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Investigations

Location:
Mesa, AZ
Salary:
30$ hourly
Posted:
March 06, 2019

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Resume:

Melissa Bramm, M.A.

ac8o7a@r.postjobfree.com / 815-***-****

PROFESSIONAL SUMMARY

Nationally certified investigator with a Bachelor of Arts (B. A.) in Criminal Justice and a Master of Arts (M.A.) in Business and Organizational Security Management. Over 10 years of experience conducting investigations, including financial exploitation fraud, financial aid fraud, insurance fraud, identity theft, and agent misconduct. Former sworn law enforcement officer with a proven track record of resolving complex fraud claims. Significant expertise with:

Data Analytics & Reporting

Interviewing Techniques

Teaching/Training

Regulatory Compliance

State & Federal Reporting

Expert Testimony

Risk Analysis & Prevention

Social Media/Open Source Data

Loss Prevention & Recovery

Writing Subpoenas

EXPERIENCE

Investigator III, Arizona Department of Insurance, 2018- Present

Conduct thorough investigations on matters involving possible violations of Arizona insurance laws, including health insurance, annuities, and property insurance.

Maintain an active case load of 30 intricate fraud cases and assisted with the recovery of almost $20K on one claim alone.

Close complaints on average seven days faster than the department’s average.

Examine and analyze various forms of evidence, interview/examine victims and witnesses, meet with attorneys, draft and issue subpoenas, and provide expert testimony at administrative and judicial proceedings.

Prepare detailed, accurate, and reliable reports expressing facts, relevant laws, conclusions, and prosecutorial recommendations.

Communicate with the National Association of Insurance Commissioners (NAIC) and coordinate sending information to various state regulatory agencies.

Adjunct Faculty, University of Phoenix, 2009- Present

Teach 100 and 200 level college courses.

Student satisfaction survey scores are consistently above the University’s average.

Internal Review/Fraud Investigator, Grand Canyon University, 2015- 2017

Through queries and reporting, reviewed and scrutinized current and past student information, researching and analyzing activity to detect and investigate potential fraud activity.

Reviewed student financial aid applications to ensure compliance with Department of Education regulation. Took appropriate action with regard to the Internal Review and Compliance process.

Conducted identity theft investigations and if substantiated, made the recommendation to the Registrar to eliminate the debt.

Set up first-ever internal tracking system and assisted with improving the electronic fraud detection system to increase “flags” of potential fraud by 54% in less than one year.

In 2016, completed 60% of the total investigations for the department, resulting in the discovery of 182 instances of fraud.

Developed regulatory compliance training programs and trained financial aid counselors on how to detect and prevent financial aid fraud.

Analyzed risk trends and communicated recommendations to management.

Assisted with internal audits and investigated whistleblower claims.

Fiduciary Investigator, Maricopa County Public Fiduciary, 2014- 2015

Performed complex investigations to determine whether abuse of a vulnerable person’s assets had occurred pursuant to state and federal law.

Appeared/testified in Maricopa County Probate Court on over 100 cases.

Examined health records, bank records, and conducted onsite audits at hospitals and nursing homes to identify health insurance fraud.

Communicated with probate court judges, attorneys, financial institutions and regulatory agencies.

Planned, organized, and conducted financial transaction audits to investigate financial fraud.

Performed forensic audits to detect civil and criminal violations.

Prepared, monitored, and approved income, expenditures, and budgets for an estate, arranging for the liquidation of assets to include securities, and handling claims against the estate.

Field Placement Administrator/Teacher Education Specialist, University of Phoenix, 2009- 2014

Facilitated field experience placements with human service agencies throughout the US.

Established legal agreements and maintained a database system of case management.

Ensured compliance with the teacher preparation program.

Audited student teaching application packets for candidacy for student teaching applications.

Case Investigator, State of Arizona Adult Protective Services, 2007- 2009

Researched and analyzed complex financial and medical records and conducted onsite audits at hospitals and nursing homes to investigate fraud.

Conducted interviews with clients, medical staff, and alleged perpetrators regarding allegations.

Established and maintained effective working relationships with clients, staff, law enforcement, and other regulatory agencies.

EDUCATION, TRAINING & CERTIFICATIONS

B.A., Criminal Justice, University of Illinois at Springfield, Springfield, IL

M.A., Business and Organizational Security Management, Webster University, St Louis, MO

Former Sworn Law Enforcement Officer, Morrison, Illinois Police Department, 1998- 2004.

Association of Certified Fraud Examiners (ACFE), Investigating on the Internet Training: Research Tools for Fraud Examiners, 2017.

Fraud Examination Certificate, Pima Community College, including coursework on Accounting, Investigations and Fraud, 2016.

CLEAR National Certified Investigator and Inspector Training (NCIT) Certification, 2011.

Crime and Intelligence Analysis Certification, Chandler Gilbert Community College, including coursework on: Introduction to Criminal and Intelligence Analysis, Link Analysis and Visual Investigative Analysis (Via), Time Event Charting, Analysis Using Geographic Information Systems (GIS), 2011.



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