TRACY DANIELS

***** ****** **** ****, ******, Virginia 22124

703-***-**** • oza59l@r.postjobfree.com

CAREER OBJECTIVE

Contribute extensive professional experience in the areas of internal fraud, internal controls, procedural audit, Sarbanes-Oxley compliance, regulatory compliance, legal concepts, risk management, and corporate policies and procedures.

SKILLS SUMMARY

Ms. Daniels has over 18 years of professional experience working in key roles as an Internal Fraud Analyst, Senior Auditor, Internal Controls Analyst and Compliance Analyst. For 12 years of her professional career, Ms. Daniels worked with the Internal Audit and Compliance divisions of a major insurance company. As a result of this work, Ms. Daniels developed extensive knowledge in the fields of internal fraud, internal audit, regulatory compliance, internal controls, and Sarbanes Oxley provisions. Ms. Daniels has earned five Claim Law Associate designations since 2009, she is currently a candidate for the Certified Internal Auditor (CIA) certification, and she also plans to obtain the Certified Fraud Examiner certification (CFE).

PROFESSIONAL EXPERIENCE

Booz Allen Hamilton, McLean, Virginia

Senior Consultant May 2010 – Present

Audit Team Lead for performance audits conducted for the Centers of Medicare and Medicaid Services (CMS)

Determine compliance with CMS requirements in the areas of Coverage Determinations, Appeals and Grievances

Identify and report patterns indicative of fraud, waste and abuse

Compile trend analyses for use by CMS in ranking Medicare Plan Sponsors

Design and develop audit finding scorecards for use in analyzing and ranking Medicare Plan Sponsors

Select and test sample case files to ensure compliance with CMS guidelines

Conduct staff interviews and system walk-throughs with Medicare Plan Sponsors staff members

Develop and maintain audit work papers, sample case file worksheets, and notes on documentation

Develop and present audit findings to Lead Auditors and CMS Central Office personnel

Coordinate with audit teams and lead auditors to finalize audit findings and deliver final reports

Present findings to subject matter experts (SMEs)

Participate in audit exit conferences and follow up conferences to communicate audit findings and corrective action plans to senior managers and staff

Support the standup of the Office of Operational Risk Management for the Chief Operations Officer at the Securities and Exchange Commission (SEC)

Conduct risk and skills assessments in support of the SEC’s reorganization of the Office of Financial Management (ORM), Office of Human Resources (OHR) and Office of Administrative Services (OAS)

Support Oracle Federal Financial Integration Solutions for the Pension Benefit Guaranty Corporation (PBGC)

Gather system requirements, create and develop test scripts, and conduct User Acceptance Testing (UAT) for system upgrades of the PBGC’s FedTraveler and Invoice Automation systems

Allstate Insurance Company, Fairfax, Virginia Internal Controls Analyst/Internal Fraud Analyst May 1998 – May 2010

Conducted on-site internal control performance audits and internal fraud reviews for over 20 field offices

Ensured compliance with Sarbanes-Oxley and regulatory compliance

Developed, tested and implemented internal fraud and internal compliance controls

Presented internal control review findings and internal fraud findings to management, directors and officers

Created and analyzed Business Intelligence and Business Objects payment queries to detect payment patterns indicative of internal fraud

Served as the territorial contact for reporting suspected fraudulent activity

Researched and investigated potential employee defalcation issues

Prepared and presented employee fraud referrals to Corporate Security, Human Resources, Internal Audit and the Compliance Division for prosecution

Delivered internal fraud training and educational presentations to front line employees, territorial field offices, special investigative units, senior managers and directors

Designed, authored and maintained Compliance training manual for new employees

Allstate Insurance Company, Chantilly, Virginia

Administrative Manager March 1995 to May 1998

Managed teams of employees responsible for customer service, customer retention and claim handling

Evaluated employees and administered quarterly and annual performance evaluations

Directed internal control processes and procedures for the organization

Coordinated internal control audits with company auditors and compliance analysts

Developed and implemented action plans to ensure compliance with internal control requirements

Identified, developed and conducted internal control training for all office employees

Assured compliance with company policies, procedures and reporting requirements

EDUCATION

Bachelor of Science (B.S.), Criminal Justice

Radford University, Radford, Virginia

PROFICIENCIES

MS Office Suite, LexisNexis, AutoTrackXP, ChoicePoint, Accurint, ISO, Business Intelligence, Business Objects, SAP Business Warehouse, Infoview and Desktop Intelligence

CERTIFICATIONS/DESIGNATIONS and PROFESSIONAL AFFILIATIONS

Candidate, Certified Internal Auditor

Senior Claim Law Associate (SCLA)

Fraud Claim Law Associate (FCLA)

Fraud Claim Law Specialist (FCLS)

Legal Principles Claims Specialist (LPCA)

Workers’ Compensation Claim Law Associate (WCCLA)

Member of the Association of Certified Fraud Examiners (ACFE)

Member of the Institute of Internal Auditors (IIA)

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