
Results-driven professional known for exceptional attention to detail, strong problem-solving skills, and excellent communication, ready to enhance organizational and operational effectiveness by driving successful outcomes.
Conducted complex and comprehensive investigations into fraudulent activities utilizing established investigative methods, tools and techniques in a fast paced environment. Investigations were related to property and casualty insurance fraud across multiple lines of business, focused primarily on questionable automobile and injury claims, including vehicle theft, arson, organized crime rings, and fraudulent billing practices. Investigations were thorough, timely, detailed and complete while adhering to internal policies and procedures. Applied experience and understanding of fraud schemes to suspicious first and third party claims by leveraging my knowledge of claims processing. Demonstrated excellent written and verbal communication skills; conducted and properly documented witness interviews, obtained recorded statements from subjects, and conducted examinations under oath. Prepared and presented detailed investigative reports documenting findings and summarizing results, and recommended outcomes and strategies for preventing future fraudulent activities. Applied rules of evidence; routinely identified, collected and preserved relevant evidence and determined its value to specific investigations. Conducted audits of provider records to ensure billing practices were appropriate. Organized and prioritized case workload, created timelines, and performed multiple tasks while devising solutions to problems. Applied knowledge of federal, state and local laws/statutes to ensure investigations were carried out within the requirements of applicable law and internal policies. Ensured significant investigative issues and/or trends were identified, escalated and acted upon. Established and maintained liaison with federal/state/local law enforcement and industry partners to provide and/or obtain assistance in conducting investigations. Identified proper venues and presented cases of insurance fraud for prosecution; submitted questionable claims to the National Insurance Crime Bureau. Provided exceptional customer service by maintaining contact with business partners, customers and external resources throughout the life cycle of each investigation, and provided insurance fraud training to internal and external customers.
As a Desk Officer (Senior Special Agent), I assisted in the management of all operations within the economic crimes division. I identified high risk areas by conducting case reviews and inspections, and provided oversight and coordination of all agency-wide major fraud investigations impacting the Department of Navy and/or the Department of Defense globally. I analyzed and interpreted data to identify trends, weaknesses, patterns and vulnerabilities, sometimes utilizing data analytics, and developed fraud prevention measures and agency policy to combat future fraudulent activities. I participated in national level and regional fraud working groups in an effort to develop legislation and compliance policy, create investigative strategies and appropriate remedies, identify potential future national trends, and enhance government contracting regulations, processes and compliance programs related to production, quality and safety standards through the development of prevention strategies. Received, reviewed, researched and prioritized all fraud referrals, complaints and claims. After gathering preliminary investigative data to assess the validity of an allegation and whether allocation of additional investigative resources was required, referred the complaint to the appropriate field office for investigation. I monitored and tracked outcomes of investigations to ensure appropriate actions/remedies were taken and potential risks were mitigated. I led or assisted in special requests received by senior or executive management, and maintained agency wide data collection and accuracy programs to identify non-compliance with internal and external policies, and to provide data and metrics related to internal management informational requests. Through headquarters level liaison, strengthened partnerships with federal, state and local law enforcement partners, as well as audit agencies, contracting offices, legal and human resources offices. As a Supervisory Special Agent, I was accountable for monitoring and managing all work processes within the office to ensure consistent execution of investigative processes and support activities while adhering to Department of Defense, Department of Navy and internal agency guidelines and frameworks. I was responsible for achieving optimal employee productivity through management of case workload volumes, recognizing staffing and training needs, and identifying and implementing appropriate solutions. By proactively identifying opportunities to improve operational effectiveness, subordinate experiences and administrative processes, I ensured risks associated with critical activities were effectively identified, measured, monitored and controlled in accordance with agency policies and procedures. I inspected and reviewed the quality of case files and provided appropriate feedback to agents on a monthly basis. I was responsible for ongoing coaching and driving awareness by creating a culture for success through the removal of obstacles, setting clear expectations and timelines, evaluating employee performance, and ensuring employees understood how their work and contributions supported the overall Enterprise strategies. I supported all projects and proactive initiatives by serving as a subject matter expert, and demonstrated leadership, initiative and customer service skills through the improvement of overall processes and consistent engagement with senior leadership and law enforcement partners. Interpreted data and metrics to facilitate decisions and improve overall results within the geographic area of responsibility. Accountable for the proper use and maintenance of all equipment, to include weapons, credentials, government vehicles, office supplies and equipment. As a Senior Special Agent, I was responsible for independently planning, participating and leading highly complex, multi-agency felony level fraud criminal investigations impacting the Department of Navy and/or the Department of Defense across multiple time zones within various geographic regions, and often spanning internationally. Investigations included healthcare fraud committed against TRICARE and the military healthcare system, major procurement fraud, false claims and false statements, counterfeit parts, bribery, subcontractor kickbacks, cost and/or time mischarging (billing and payment fraud), anti-trust violations, money laundering, environmental crimes, identity theft, and employee misconduct involving pay and allowance fraud, embezzlement, theft (to include organized crime rings), conflicts of interest and ethics and compliance violations. I received, reviewed and assessed referrals, complaints and claims; examined records and files to assess allegations; utilized law enforcement databases, public records, and conducted open source research; conducted and documented interviews or interrogations of victims, witnesses, and subjects; conducted crime scene examinations and collected and preserved physical, electronic and testimonial evidence; served subpoenas, and executed arrest and search warrants; utilized deductive reasoning to infer conclusions; prepared investigative plans and reports in detail and with the highest degree of accuracy; and testified in court proceedings. Coordinated, provided recommendations, and briefed investigative activities to appropriate US Attorney's Offices, military prosecutors, general counsel and staff attorneys, management and human resources offices, often requiring the ability to resolve conflicts and negotiate outcomes. Recommended corrective actions, audits, compliance control improvements, and participated in negotiations regarding recovery efforts and settlement agreements. Developed and provided tailored crime awareness and prevention briefings and training programs to various audiences. Functioned as a critical member of a team, and as a Field Training Agent, trained and mentored junior agents.
As a Special Agent, I conducted investigations of felony crimes including homicide, robbery, rape, assault, burglary, theft, drug use and trafficking, sex offenses, arson, black market activities, and other criminal activities. Primary duties were focused on national security crimes such as espionage, and providing force protection to U.S. Air Force and Department of Defense assets by developing sources of information, researching and reviewing all relevant intelligence, preparing comprehensive risk analysis reports, threat assessments, and writing detailed Intelligence Information Reports for the Intelligence Community.
As an active-duty Special Agent, conducted investigations of national security crimes committed by Army personnel including treason, espionage, sedition, subversion, sabotage, and provided support to international terrorism investigations. Primarily engaged in the collection of Human Intelligence (HUMINT) related to force protection of U.S. Army and Department of Defense assets. Developed sources of information, researched and reviewed all relevant intelligence, prepared comprehensive risk analysis reports, threat assessments, and wrote detailed Intelligence Information Reports for the Intelligence Community. As a Platoon Sergeant, led and mentored subordinates, set goals and objectives, and monitored and evaluated team member performance. Deployed as an Operational Management Team (OMT) Non-Commissioned Officer-In-Charge (NCOIC) in support of Operation Iraqi Freedom.
**Honorably Discharged Disabled Combat Veteran