Angela Garcia
Lubbock,TX
Summary
Dynamic Regional Manager V Performs advanced (senior-level) managerial work administering the daily operations and activities of a BPI field and claims investigations unit within a large geographic, multi-county area , including investigations of recipient fraud referred for administrative hearings and criminal prosecutions involving recipients of HHS programmatic services, such as Medicaid; the Children’s Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children’s (WIC) program. Adept at coaching and mentoring staff, enhancing investigative outcomes. Ensuring adherence to legal standards and ensuring clients comply with state laws, rules, and minimum standards.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Regional Manager V
HHS Office of Inspector General
Lubbock, Texas
08.2021 - Current
- Managed regional teams to coordinate investigations and reports of fraud.
- Reviewed and analyzed data to support investigation outcomes and reporting accuracy.
- Established goals, objectives, policies, procedures, and standards of performance for all personnel in the region.
- Monitored team progress towards achievement of goals and objectives set forth by executive management.
- Ensured compliance with all applicable laws related to employment practices within the region.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
Field Investigator VI
HHS Office of Inspector General
Lubbock, TX
06.2020 - 08.2021
- Conducted thorough field investigations to gather evidence and information.
- Interviewed witnesses and subjects to obtain relevant testimonies.
- Collaborated with law enforcement agencies during investigations.
- Prepared detailed case reports documenting findings and observations.
- Utilized investigative tools and software to enhance data collection processes.
- Trained junior investigators on best practices and investigative techniques.
- Traveled extensively within designated areas while conducting field investigations.
- Evaluated the credibility of witnesses and suspects during interviews.
- Applied knowledge of criminal law and procedures in the collection and handling of evidence to ensure admissibility in court.
- Prepared detailed reports documenting findings of investigations.
- Provided expert testimony in court proceedings relating to investigative work.
- Collaborated with prosecutors on cases requiring legal action.
- Conducted interviews with witnesses and suspects in order to obtain relevant information.
- Trained and mentored field investigators and worked with team lead to identify skills, problem areas, and opportunities for staff development and improvement.
- Coordinated with law enforcement and testified at criminal proceedings.
Field Investigator V
HHS Office of Inspector General
Lubbock, TX
09.2018 - 02.2019
- Conducted thorough investigations into allegations of fraud and misconduct.
- Gathered and documented evidence from various sources to support case analysis.
- Interviewed witnesses and involved parties to obtain detailed statements.
- Collaborated with law enforcement to share findings and coordinate efforts.
- Gathered data from public records, databases, and field sources to support investigative efforts.
- Coordinated with law enforcement agencies to ensure proper protocol was followed during investigations.
- Applied knowledge of criminal law and procedures in the collection and handling of evidence to ensure admissibility in court.
- Reduced loss ratios through fair and prompt processing of claims.
- Coordinated with law enforcement and testified at criminal proceedings.
Claims Investigator III
HHS Office of Inspector General
Lubbock, Texas
06.2016 - 09.2018
- Reviewed policy terms to ensure adherence during the investigation process.
- Provided expert testimony in hearings regarding disputed claims as needed.
- Prepared detailed reports summarizing findings from investigation activities and recommended further action based on results.
- Communicated effectively with clients regarding progress updates on their cases.
- Analyzed case files for discrepancies between reported facts and evidence obtained during investigations.
- Prepared detailed investigative reports and presentations, summarizing findings and recommending actionable steps.
- Managed caseloads efficiently, prioritizing tasks and meeting strict deadlines in high-pressure environments.
- Reduced loss ratios through fair and prompt processing of claims.
- Analyzed information gathered by investigations and reported findings and recommendations.
Texas Works Advisor II
HHS
11.2010 - 06.2016
- Guided clients through complex processes and available services.
- Reviewed client information to determine continuing program eligibility.
- Interviewed applicants and family members or authorized parties to collect information related to identifying need for program benefits.
- Promoted a positive work environment through proactive communication and problem solving skills.
- Identified and verified income and resources to document financial status of applicants and determine eligibility.
- Helped customers with concerns and complaints or escalated issues to supervisor.
- Explained reasons behind application denials and recommended further action.
Texas Works Advisor I
HHS
Lubbock, TX
10.2009 - 11.2010
- Identified and verified income and resources to document financial status of applicants and determine eligibility.
- Promoted a positive work environment through proactive communication and problem solving skills.
- Calculated benefit levels and timespan of program eligibility based on established factors.
- Reviewed client information to determine continuing program eligibility.
- Explained reasons behind application denials and recommended further action.
- Gathered financial information from clients regarding income, assets and debts.
Education
Bachelor of Science - Organizational Management
Lubbock Christian University
Lubbock, TX12-2009
Skills
- Data analysis
- Fraud investigations
- Compliance management
- Report writing
- Performance management
- Case management
- Problem solving
- Team leadership
- Coaching and mentoring
- Attention to detail
- Conflict resolution
- Staff training and development
- Goals and performance
- Staff management
- Training and coaching
- Goal setting and performance metrics
Accomplishments
- Chosen to attend the 2023 United Council on Welfare Fraud 50th National Training Conference
- Top 5 Star Prosecutor OIG Benefits Program Integrity 2020
- Top Claim Investigator Recovery Award 2018
Certification
- Wicklander-Zulawski investigative certification July 2020
- OIG General Investigations Training June 2017
Timeline
Regional Manager V
HHS Office of Inspector General
08.2021 - Current
Field Investigator VI
HHS Office of Inspector General
06.2020 - 08.2021
Field Investigator V
HHS Office of Inspector General
09.2018 - 02.2019
Claims Investigator III
HHS Office of Inspector General
06.2016 - 09.2018
Texas Works Advisor II
HHS
11.2010 - 06.2016
Texas Works Advisor I
HHS
10.2009 - 11.2010
Bachelor of Science - Organizational Management
Lubbock Christian University
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