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senior insurance auditor resume example with 10+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

I am an experience professional who is calm under pressure and works well in fast-paced, team-based environments. I have over 12 years of combined experience in corrections, social work, civil/criminal Investigations, and Insurance auditing.

Skills
  • Highly organized
  • Report writing
  • Strong work ethic
  • Interview and Interrogation Training
  • Bilingual Spanish/English
  • Customer Service
  • Ability to work under pressure
  • Ability to utilized social media and the internet to conduct investigations
  • Fraud Investigations
  • Surveillance
  • Reviewing financial records, bank records, and government related records
  • Experience working as a team with attorneys in civil and criminal matters.
  • Conducting insurance premium audits
Experience
01/2017 to Current Senior Insurance Auditor State Of New York | Victor, NY,
  • Conduct on-site interviews and review accounting records including payroll records, employment tax reports, general ledgers, check registers, and other financial and government related documents.
  • Ability to Identify premium insurance fraud related to misclassification of employees, under-reporting payroll, sales, or other rating figures.
  • Prepare written audit reports to show analyzed data, calculations, and classifications.
  • Conduct on-site investigations/inspections to determine compliance with the current Centers for Medicare & Medicaid Services and Durable Medical Equipment supplier standards.
  • Audit policyholder operations to obtain actual exposures, verify classifications as they apply to the policy and ensure conformity to various state laws and insurance regulations for the appropriate audit period.
03/2014 to 12/2016 Investigator Nisqually Indian Tribe | Olympia, WA,
  • Initiate both civil and criminal investigations against wrongdoers.
  • Investigate unfair and deceptive business practices, assist in issuing pre-litigation subpoenas, assist in search warrant applications, and prepare for trial
  • Assists Federal, State, and local law enforcement agencies in investigations of cases involving consumer fraud.
  • Analyze extensive banking records to detect any patterns that present fraud.
  • Preparing financial records spreadsheets to identify the destination of funds and purpose of expenses.
  • Engaged in surveillance related duties.
  • Interview witnesses and suspects when necessary.
  • Negotiates with businesses to achieve equitable resolutions of consumer-business problems.
  • Organize and conduct undercover operations.
  • Conduct inquiries of the people suspected for indulging in illegal activities.
  • Issues Civil Investigative Demands and/or Subpoenas for bank records in order to analyze a suspect’s account activity.
  • Utilized professional search engine data bases with the purpose of gathering information, developing new leads; locate individuals, and many other investigative related matters.
06/2010 to 03/2014 Corrections Officer Boone County Sheriff's Office | City, STATE,
  • Communicate information regarding security, safety, and operations through the chain of command, and draft a variety of reports, including confidential disciplinary reports.
  • Respond to emergency situations according to facility procedures, such as medical, fire, security, etc.
  • Assess inmate behavior, control behavior appropriately, and transport inmates.
  • Conducting searches of prisoners/detainees, applying and/or removing restraints (leg irons and handcuffs).
  • Cell block management.
  • Investigate information regarding potential breaches of security, conveyance of contraband, or any other possible threat to prison security created by inmates.
  • Assist the Sheriff’s Department with intelligence gathering and investigations within the facility.
  • Investigate violations of policies and procedures by the incarcerated population.
Education and Training
Expected in to to | Security And Safety Leadership George Washington University, The, Washington, DC GPA:
  • Political Violence and Terrorism.
  • Intelligence and Strategic Analysis.
  • Globalization of Threats and International Security.
  • Civil Liberties.
  • Methods of Analysis in Security.
  • Strategic Planning and Budgeting.
  • Inter-Agency Cooperation
Expected in 05/2011 to to Bachelor of Arts | Criminal Justice Columbia College, Columbia, MO GPA:
Expected in 12/2011 to to Technical Or Occupational Certificate | Law Enforcement Training Center Moberly Area Community College, Moberly, MO GPA:
  • PR-24.
  • PPCT Impact Weapon/Collapsible Baton.
  • PPCT Defensive Tactics.
  • Automated External Defibrillators.
  • Firearms Qualifications.
  • Standardized Field Sobriety Testing.
  • Aerosol Defense System.
  • Introduction to the Incident Command System.
  • National Incident Management System.
  • Basic Police Driving.
  • Investigative Resources- MIAC Intelligence Systems.
  • First Responder.
  • PPCT Ground Avoidance Ground Escape.
  • CBRNE Standardized Awareness
Additional Information
  • Comprehensive Financial Investigative Solution (Beginner).
  • The Reid Technique of Investigative Interviewing and Advance Interrogation.
  • Missouri Uniform Law enforcement System.
  • Thomson Reuters CLEAR | Online Investigation Software
  • Mock Trial training
  • Bilingual Spanish/English
  • Law Enforcement Academy class Officer (Secretary).
  • Dean's List Columbia College 2009.
  • President's List Moberly Area Community College 2011.
  • Excellence Award for Best Driving and Team Work.
  • Excellence Award for First Responder.
  • Award for Perfect Attendance

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Resume Overview

School Attended

  • George Washington University, The
  • Columbia College
  • Moberly Area Community College

Job Titles Held:

  • Senior Insurance Auditor
  • Investigator
  • Corrections Officer

Degrees

  • Some College (No Degree)
  • Bachelor of Arts
  • Technical Or Occupational Certificate

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