Agents may be investigated after being suspected of noncompliant activity reported through which of the following?

Prepare for the Wellcare / Centene Annual Certification Training (ACT) Exam. Get ready with flashcards and multiple choice questions, each question has hints and explanations. Ensure your success!

The choice regarding the compliant tracking module, grievance, and secret shop findings is correct because these mechanisms are specifically designed to identify and document instances of noncompliance or unethical behavior by agents. The compliant tracking module provides a systematic approach to monitoring complaints, which can reveal patterns or serious issues requiring further investigation. Grievances often highlight concerns raised by clients about agent behaviors or practices, and secret shop findings can provide real-world insights into how agents perform their duties in compliance with standards. Together, these tools create a framework for ensuring accountability and integrity in agent activities.

On the other hand, while internal audits are useful for overall compliance monitoring, they typically assess broader operational practices rather than focusing specifically on agent behavior. Client referrals might indicate potential issues but are not a formalized process for reporting noncompliant activity. Training sessions are important for educating agents but do not serve as a method for identifying or reporting suspected noncompliance.

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