Agdalamine Paul Etienne
Margate,FL
Summary
Analytical and detail-oriented criminal justice Master’s graduate transitioning into corporate compliance and fraud investigation. Combines extensive experience in high-volume regulatory auditing, record verification, and data synthesis with targeted preparation for the Certified Fraud Examiner (CFE) credential. Proven ability to independently investigate complex files, isolate systemic anomalies, and document comprehensive compliance justifications. Seeking a focus-driven analytical role as a fraud Analyst, Corporate compliance specialist, or internal auditor, where strong investigative and problem-solving skills add immediate organizational value.
Overview
2
2
Languages
8
8
years of professional experience
Work History
Utilization Review Specialist/ Behavioral Health
Asher Behavioral
08.2018 - Current
- Audited comprehensive clinical documentation and multi-layered electronic health records (EHR) against strict regulatory guidelines and established industry criteria to evaluate compliance.
- Identified, isolated, and investigated billing anomalies and documentation deficiencies and high-risk discrepancies, proactively mitigating organizational financial exposure.
- Synthesized complex clinical histories and regulatory data to compose clear, objective narrative justifications supporting medical necessity and coverage compliance.
- Managed high-volume case audits independently, prioritizing deep focus and analytical precision to ensure alignment with state, federal, and insurance frameworks.
- Collaborated asynchronously with multi-disciplinary stakeholders to resolve complex compliance issues and document formal appeals with technical accuracy.
Education
Candidate for Certified Fraud Examiner (CFE), Association of certified Fraud examiners (ACFE)
Clinical Addiction Counselor (CAC) - undefined
The Academy for Addiction Disorders
Boca Raton, FL04-2017
Master of science - criminal Justice
Everest University
Pompano Beach, FL01-2011
Skills
- Critical thinking&Analytical Reasoning
- Communication
- Data Analysis and technology
- Auditing
- Attention to detail
- Computer Savvy, and
- Excellent customer service skills
Languages
French
Native or Bilingual
English
Native or Bilingual
Timeline
Utilization Review Specialist/ Behavioral Health
Asher Behavioral
08.2018 - Current
Clinical Addiction Counselor (CAC) - undefined
The Academy for Addiction Disorders
Candidate for Certified Fraud Examiner (CFE), Association of certified Fraud examiners (ACFE)
Master of science - criminal Justice
Everest University