** ******* *****, ****** *** Harbor, NJ ***** 609-***-**** ad3v54@r.postjobfree.com

Joyce Simone

Experience

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George J. Mitchell Elementary School

Little Egg Harbor, NJ

Permanent Substitute Teacher

Pre K-through 12th grade

Summer camp

Before Care and After Care program

Full time, year round

9/98 to11/99

Health Insurance Plan of Greater New York

New York, N.Y.

Senior Investigator, SIU

Averaged savings of over 7:1 ROI

Investigated and finalized a large podiatry case leading to recovery of $250K as well as changes to internal payment systems

Coordinated high profile fraud investigation with US Postal Inspection Service

Conducted in-house Fraud Awareness Training

10/90-9/98

Empire Blue Cross Blue Shield Of New York

New York, N.Y.

Senior Investigator, SIU 7/94-9/98

Instrumental in recovery of over one million dollars

Played a key role in nine undercover investigations

Worked closely with FBI and DOI on a substantial fraud leading to an arrest and indictment

Routinely visited provider offices; becoming proficient in medical record reviews

Information Securities Auditor 7/93-7/94

Performed integrated audits such as pre-implementation of Telecommunications, Employee Benefits, Third Party Recovery and Gateway Systems

Evaluated Internal Controls

Interfaced with all levels of Management and Staff including Audit Reviews

Fraud Detection Analyst 7/92-7/93

Analyzed Fraud detection system outputs

Calculated the estimated dollar amounts in controversial detection cases

Made recommendations regarding case priorities

Sales Representative 10/90-7/92

Graduated with Honors

Handled over 100 customer inquiries per day

6/89-10/90

Richmond County Savings Bank

Staten Island, N.Y.

Teller

Handled all banking inquiries and banking transactions in a timely manner

Interacted with customers in a courteous and professional manner

Education

9/87-5/90

St. John’s University

Staten Island, N.Y.

BS-Business Administration/Marketing

GPA: 3.0/4.0

References

References are available on request.

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