Charlene Faulkner
Altavista,VA
Summary
Trustworthy Fraud Investigator touting 13 years of expertise developing problem solving methodologies that work. A knowledgeable resource committed to finding answers and working with clients, companies, witnesses and law enforcement. Promoting exemplary skills in project management, analytics and information presentation.
Began at Social Services as an eligibility worker, then senior eligibility worker and last as fraud investigator with more than 36 years of service at retirement in December 2020.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Fraud Investigator
Campbell County Department Of Social Services
Rustburg, VA
10.2007 - 12.2020
- Conducted prompt and thorough investigations on referred files.
- Contacted customers directly to notify of fraudulent activity and minimize impacts.
- Gathered evidence, which included recorded and written statements, financial documentation and audio materials for examination.
- Used Microsoft Word and other software tools to create documents and other communications.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Maintained excellent attendance record, consistently arriving to work on time.
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
Case Manager Specialist
Campbell County Department Of Social Services
11.1998 - 09.2017
- Maintained accurate and timely documentation for all client interactions, ensuring compliance with regulatory requirements and confidentiality standards.
- Conducted detailed assessments of clients'' needs, strengths, and barriers, ensuring appropriate resource allocation.
- Maintained current knowledge of industry best practices and relevant legislation affecting service delivery, ensuring that all client interventions were evidence-based and compliant with applicable guidelines.
- Assisted clients in navigating complex healthcare systems by providing guidance on insurance coverage options, connecting them with appropriate medical providers, and helping them understand available treatment modalities.
- Conducted regular follow-up meetings with clients to monitor progress towards goals outlined in case plans while making adjustments as necessary.
- Trained new team members on best practices in case management, contributing to a consistent quality of care across the organization.
- Utilized motivational interviewing techniques to build rapport with clients and foster a supportive, non-judgmental environment for open communication.
- Managed high caseloads efficiently, prioritizing cases based on urgency and need.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Provided leadership, guidance and support to staff members.
- Participated in community events to promote services and engage with public.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Developed and implemented training programs for staff.
- Established and maintained relationships with key stakeholders.
Education
Bachelor of Science - Public Administration
Ferrum College
05.1984
Skills
- Proficient in VaCMS
- Procedure review
- Fraud detection
- Detection models
- Report filing
- Effective communication
- Financial Fraud
- Recovery efforts and assistance
Certification
Certified Fraud Investigator 2011
Timeline
Fraud Investigator
Campbell County Department Of Social Services
10.2007 - 12.2020
Case Manager Specialist
Campbell County Department Of Social Services
11.1998 - 09.2017
Bachelor of Science - Public Administration
Ferrum College
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