William Bett
Grove City,PA
Summary
Dynamic leader with a proven track record at PMA Companies, elevating SIU operations by implementing strategies that boosted referrals by 70%. Expert in investigative expertise and business relationship management, adept at fostering cross-departmental collaborations and enhancing fraud prevention measures. Achieved commendable audit results, demonstrating exceptional critical thinking and data analysis skills.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Corporate SIU Manager
PMA Companies
Blue Bell, PA
05.2021 - Current
- Director of the Special Investigative Unit (SIU) for a National Insurance Carrier and Third-Party Administrator (TPA).
- Supervise investigative staff.
- Manage a National PI Vendor Panel. The panel renews every 3 years through the RFP process.
- Implement initiatives to increase SIU referrals which resulted in a 70% increase within 3 years.
- Develop and implement SIU policies and procedures.
- Maintain a working knowledge of relevant state and federal statutes governing insurance fraud prevention initiatives.
- Raise fraud awareness with claims and underwriting staff by creating and implementing fraud training modules.
- Present educational seminars to staff regarding the detection of fraudulent activity.
- Collaborate with internal departments such as IT, Legal, Marketing, and Corporate Management on SIU matters.
- Collaborate with Corporate Management in developing long term objectives for the SIU program.
- Ensure compliance with state and federal laws concerning insurance fraud prevention initiatives.
- Primary company contact for California Department of Insurance SIU examination/audit In 2024. The audit resulted in zero findings.
- Supervise investigative staff
- Create training materials for new investigators entering the SIU program.
- Attend industry conferences related to insurance fraud prevention efforts.
- Maintain regular performance appraisals for the SIU staff through verbal, written and on-going review programs.
- Coordinate required annual and new-hire anti-fraud training for PMA staff.
Special Investigator
PMA Companies
Pittsburgh, PA
01.2008 - 05.2021
- Conduct thorough investigations of all matters referred to the Special Investigations Unit
- Facilitate and track referrals to law enforcement and National Insurance Crime Bureau per regulatory guidelines
- Investigate Workers’ Compensation and Property & Casualty claims in multiple geographical regions
- Prepare investigative files as requested by law enforcement agencies and the NICB
- Utilize investigative databases to ensure positive and comprehensive results
- Implemented social media investigative procedures
- Assist with fraud recognition training in PMA Companies’ branch offices
- Act as a consultant on all fraud related issues and maintain a professional working relationship with all PMA employees and clients
- Maintain accurate and timely log notes and claim file notes
- Conduct private investigator vendor audits
- Participate in private investigator vendor Request For Proposal (RFP) interviews.
Special Investigator
High Tower Investigative Group, LLC.
Richmond, VA
01.2000 - 01.2007
- Investigate Workers’ Compensation and General Liability Fraud
- Managed West Virginia, Southwest Virginia, and Pennsylvania territories
- Supervised three full-time investigators
- Conducted surveillance, background checks, skip traces, and criminal histories
- Testified numerous times in front of Workers’ Compensation Commission
- Direct contact with Special Investigative Units and insurance claims professionals
- Edited investigative reports and surveillance videotapes
- Responsible for the licensing process for the company to acquire a firm license for the State of West Virginia and the Commonwealth of Pennsylvania
- Officer of High Tower Investigative Group, Inc
- From 2001-2007.
General Manager
Marshall Management, Inc.
Salisbury, MD
01.1999 - 01.2000
- Opened Hampton Inn in Salisbury, MD as Assistant General Manager
- Promoted to General Manager of Ocean Manor Resort Hotel, a condominium hotel in Fort Lauderdale, FL
- Promoted to General Manager of The Marina Suites in Dewey Beach, DE
- Provided leadership and direction for 55-85 employees
- Developed and implemented all policies and procedures, including but not limited to; human resources, quality control, and performance standards for all three hotels
- Trained and supervised a multi-cultural workforce in housekeeping, front office, and maintenance procedures
- Directed the employee safety committee at each hotel
- Devised room cleanliness inspection protocol for the housekeeping staff
- Conducted regular guest room inspections
- Conducted regular employee reviews, assessing staff against established standards and expectations
- Used Yield Management to increase revenue at the Ocean Manor Resort Hotel by $400,000 over the previous year
- Monitored monthly Profit and Loss Statements to work within budget
- Conducted regular meetings with hotel sales and accounting staff
- Monitored daily budget expenditures, including room supplies expenses, minutes per room for each room attendant, and supply inventory levels
- Negotiated contracts with Ecolab, Inc
- And Browning-Ferris Industries
- Responsible for negotiating and coordinating room wholesale contracts at the Ocean Manor Resort Hotel
- Worked closely with corporate office regarding accounts payable, accounts receivable, sales contracts, tax-exemptions, accounts payable recovery, and end-of-month reports and procedures.
Owner
Ocean Drugs Convenience Store and Deli
Ocean City, MD
01.1993 - 01.1999
- Operated daily operation of store and controlled every aspect of a retail business, including planning, ordering, budgeting, hiring and training, accounts payable, accounts receivable, contract negotiation, and marketing
- Increased annual revenue from $150,000 to $290,000 within five years.
Education
Master of Science - Financial Crime and Compliance Management
Utica College
05.2021
Master of Business Administration -
Seton Hill University
12.2010
Bachelor of Science - Hotel, Restaurant and Institutional Management
Indiana University of Pennsylvania
05.1991
Skills
- Critical Thinking
- Data Analysis
- Interview techniques
- Proactive and Focused
- Goal Setting
- Prioritizing and Planning
- Strategy Development
- Business Relationship Management
- Investigative expertise
Custom
- Christopher Sloan, Executive Director, Insurance Fraud Prevention Authority, 412-874-9495, Christopher_Sloan@pmagroup.com, Chris was my supervisor at PMA Companies from 2008 to 2021.
- Darwin Brumley, Managing Principal, Ocean Ridge Project Management Group, 864-303-3912, Darwin was my supervisor at Marshall Management.
- Matt Colbert, Managing Member, High Tower Investigative Group, LLC., 443-745-2303, Mcolbert@hightowerpi.com, Matt was my supervisor for 7 years at High Tower Investigative Group, LLC.
Certification
- Certified Insurance Fraud Investigator (CIFI)
- Senior Claims Law Associate (SCLA)
- Member of the Coalition Against Insurance Fraud's Workers' Compensation Task Force
- Memeber of the Coalition Against INsurance Fraud's Workers' Compensation Legislative Subcommittee
Timeline
Corporate SIU Manager
PMA Companies
05.2021 - Current
Special Investigator
PMA Companies
01.2008 - 05.2021
Special Investigator
High Tower Investigative Group, LLC.
01.2000 - 01.2007
General Manager
Marshall Management, Inc.
01.1999 - 01.2000
Owner
Ocean Drugs Convenience Store and Deli
01.1993 - 01.1999
Master of Science - Financial Crime and Compliance Management
Utica College
Master of Business Administration -
Seton Hill University
Bachelor of Science - Hotel, Restaurant and Institutional Management
Indiana University of Pennsylvania
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