Category: AGRICULTURE

         DETECTIVE         Summary     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.          Highlights          Detective assigned to Health care/disability Fraud Program  Member of the San Diego Medical Fraud Task Force  Public speaking/outreach to insurance industry and law enforcement  Awarded officer of the year 2011 by my peers  100% conviction rate      Presenter for the CA District Attorney's Association, the Northern California Fraud Investigators Association and the Southern California Fraud Investigators Association  Detailed report writing  Team Leader/On-Site Supervisor when executing Search and Arrest warrants            Experience      Company Name    City  ,   State    Detective   06/1995   to   Current      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.          Company Name    City  ,   State    Senior Special Investigator   09/1990   to   06/1995      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.         Company Name    City  ,   State    Special Investigator   08/1989   to   09/1990      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.         Proficiencies      Writing FD-1's from consumer complaints  Identifying "red flags" and evaluating fraud referrals  Outreach, consumer and industry training   Conduct interviews and interrogations  Microsoft Office suite  Use of database searches/methodologies  Skip tracing and witness locating  Obtaining judicial approval for Search and Arrest warrants  Execute Search and Arrest Warrants  Testify in court, to include, grand jury. Testified as expert witness  Surveillance (stationary and mobile)  Use of firearms   Emergency Vehicle Operations        Education      Bachelor of Arts  :  Criminal Justice    California State University, Fullerton  ,   City  ,   State  ,   USA              Law Enforcement courses    CA Peace Officer Standards and Training (P.O.S.T.)           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.