Case Management Compliance Analyst

NATASHA MITCHELL

REGULATORY INVESTIGATOR COMPLIANCE ANALYST CASE MANAGEMENT LEADER

843-***-**** ****************@*****.*** West Columbia, SC

PROFESSIONAL SUMMARY

Experienced and trusted investigations professional with more than 15 years of expertise in regulatory compliance, case management, fraud detection, and administrative operations across government agencies. Highly skilled in managing sensitive and high-volume caseloads, conducting fact-based investigations, and interpreting state and federal guidelines to ensure fairness and accountability. Proven ability to collaborate with law enforcement, legal, and healthcare entities while maintaining strict confidentiality and documentation accuracy. A natural leader and problem-solver who trains others, drives process improvements, and navigates complex systems with professionalism and precision. Recognized for maintaining high ethical standards, strengthening operational workflows, and mentoring staff in investigative best practices. Brings a strong foundation in disability adjudication, policy application, and interagency coordination.

CORE COMPETENCIES

Regulatory Investigations & Licensing Enforcement Fraud Detection & Risk Mitigation Disability Determination & Claims Analysis Legal & Policy Interpretation (State & Federal) Complex Case Management & Adjudication

Report Writing & Investigative Documentation Cross-Agency Collaboration & Stakeholder Communication

Administrative Operations & Process Improvement Interviewing, Fact-Finding & Evidence Review Confidential Records Management (HIPAA/SSA) Training & Team Development Government Case Tracking Systems

PROFESSIONAL EXPERIENCE

INVESTIGATOR III Aug 2021 - Present

South Carolina Department of Labor, Licensing & Regulation Columbia, SC

Conducts high-level investigations into regulatory violations, fraud, and professional misconduct within state-licensed industries. Oversees full-cycle investigative casework from intake to board review and disciplinary action.

Leads complex, high-risk investigations involving state-licensed professionals in collaboration with law enforcement, attorneys, and regulatory boards.

Develops detailed case files, collects and analyzes evidence, interviews witnesses, and prepares sworn affidavits.

Authors formal investigative reports and documentation for administrative hearings, civil proceedings, and internal enforcement action.

Identifies trends in complaints and violation types to identify systemic gaps or repeat offenders.

Trains and mentors incoming investigators on case methodology and documentation standards.

Ensures compliance with state legal protocols and evidence retention regulations.

ADMINISTRATIVE COORDINATOR Aug 2015 – Aug 2021

SC Vocational Rehabilitation Department – Disability Determination Services (DDS) Columbia, SC

Led administrative operations for a federal-state disability adjudication program, supporting case examiners, medical reviewers, and program leadership.

Delegated case assignments, monitored output, and ensured adherence to Social Security Administration processing timelines.

Developed and implemented training materials and SOPs to improve task execution, staff readiness, and documentation accuracy.

Served as point of escalation for complex administrative issues, system delays, or process inefficiencies.

Facilitated daily internal communication between supervisors and frontline team members.

Compiled operational data into weekly and monthly performance reports used for compliance and funding audits.

TEAM OFFICE SUPPORT SPECIALIST II Sept 2010 – Aug 2015

SC Vocational Rehabilitation Department – Disability Determination Services (DDS) Columbia, SC

Provided critical support to examiners and medical professionals by managing documentation, case development, and clerical processes essential to claim adjudication.

Assembled and reviewed case files to ensure completeness, eligibility, and documentation compliance before medical review.

Trained incoming support staff on case preparation, confidentiality requirements, and administrative protocols.

Maintained data integrity and protected sensitive medical documentation in accordance with HIPAA and SSA guidelines.

Coordinated consultative examination scheduling and tracked incoming third-party medical reports.

Enhanced document flow and filing systems to reduce delays and streamline access to case records.

DISABILITY EXAMINER Aug 2008 – Sept 2010

SC Vocational Rehabilitation Department – Disability Determination Services (DDS) Columbia, SC

Adjudicated Social Security disability claims through evidence-based evaluations and policy interpretation.

Collected, reviewed, and interpreted medical and vocational records to determine eligibility under SSA criteria.

Coordinated consultative examinations and gathered additional third-party statements as needed for adjudication.

Drafted final determinations and supporting documentation in accordance with federal quality review standards.

Maintained caseload performance within timeliness benchmarks while achieving high accuracy ratings.

Communicated directly with claimants, providers, and representatives to clarify missing or conflicting case elements.

EDUCATION & CERTIFICATIONS

BACHELOR OF ARTS DEGREE South Carolina State University Graduated 2006

Business Administration

TECHNICAL SKILLS

Microsoft Office Suite Google Workspace Case Management Systems Document & Records Compliance Data Entry HIPAA & SSA Standards

Contact this candidate