Insurance Workers Compensation

Mickaela Erath

Email: abqg10@r.postjobfree.com

Address: ***** ******** **

City: Porter Ranch

State: CA

Zip: 91326

Country: USA

Phone: 818-***-****

Skill Level: Experienced

Salary Range: $60,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Mickaela S. Erath, CFE, PI, CFS

Address: 19541 Kilfinan S.

Porter Ranch, CA 91326

Cell: 818-***-****

Email: abqg10@r.postjobfree.com

Career Objective

Experienced workers compensation fraud investigator seeking position in which my skills and experience will be utilized to the fullest.

Highlights of Qualifications

Wide experience in Fraud Management

Handled suspect cases in California as well as 10 other states

Proficient with various software applications including Excel, Lexis Nexis and ISO

Extensive knowledge of workers compensation industry

Excellent oral and written communication skills

Licensed Private Investigator in California, Certified Fraud Examiner, Certified Fraud Specialist

Professional Experience

Republic Indemnity

15821 Ventura Blvd., 3rd Floor

Encino, CA 91436

April 1999 to October 2012:

Established and managed Republic indemnity's Special Investigation Unit from 4/13/1992 to 10/1/2012.

Under my direction, Republic's Special Investigations Unit has achieved 360 arrests, 272 convictions, and $2.6 million in restitution (some arrest cases are still pending).

Set up Special Investigations Unit, established procedures to review, investigate, and file suspect fraud cases with the Department of Insurance and District Attorney Offices.

Created, maintained and updated internal Special Investigations Unit Policy & Procedure Manual as well as Special Investigations Unit Training Manual.

Taught annual classes on workers' compensation fraud issues to all integral anti-fraud personnel in Encino, San Francisco, San Diego and Arizona offices.

Post-Certified, taught classes for District Attorney, Department of Insurance and other law enforcement agencies as well as other insurance investigators.

Testified as "Expert Witness" at criminal trials, restitution hearings and before the Grand Jury.

Created procedure for packaging of cases that were submitted to law enforcement.

Worked closely with Department of Insurance, District Attorney, Attorney General FBI Postal Service and other governmental agencies.

Created legal brief on restitution for criminal cases.

Identified fraud trends and other suspect issues and established effective action plans to resolve.

Created and maintained multiple Unit reports for Management.

Expert in all aspects of provider, employer (misclassifications, premium, denial of due process etc.) and claimant fraud as well as other types of cases.

On non-prosecutorial cases effected significant savings.

Education

Bachelor of Arts in English

References available upon request

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