DETECTIVE Summary Law Enforcement professional 24 years experience investigating insurance fraud, include, health care provider/billing fraud, disability, workers' compensation premium fraud, property casualty fraud staged automobile collisions. Knowledgeable related crimes tax evasion, grand theft, identity theft, mail fraud, arson, Medi-Cal/Medicare fraud. Intricately connected insurance industry allied law enforcement agencies pursuit combat fraud. Highlights Detective assigned Health care/disability Fraud Program Member San Diego Medical Fraud Task Force Public speaking/outreach insurance industry law enforcement Awarded officer year 2011 peers 100% conviction rate Presenter CA District Attorney's Association, Northern California Fraud Investigators Association Southern California Fraud Investigators Association Detailed report writing Team Leader/On-Site Supervisor executing Search Arrest warrants Experience Company Name City State Detective 06/1995 Current Assigned CDI's health care disability fraud program since October 2010. Obtained conviction largest disability long term care fraud case history San Diego County. Investigate diverse complex cases involving single multiple suspects. Work cases independently little supervision. Extensive networking allied law enforcement agencies, NICB, well as, special investigative units claims managers several insurance companies. Generate FD-1's consumer complaints competently evaluate evidentiary merit strength referral. Able identify "red flags" create appropriate case investigative plans. Write, obtain judicial approval for, execute search arrest warrants. Serve team leader on-site supervisor executing same. Gather analyze evidence billing medical records, claims records, payroll personnel records, insurance policies, police reports photographs, consider appropriate criminal statutes case. Conduct interviews, interrogations obtain confessions. Conduct skip tracing locate witnesses using databases field work. Maintain excellent working relationship San Diego District Attorney's Office. Served first CDI detective assigned DA Premium Fraud task force later assigned new Urban Grant task force. Testify court, including grand jury cases testified expert witness premium fraud. Conduct surveillance; stationary mobile. Firearms instructor six years. Serve field training officer mentor peers. Company Name City State Senior Special Investigator 09/1990 06/1995 Investigated complex cases involving crimes employer tax evasion, disability fraud, unemployment fraud, check forgery related crimes. Wrote served search warrants, conducted interviews/interrogations, submitted cases successful criminal prosecution, testified court, made arrests, defensive tactics instructor. Later assigned Professional Standards Unit conducted background investigations peace officer candidates, investigated crimes embezzlement, forgery, sexual harassment, employee misconduct threats department employees. Company Name City State Special Investigator 08/1989 09/1990 Investigated violations Penal Code Business Professions Code, issued citations, conducted undercover operations, gathered evidence, submitted cases successful criminal complaints, testified court. Proficiencies Writing FD-1's consumer complaints Identifying "red flags" evaluating fraud referrals Outreach, consumer industry training Conduct interviews interrogations Microsoft Office suite Use database searches/methodologies Skip tracing witness locating Obtaining judicial approval Search Arrest warrants Execute Search Arrest Warrants Testify court, include, grand jury. Testified expert witness Surveillance (stationary mobile) Use firearms Emergency Vehicle Operations Education Bachelor Arts Criminal Justice California State University, Fullerton City State USA Law Enforcement courses CA Peace Officer Standards Training (P.O.S.T.) Specialized Law Enforcement Advanced P.O.S.T. certificate. Courses include, limited to, health care fraud, staged auto collisions, workers' compensation fraud, identity theft, interview interrogation, arrest control/defensive tactics, sexual harassment, cultural diversity racial profiling, internal affairs investigations, advanced firearms, chain custody evidence handling, search warrant procedures, communication fire investigation, organized crime, emergency vehicle operation, first aid/CPR, building entry/mechanical breaching more.