Law Enforcement professional with 24 years experience investigating insurance fraud, to include, health care provider/billing fraud, disability, workers' compensation and premium fraud, property & casualty fraud and staged automobile collisions. Knowledgeable in related crimes such as tax evasion, grand theft, identity theft, mail fraud, arson, and Medi-Cal/Medicare fraud. Intricately connected to the insurance industry and allied law enforcement agencies in the pursuit to combat fraud.
Assigned to CDI's health care and disability fraud program since October 2010. Obtained a conviction in the largest disability and long term care fraud case in the history of San Diego County. Investigate diverse and complex cases involving both single and multiple suspects. Work cases independently with little to no supervision. Extensive networking with allied law enforcement agencies, NICB, as well as, with special investigative units and claims managers of several insurance companies. Generate FD-1's from consumer complaints and competently evaluate the evidentiary merit and strength of each referral. Able to identify "red flags" and create appropriate case investigative plans. Write, obtain judicial approval for, and execute search and arrest warrants. Serve as both team leader and on-site supervisor when executing same. Gather and analyze evidence such as billing and medical records, claims records, payroll and personnel records, insurance policies, police reports and photographs, and consider appropriate criminal statutes for the case. Conduct interviews, interrogations and obtain confessions. Conduct skip tracing and locate witnesses using databases and field work. Maintain an excellent working relationship with the San Diego District Attorney's Office. Served as the first CDI detective assigned to the DA Premium Fraud task force and later assigned to the new Urban Grant task force. Testify in court, including grand jury cases and have testified as an expert witness on premium fraud. Conduct surveillance; both stationary and mobile. Firearms instructor for six years. Serve as field training officer and mentor to peers.
Investigated complex cases involving crimes of employer tax evasion, disability fraud, unemployment fraud, check forgery and related crimes. Wrote and served search warrants, conducted interviews/interrogations, submitted cases for successful criminal prosecution, testified in court, made arrests, was a defensive tactics instructor. Later assigned to the Professional Standards Unit and conducted background investigations on peace officer candidates, investigated crimes of embezzlement, forgery, sexual harassment, employee misconduct and threats to department employees.
Investigated violations of the Penal Code and Business and Professions Code, issued citations, conducted undercover operations, gathered evidence, submitted cases for successful criminal complaints, testified in court.
Specialized Law Enforcement Advanced P.O.S.T. certificate. Courses include, but are not limited to, health care fraud, staged auto collisions, workers' compensation fraud, identity theft, interview and interrogation, arrest and control/defensive tactics, sexual harassment, cultural diversity and racial profiling, internal affairs investigations, advanced firearms, chain of custody evidence handling, search warrant procedures, communication and fire investigation, organized crime, emergency vehicle operation, first aid/CPR, building entry/mechanical breaching and more.
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