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Skills

  • Process improvement
  • Criminal prosecution support
  • Weapons handling
  • Federal and state criminal statutes knowledge
  • Investigative methodology development
  • Incident report creation
  • Complex case prioritization
  • Budgets
  • Client relationship management (CRM) tools
  • Communications

Work Experiences

  • Gave calm, professional testimony to back up case evidence, set timelines, and provide law enforcement expertise.
  • Analyzed a database of 7 cases.
  • Analyzed and documented over 13 special investigative cases per year.
  • Took photographs of the crime scene and evidence with cameras and compiled over 10 of them.
  • Collaborated with federal, state, and local authorities to achieve a 82% conviction rate in program investigations.
  • Collaborated with federal, state, and local authorities.
  • Had an excellent attendance record and was always on time for work.
  • Gathered information and obtained statements from witnesses in order to gather information and pursue legal remedies for violations of legal standards.
  • Collaborated with legal, medical, and insurance teams.
  • By interviewing and observing suspects and witnesses, as well as analyzing records, I was able to obtain and verify evidence, resulting in a 2% case resolution rate.

Summaries

  • With exceptional integrity and above-average clearance rates, he is hardworking and diligent.
  • Achieved savings over a 5-year span.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • In gathering data and following leads, I am vigilant, meticulous, and systematic.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the standard business.
  • Consistently exceeded recovery targets.
  • Adept at managing high volumes of cases.
  • SIU Investigator is a multi-talented SIU Investigator who is consistently rewarded for planning and operational improvements.
  • Achieved a 74% improvement.
  • Collaborated with law enforcement.

Accomplishments

  • Discovered and tracked fraudulent claims using advanced analytics, preventing potential company losses of $15.
  • Authored investigative reports and recommendations used by program authorities, helping secure 2 indictments and convictions.
  • Developed data-driven dashboards to monitor and prioritize high-risk claims, enhancing decision-making across SIU teams.
  • Designed and enacted new protocols resulting in a 44% reduction of investigation rework and lowered audit discrepancies.
  • Led an investigation that identified a major fraudulent scheme, resulting in $141,000 in savings for the company and preventing future losses.
  • Successfully recovered over $17 in fraudulent claim payouts by spearheading enhanced data analysis and surveillance initiatives.
  • Collaborated directly with insurance firms and regulatory bodies, ensuring compliance with metric and improving audit outcomes by 77%.
  • Delivered fraud detection training to cross-functional teams, enhancing team productivity by 19% and reducing investigation turnaround by 38% days.
  • Led digital fraud awareness initiatives for internal teams, reducing susceptibility to external threats by 41% over 2017 period.
  • Served as subject matter expert on framework insurance fraud, providing key insights for internal policy adjustments that saved $10 annually.

Affiliations

  • American Society of Safety Professionals
  • Toastmasters
  • Committee for Anti-Fraud Legislation Advocacy – Contributed to Colorado Legislative Proposals
  • Lions Club
  • Project Management Institute
  • American Marketing Association
  • Insurance Fraud Bureau – Consulted on digital fraud prevention strategies
  • International Council of Nurses
  • Association of Certified Compliance Professionals – Earned Six Sigma in 2022
  • National Association of Social Workers

Certifications

  • Certified Fraud Specialist (CFS) - National Association of Certified Fraud Specialists (NACFS)
  • Certified Protection Professional (CPP) - ASIS International
  • Certified Public Accountant
  • Certified Fraud Control Manager (CFCM) - Brightline
  • Private Investigator License - Illinois
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified International Investigator (CII) - Brightline
  • Advanced Surveillance Techniques Certification - procedure
  • Fair Credit Reporting Act (FCRA) Certification - program

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