Senior Vice President, Innovation & Business Development | Verisk

For over 15 years, Nate has excelled in the Private Investigation industry. Working as both a surveillance field operative and case supervisor, Nate has mastered surveillance, research, medical canvassing, and Social Media investigations. Nate has been recognized as a CFE with the Association of Certified Fraud Examiners. Furthermore, he has worked closely with his current clientele to advance the delivery methods of client updates, social media findings, and video evidence to claim reps, adjusters, nurse case managers, defense counsel, and doctors.

Nate has used his industry knowledge to help his clients understand the various investigative tools available to them to help mitigate wrongful exposure. Nate works closely with his current clientele to foster a teamwork, strategic approach to performing effective investigations.

Director of Automation Initiatives | Verisk Analytics

Kate Riordan is the Director of Automation Initiatives at Verisk, Casualty Solutions, a national Medicare Secondary Payer compliance company. Currently Kate oversees the development of Discovery Navigator, a cutting edge tool that utilizes ethical AI to identify and extract medical terms in unstructured documents.

In previous role as an MSP Compliance Advisor, Kate completed and obtained CMS approval of hundreds of Medicare Set Asides during her tenure. She specializes in California claims and has participated in multiple client trainings on a national level.

She is fluent in Section 111 reporting requirements, the conditional payment recovery process, Medicare Advantage recovery and consistently assists clients in achieving settlements. In this vein, she was actively involved in monitoring and reporting on the PAID Act passage in 2020.

Prior to joining ISO Claims Partners, Kate worked in elder law and estate planning and brought significant experience in public policy and legislative initiatives. Kate received her J.D. from Suffolk University Law School with a concentration in Health Care law and received her B.A. in Government Affairs and Legal Studies from Bowdoin College.

Kate is a member of the National Medicare Secondary Payer Network (MSP Network) and the Medicare Advocacy Recovery Coalition (MARC) and is certified by the International Commission on Health Care Certification as a Medicare Set-Aside Certified Consultant. Kate is a member of the Massachusetts bar.

Assistant Director | J.A. Montgomery Consulting

Vice President | Prime Source Investigations

For over 15 years, Nate has excelled in the Private Investigation industry. Working as both a surveillance field operative and case supervisor, Nate has mastered surveillance, research, medical canvassing, and Social Media investigations. Nate has been recognized as a CFE with the Association of Certified Fraud Examiners. Furthermore, he has worked closely with his current clientele to advance the delivery methods of client updates, social media findings, and video evidence to claim reps, adjusters, nurse case managers, defense counsel, and doctors.

Nate has used his industry knowledge to help his clients understand the various investigative tools available to them to help mitigate wrongful exposure. Nate works closely with his current clientele to foster a teamwork, strategic approach to performing effective investigations.

Atlantic Spine Specialists