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AthenShield Anti-Fraud and Investigations Program

Anti-fraud efforts are critical to the success of every claims management program. We have partnered with a leading investigation company, to offer AthenShield, a comprehensive anti-fraud and investigation program available to all Athens Administrators clients. The program consists of a fully functional Special Investigations Unit and a robust Investigation Vendor Management Program.

Special Investigations Unit (SIU)

The AthenShield SIU delivers expert resources directly to both clients and Athens staff:

  • Anti-Fraud Training
  • Anti-Fraud Plan Development
  • Anti-Fraud Plan State Filings

The AthenShield SIU is staffed by experienced investigators (five year minimum) who possess specifc expertise in anti-fraud investigation and regularly receive the most current anti-fraud training.

AthenShield SIU resources are also available to work as a full service contract Special Investigation Unit.

Investigation Vendor Management Program (IVMP)

The AthenShield IVMP is designed to guarantee that our clients receive the very best investigation services possible through exclusive use of proven investigation companies, pre-negotiated competitive pricing, quality control auditing and utilization of technology throughout the reporting process. The program establishes a select pool of leading investigation companies throughout the state of California. Athens Administrators will has partnered exclusively with these approved hand picked investigation firms to deliver the highest level of investigation services.

Key benefits of the AthenShield IVMP include:

Freedom of Choice
Comprehensive list of proven investigation companies

Group Buying Power
We’ve leveraged our claim volume to negotiate favorable rates for all of our clients

Quality Control
Random investigation of audit files to monitor investigative techniques and billing practices

Uniformity of reports and service expectations for all participating investigation firms

Electronic reporting, audio recordings and video surveillance requirements for all participating firms

Improved Decision-Making
Greater access to comprehensive investigation information via the internet

Investigative firms must have workers’ compensation coverage and a minimum of $1,000,000 in liability coverage