Experience

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  Bankatlantic

  Jan 1991 - Jun 1991

  Assistant branch manager

  • Assistant Bank Manager Trainee - Hired into program which involved cross training in multiple areas beginning with Teller and Personal Account Representative.• Opened and closed bank accounts. Reconciled drawer and processed cash and check deposits and payments into loans, checking, savings, and money mutual accounts.

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  Parisian

  Dec 1991 - Aug 1993

  Assistant department manager

  • Young Mens Department Manager. Also worked as Sales Associate in several departments with two different stores.

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  Aflac

  Aug 1993 - Nov 1996

  Bilingual customer service manager

  • Spanish Toll Free Customer Service Manager. Served initially as lead specialist. Addressed questions and concerns from agents and insureds about underwriting and coverage questions for AFLAC products.• Monitored AT&T CMS Systems to ensure calls were being handled in a timely manner. • Reviewed employee productivity and performances and completed evaluations, assisted in interviews, hiring and firing of employees

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  Humana

  Feb 1997 - Jul 1997

  Customer service mananger

  • Supervised call center employees reference questions about coverages or submission for appellate processes for health and Medicare policies.

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  Safeco insurance

  Jul 1997 - Feb 1999

  Agency services representative

  • Licensed agent in 7 states handled out of Stone Mountain office. With the licensing, able to make underwriting and policy level changes and endorsements, including managing the net cost of endorsement changes/affects on customer billing.

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  Schlitt services

  Feb 1999 - Nov 1999

  Insurance specialist

  • Handled calls from customer reference their Automobile, Homeowners, Life/Health and Medicare supplement coverages. • Assisted agents with submission of new business and policy changes. • Complied weekly reports on agency productivity on all of their lines of business

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  Space coast underwriters/affirmative insurance

  Nov 1999 - Feb 2000

  Customer service manager

  - Responsible for monitoring inbound calls and manage staff reference calls from our toll-free number- Investigate application and underwriting issues, as well as endorsement and billing matters

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  U.s. census bureau

  Feb 2000 - Oct 2000

  Census representative
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  State farm ®

  Nov 2000 - Jan 2006

  Complex claims representative

  • Handled total loss settlements. Negotiated settlements of these losses with insureds and claimants, body shops, and attorneys. Set up rental reservations through ARMS system. • Experience in handling simple to complex automobile liability claims investigations involving coverage questions, multiple vehicles, investigations under reservation of rights claims, proof of mailing/cancellations. • Ability to conduct in-depth investigations through securing recorded statements from insured, claimants, and witness determine liability. Show less

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  Affirmative insurance

  Jun 2006 - Mar 2007

  Complex property damage claims specialist

  • Excellent attention to detail and documentation in claim files • Extensive automotive mechanics and repair expertise to assist in relating damages to loss. • Ability to conduct in-depth investigations through securing recorded statements from all parties to base sound liability determinations. Solid base of understanding and interpretation of Chapter 316 Florida Statutes to assist or support liability decision making. • Experience in handling simple to complex automobile liability claims investigations involving coverage questions, multiple vehicles, investigations under reservation of rights claims, proof of mailing/cancellations. • Handled total loss settlements. Negotiated settlements of these losses with insureds and claimants, body shops, and attorneys. Set up rental reservations through ARMS system. Show less

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  City of cocoa police department

  Nov 2008 - Jun 2018

  Police officer

  • Responded to calls from service spanning from civil to criminal matters. Enforcement of local ordinance and state law. • Conducted investigations of criminal conduct. Recovered and seized the most drugs, firearms and stolen vehicles in department during my tenure.• Over 98% conviction rate with State Attorney Office on self-initiated cases. • Extensive experience in financial crime investigations, not limited to Forgery, Fraud, Theft, Conversions, Stolen Vehicles and Failure to Return Leased Property cases. Show less

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  Merge investigations, inc.

  Sept 2022 - Feb 2025

  Senior siu investigator

  • Secure recorded statements from insureds, claimants, and witnesses and conduct in-depth investigations in order to base sound liability determinations for claims investigation. • Investigate claims involving suspicions of insurance fraud and other irregularities and write detailed, investigative report in multiple lines of business, spanning from automobile, homeowners, and workers compensation.• Identify/determine any red flags and misrepresentations in claim files, or from a referral, using industry knowledge and publications, past and current fraudulent trends.• Review parties involved in the claim and compare against prior claims and involvement in organized activity, like repair, service, or medical providers.• Participate in claim personnel annual mandatory SIU training and provide updates to them on current trends to aid in identification of material misrepresentations, or identify claims that may be in need of a SIU referral. • When a case rises to the level of mandatory reporting, submit fraud reports with the appropriate state authorities of through NAIC portal.• Respond to demands from law enforcement for files and compile reports for their review.• Develop and maintain relationships with other SIU Units, as well as with Federal, State or local law enforcement and coordinate efforts with them.• Conducts complex investigations with minimal direction.• Conducting background checks and investigative research into the circumstances of the claim and each of the involved parties. • Document all claims through detailed and through reports. Show less