Insurance Medical

***** ** **** ****** . ****** city, florida

. ***30

954-***-**** . ********@************.***

Tricia Donaven

Objective

To secure employment with a stable company in the Insurance Industry where I

would utilize my leadership, investigative and organizational skills to assist

in the detection of fraudulent claims as it relates to the insurance industry.

work experience

4/08- Present Guarantee Insurance Company

Fort Lauderdale, FL.

Fraud Investigator

Responsible for conducting fraud investigations; including but not limited to

employer premium fraud, Workers' Compensation Fraud, conducting interviews,

obtaining statements, preparing cases for prosecution, submission to law

enforcement and prosecuting agencies in various jurisdictions throughout the

nation. I am responsible for creating investigative timelines and working with

various medical task forces to combat fraud as well as review and analyze

suspicious medical bills for the detection of fraud. Responsible for training

subordinates on fraud detection, investigations and analysis as well as

conducting numerous background checks via databases such as LexisNexis-

Accurint, Pacer, ISO ClaimSearch, and Public Databases in order to locate

suspects.

5/05- 4/08 Department of Financial Services/Insurance Fraud

Division Orlando, FL.

Crime Intelligence Analyst I

Assisting the Law Enforcement Investigators with their investigations of fraud,

embezzlement, racketeering, etc. Creating statistical Monthly Warrant and

Arrest reports, various financial spreadsheets, analyzing data, creating

timelines, flow charts, and databases to assist in investigations and case

tracking. Responsible for locating suspects, conducting criminal background

checks, claim searches and weapon checks. Analytically, I am responsible for

studying criminal relationships, criminal profiles, linking and charting

suspects to criminal organizations to aid in making a connection between the

two, focusing on insurance fraud with regards to staged accidents, grand theft,

schemes to defraud, etc. I have been involved in studying suspects' assets to

determine the flow of money going in and coming from the targeted business.

Responsible for providing an explanation of data analysis to Prosecuting

agencies and explaining how consumers and insurance companies were being

defrauded out of hundreds of thousands of dollars. Proficient in MS Office;

Internet; Excel; PowerPoint; MapPoint; Lotus; Word Perfect

8/03- 1/04 Doctors Memorial Hospital

Perry, FL.

Medical Transcriptionist/Marketing Assistant

Medical Transcription for 13 Medical doctors, specializing in Emergency

Medicine, Gastroenterology, Nephrology, Cardiology, Internal Medicine and

Pediatrics, as well as transcription of radiological examinations, typing 65

CWPM. Proficient knowledge with ICD-9 diagnosis codes and CPT-4 procedure

codes.

Education

2005 Bachelors of Science Degree Criminal Justice (3.92 GPA); Florida State

University, Tallahassee, FL

2006 Completed multiple Graduate (Masters) Degree courses in Criminal Justice

(4.0 GPA); UCF, Orlando, FL.

Training / Certifications

2005-2007: Investigating Terrorist Financial Networks Training; Accurint

Training, Computer Applications and Analytical Techniques Training, various

FDLE Crime Analyst Trainings

2010: National Notary Public Certification;

references furnished upon request

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