Job Search Status
Open to workDesired start date: Immediately
Desired Job Title
Senior InvestigatorRegulatory Board InvestigatorWork Type
Full TimeLocation Preference
RemoteHybridLocation: Pikeville, US
Open to relocation: Yes
Open To Work
Bobby Angel
Pikeville
Work Preference
Summary
Senior investigator specializing in fraud analysis and compliance with a strong track record in stakeholder engagement. Demonstrated expertise in leading complex investigations and training junior staff. Proven collaboration with law enforcement to achieve successful outcomes.
Overview
28
28
years of professional experience
Work History
Senior Investigator
BlueCross BlueShield of Tennessee Inc.
Chattanooga
08.1999 - 09.2025
- Spearheaded investigations addressing fraud and abuse allegations in healthcare services.
- Partnered with legal teams to formulate case strategies for complex investigations.
- Conducted interviews with witnesses and claimants to gather critical evidence for investigations.
- Examined data patterns to uncover potential fraudulent activities and trends.
- Compiled detailed reports on investigative findings and actionable recommendations.
- Coordinated with law enforcement agencies on criminal cases related to fraud.
- Engaged with internal stakeholders, including legal teams, human resources, and compliance officers, to address investigation-related issues.
- Trained junior investigators on best practices and investigative techniques.
- Reviewed existing processes and procedures related to investigations and made recommendations for improvement.
Regulatory Board Investigator
State of Tennessee, Department of Health
Chattanooga
03.1998 - 08.1999
- Conducted thorough investigations on public health complaints, ensuring compliance with regulations and safeguarding community health.
- Interviewed witnesses and stakeholders to gather essential case information.
- Prepared detailed reports documenting investigative findings and recommendations, supporting informed decision-making for regulatory actions.
- Testified under oath in administrative hearings and criminal court cases.
- Maintained confidentiality of sensitive information consistently.
Education
Bachelor of Science - Political Science And Government
University of Tennessee, Chattanooga
Chattanooga, TN12.1991
Skills
- Fraud investigation and compliance
- Case strategy planning
- Evidence collection
- Interview methods
- Data analysis techniques
Timeline
Senior Investigator
BlueCross BlueShield of Tennessee Inc.
08.1999 - 09.2025
Regulatory Board Investigator
State of Tennessee, Department of Health
03.1998 - 08.1999
Bachelor of Science - Political Science And Government
University of Tennessee, Chattanooga