Derik Ciccarelli

Healthcare Fraud Analyst at Codoxo

Derik Ciccarelli has worked in the fraud detection and analysis field since 2004. From 2004 to 2012, they were the Director of Investigations and Director of Quality Assurance at Combined Investigators, Inc., where they supervised two managers and 30+ investigators and generated the lowest operating cost and highest annual production of more than three million dollars. Derik also created a company-wide, investigative staff grading and evaluation methodology, analytics, and spreadsheets for assessing performance, assigning grades to individual cases, and generating bonus values for payroll. In 2012, they joined LexisNexis Risk Solutions as a Business Consultant, where they designed and implemented best practices for fraud detection and analysis for healthcare clients, utilizing healthcare software. Derik also prepared and delivered online and onsite client presentations, creating training guidelines and modules for healthcare software. Derik was later promoted to Sr. SIU Investigator, where they managed quality assurance review and user acceptance testing for healthcare software, assessing functionality and performance during migration to Health Care Payment Protection Portal. In 2020, they joined Codoxo as a Healthcare Fraud Analyst.

Derik Ciccarelli has attended Riverside City College for Criminal Justice, obtained a Six Sigma Certification in Process Improvement, and earned a CEU from Continuing Education for Private Investigators.

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