“Pondera’s FraudCaster system has been instrumental for fraud and trafficking detection. The new case management system has improved business processes and data gathering for the 366B. As a result, Nevada’s investigation and recovery team is more efficient and effective.”
BILL STRONG – Chief of Investigations and Recovery,
Nevada Division of Welfare and Supportive Services
Compliance and Risk Analysis
Pondera’s system is used for compliance, financial exposure reporting, risk analysis, and fraud and waste detection across multiple social services programs including Temporary Assistance for Needy Families (TANF), the Supplemental Nutrition Assistance Program (SNAP), Women, Infants, and Children (WIC), and various facility and home-based programs. It is built to help our clients ensure that limited program dollars are delivered to those who are qualified to receive them.
The system includes alerts, geospatial maps, and prediction algorithms built specifically for social services programs and analyzes household composition, program regulations, service providers and facilities, individual transactions, and behaviors over time. It is used for ongoing program analytics and for eligibility validation.
Pondera’s system provides both identity verification, the process of ensuring the identity is real and valid, and identity authentication utilizing out-of-wallet questions based on public records information to ensure that individuals are “who they say they are” when applying to or re-certifying in the program.
Enrollment and Re-certification
Pondera can help automate and streamline the enrollment and re-certification process by combining data matches and historical program data. Case workers are able to focus on the households with the highest likelihood for eligibility errors. This prevents improper payments before they happen.
EBT Card Trafficking Detection
Pondera’s trafficking models were trained on some of the largest trafficking cases in US history and leverage eligibility, transaction, and third-party data to point investigators to the retailers and recipients most likely engaged in benefit trafficking.
Pondera’s Facility Scorecard ranks and scores every licensed facility for risk potential. The risk scores are derived from the individual alerts and allow licensing teams to “stack rank” their providers to prioritize field reviews or investigations.
Pondera’s reporting for social service programs includes configurable standard reports to track and trend a variety of metrics for both internal and external stakeholders. As an example, our Case Tracker FNS 366B report is integrated and automated and allows users to generate a 366B with the click of a few buttons instead of hours of painful data collection.
Program data and 3rd party data are ingested and run through procedural and prediction models to detect previously known and unknown bad actors, schemes, and patterns. Data is vetted prior to analysis with our proprietary data profiler tool and assessed for completeness, efficacy, consistency, and usefulness.
Fully-integrated investigative case management imports cases from the fraud detection module or other sources and uses workflow and rules engines to route cases through your resolution process. The mobile application allows field investigators to review, record, and track cases while in the field.