Senior Investigator - Law Enforcement Security Safety Resume Search
Senior Investigator - Law Enforcement Security Safety Resume Search
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Senior Investigator Resume


Desired Industry: Law Enforcement/Security/Safety SpiderID: 49555
Desired Job Location: Long Island City, New York Date Posted: 3/31/2011
Type of Position: Full-Time Permanent Availability Date: Immediately
Desired Wage: 63000
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: Yes, 25-50%
Highest Degree Attained: Bachelors Willing to Relocate: No


Objective:
Results-focused, seasoned Senior Investigator honed through comprehensive years of investigative management experience within the public and private sectors; interested in pursuing professional advancement within an organization to continue the promotion of skills, knowledge, and investigative leadership competencies.


Experience:
Healthfirst Inc. | New York City, NY
Senior Investigator — Special Investigations Unit, Sep 2006–Present

- Perform all aspects of investigation process, by comprehensively reviewing the narrative in the complaint and researching company databases and records regarding the member, while ensuring that all processes adhere to standard rules and procedures
- Initiate investigation from thoroughly gathering and reviewing all materials, interviewing claimants and witnesses, and locating records in an effort to collect and disseminate evidences related to the claim
- Organize and complete case files pertaining to production of final reports on collected evidences for recommendation
- Utilize company databases in completing audits of marketing representative’s enrollments as assigned by the management to determine possible marketing infractions
- Work collaboratively with the director of the Special Investigations Unit (SIU) on cases of general employee misconduct, fraud, or abuse that includes misuse of company credit cards, dishonesty for services related to the business (bribe), and misuse of insurance broker license to market commercial life, auto, or health insurance
- Attend and testify at unemployment hearings of marketing representatives contesting termination of employment contract
- Serve as official tester for software updates on programs utilized by the Regulatory and Special Investigations Unit Department

KEY CONTRIBUTIONS

- Assumed a permanent position in 2007 and recently promoted to senior investigator role for demonstrating overall performance and work excellence that rendered significant contributions to the department
- Contributed substantial efforts in performing productive investigations that have helped the company stay and maintain in compliance with federal and state regulations; minimized company risk to costly litigation due to discovered fraudulent marketing practices during investigations
- Partnered and worked extensively with the Information Technology and Operation Support Group in establishing, developing, and implementing the Macess workflow program for the Special Investigations Unit that resulted in material reduction on other operating cost
- Leveraged experience and knowledge of Adobe Acrobat Professional, which is used in publishing, distributing, and storing Marketing Incidents Committee Report electronically
- Delegated and assigned by the director of the department to train and guide a new investigator on application of databases and daily workflow process

Strategic Legal Solutions and Update Legal | New York City, NY
Temporary Paralegal / Document Coder, May 2003–Aug 2006

- Served and worked as temporary paralegal and document coder for several prestigious law firms in New York, including Paul, Weiss, Rifkind, Wharton, and Garrison
- Converted information on sensitive legal documents into electronic coding forms in Lotus Notes database
- Administered document preparation for production and exchange, depositions, and pre-trial examination
- Located and generated coding error reports for quality checking and efficiency assurance

New York City Civilian Complaint Review Board | New York City, NY
Investigator, Jul 1999–Nov 2002

- Assessed and studied cases arising from civilian complaints received by the CCRB Hotline or forwarded by the New York City Police Department
- Established communication with the complainant to schedule in-person interview subjected to recording and notarization for truth and accuracy
- Executed full spectrum of research activities on police records for evidence and gathering of pertinent records, such as medical records, phone records, and court records by subpoena
- Conducted on-site investigations on complaint locations, facilitated witness interviews, and took photographs for evidentiary purposes
- Arranged photos of NYPD officers to be presented to witnesses for positive identification of subject officers
- Carried out comprehensive research on New York State and Federal Laws, administrative court rulings, and New York City Police Department rules and regulations


Education:
Bachelor of Arts in Sociology
State University of New York — Purchase College, Purchase, NY | 1997

PROFESSIONAL DEVELOPMENT

- New York City Police Department Civilian Academy (1999)
- New York City Police Department Civilian Complaint Review Board Investigator Training
- New York State Facilitated Enroller Training
- National Health Care Anti-Fraud Association Training, Education Webinar, and Teleconference Series


Affiliations:
------


Skills:
Investigation Processes and Investigative Activities
Knowledge of State and Federal Laws
Program Implementation and Development
Strategic Planning and Execution
Directive Communication
Conflict Resolution and Decision Making
Leadership, Training, and Team Collaboration



Additional Information:
AWARDS

- “Star Recognition Award” for excellent work on the Macess program in 2010 ~ Healthfirst Inc.
- Presidents Award for Achievement in the Division of Social Science Student in 1997 ~ Purchase College State University of New York



TECHNICAL SKILLS

- Microsoft Office Suite | PowerMHS | EXP MACESS SunGard | OnContact CRM Software
- Sage SalesLogix CRM | Market Prominence Continuum | Aspect Quality Management
- EMC ApplicationXtender | Lotus Notes



Reference:
Available upon request.


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