizational alignment, and operational excellence—a threefold defense against mission failure. In this presentation, we delve into the essential principles and practices for establishing a strong compliance program capable of improving the probability of mission success in the presence of uncertainty.
With over 35 years of consultancy experience, Raimund Laqua has been instrumental in assisting companies operating within highly regulated and high-risk sectors to revolutionize their compliance. His expertise covers operationalizing safety, security, sustainability, quality, and other programs to better achieve stakeholder outcomes.
In his role as the Founder and Chief Compliance Engineer at Lean Compliance Consulting, Laqua works closely with ethical and ambitious clients to streamline processes, mitigate risks, and enhance the overall effectiveness of compliance measures.
Raimund Laqua holds professional credentials as an engineer, a certified Project Management Professional (PMP), and a Lean Six Sigma practitioner. His expertise extends to addressing themes such as risk, lean principles, compliance strategies, and digital transformation, which he not only writes about but also lectures on and imparts through teaching.
He further extends his influence as a member of advisory boards and assumes the role of AI Committee chair for Engineers for the Profession. Beyond his professional endeavors, he maintains active involvement within his church community.
October 4th @ 9:10 – 10:00 US Central Time – Karen Weintraub
Title: Healthcare Fraud, Waste and Abuse
BIO: Karen Weintraub is the Executive Vice President at Healthcare Fraud Shield and is recognized as a leading subject matter expert in the healthcare fraud, waste & abuse industry.
Karen leads the Client Services and SME support teams and is responsible for designing the company’s healthcare fraud detection software and consulting services offerings.
Karen has a BA in Criminal Justice from the University of Delaware and an MA in Criminal Justice from Rutgers University. She is a Certified Professional Coder for Payers (CPC-P), a Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders, a Certified Dental Coder (CDC) from the American Dental Association and is an Accredited Healthcare Fraud Investigator (AHFI) from the National Healthcare Anti-Fraud Association (NHCAA) where she frequently serves as a speaker and faculty member.
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October 4th @ 10:10 -11:00 US Central Time – Sabrina Segal
Title: Tolerable Risk: Risk Management in the Third-Sector – Why we’re different and how to work with us
DESCRIPTION: Working with the third sector (charities, nonprofits, NGOs, etc.) can be an impactful and life-changing opportunity to reach vulnerable and underserved populations. Private sector organizations often have CSR or foundations that are an extension of their business where they can give back and invest in the community around them. But, working with third sector implementing partners can have its challenges, particularly around risk and compliance. This session will provide a glimpse into sector-wide and day-to-day challenges facing third-sector organizations and suggest practical ways of working together that will provide value to both your organization and the organizations you intend to support.
BIO: Sabrina M. Segal is an integrity, risk, and compliance advisor, international development and humanitarian assistance professional, licensed US attorney, and Certified Fraud Examiner with almost 20 years of experience in the public, private, and third-sectors. In recent years, Sabrina has become focused on risk in the third sector as the impact of risk management, when done poorly, can be devastating to both third-sector organizations and the beneficiaries they serve. Sabrina is an active writer on LinkedIn and hosts the Tolerable Risk podcast. You can find Sabrina on LinkedIn https://www.linkedin.com/in/smsegal/ and the Tolerable Risk podcast on all the major podcast platforms.
October 4th @ 11:10 – 12:00 US Central Time – Renee Brooker
Title: Financial incentives for Whistleblowers to Report Fraud
DESCRIPTION: Detecting and reporting fraud involving government-funded programs and contracts and financial rewards for reporting. Discussion of fraud schemes that threaten to deplete taxpayer money: health care fraud, cybersecurity fraud, government contracting fraud, and financial fraud; combating these fraud schemes with existing enforcement tools such as under the federal False Claims Act, the state False Claims Acts, and the Dodd-Frank Wall Street Reform and Consumer Protection Act; and the financial incentives under these programs to encourage fraud reporting.
BIO: Renée Brooker is the former Assistant Director for Civil Frauds at the U.S. Department of Justice, the office that supervises False Claims Act cases in all 94 federal district courts. In her official capacity, Renée had oversight for hundreds of recoveries, with nearly $6 billion in False Claims Act recoveries. While at DOJ, Renée was the chief architect of the Big Lender Initiative under President Obama’s Financial Fraud Enforcement Task Force; litigated cases against Big Pharma in the “Average Wholesale Price” MDL; and led trial teams to a successful False Claims Act jury verdict against a national health care provider and a civil RICO verdict against the tobacco industry after 3-month and 9-month trials. Her extensive fraud enforcement experience cuts across all industries including health care, cybersecurity, government contracting, the financial industry, and more. Renée received numerous Justice Department awards for fraud prevention, including the Attorney General’s highest award for sizeable recoveries against the pharmaceutical industry.
Renée now represents whistleblowers throughout the United States at a public interest plaintiff’s law firm in Washington, D.C. called Tycko & Zavareei LLP.
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October 4th @ 1:00 – 1:50 US Central Time – Christopher Harris
Title: OSIG Overview & UI Fraud Case Studies
- Description: An internal audit at the Virginia Employment Commission (VEC) in early 2022 revealed that several employees had potentially filed for unemployment insurance (UI) benefits while employed at the agency. The matter was referred to OSIG for an investigation, which revealed that some of the employees were victims of ID fraud/theft while the rest had made false statements to obtain benefits. In his presentation, SSA Harris will provide a brief overview of OSIG and several UI fraud case studies with a focus on working to show criminal intent when seeking prosecution.
BIO: Christopher D. Harris has worked in law enforcement for the last 19 years. He is a Supervisory Special Agent at the Virginia Office of the State Inspector General (OSIG) where he oversees the Criminal Investigations Unit. Chris has a MS in Criminal Justice – Public Administration, and he holds the CFE, CECFE, 3CE, and CIGI designations.
October 4th @ 2:10 – 3:00 US Central Time – Steve Bodge
Title: Safety Training for Private Sector Field Employees
Description: Due to the nature of the job of a field investigator, and the unpredictable nature of humans, it’s critical investigative field staff proactively identify, anticipate and/or determine how they’ll diffuse any potential safety issue(s) that may arise during a claim or fraud investigation.
BIO: Steve Bodge is an SIU Major Case Manager for Nationwide Insurance. He is responsible for the identification and investigation of complex fraud cases in multiple states. Mr. Bodge has over 24 years of insurance investigation experience as a field investigator, regional fraud claims consultant and SIU Manager. He is currently the president of the WV Chapter of the International Association of Special Investigation Units. Mr. Bodge is a former law enforcement officer and detective and is a graduate of the FBI National Academy and Fairmont State University. For over 25 years he served as an adjunct criminal justice instructor at the college level and has extensive experience in developing and presenting training at the local, regional and national level. He is a Certified Fraud Examiner and a Certified Insurance Fraud Investigator.
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October 4th @ 3:10 – 4:00 US Central Time – Ayelet Biger-Levin
Title: Spot the Scam if you can - What can we do to mitigate online scams
DESCRIPTION: Online scams are on the rise, presenting an ever-growing challenge for financial institutions. Join us in this engaging and highly interactive session, where you'll step into the shoes of your customer. Can you tell a scam from legitimate messages? Let's put your skills to the test!
We will delve into the psychology of scams and the emotional manipulation tactics used by cybercriminals. We'll also discuss why classic methods of account takeover fraud are not effective to tackle scams. But there is a bright side - discover a holistic approach to scam detection that spans the entire scam lifecycle, offering comprehensive protection from awareness to mitigation.
BIO: Ayelet Biger-Levin has spent over 15 years helping financial institutions detect and prevent fraud across digital channels and fight financial crime. I am starting a company focused on fighting financial scams. Prior to founding a company, I held the role of SVP of Market Strategy at BioCatch and spent over 10 years at RSA Security in various roles, focused on identity and fraud protection. Prior to RSA, I was focused on innovation at IBM Research Labs in Israel and hold over 10 patents in the space of identity protection and fraud prevention.
October 4th @ 4:10 – 5:00 US Central Time – Seth Ruden
Title: Modern Disruption Methods for Scams and Money Mule Activity: How to Leverage Behavioral Biometrics in your Institution to Enable Early Detection and Prevention of Illicit Activity
BIO: Seth Ruden is a Certified Fraud Examiner (CFE) and a Certified Anti-Money Laundering Specialist and has 20 years of experience in Fraud and Compliance supporting strategy and consulting for global organizations such as HSBC, ACI and Fiserv, to name a few. Most recently, he was the Head of Fraud at a systemically important institution, First Tech Federal Credit Union, navigating the institution through an account takeover fraud crisis in the pandemic era, achieving stability, having reduced the Credit Unions fraud losses significantly year over year. He presently leads BioCatch's Global Advisory program.