Daniel Bible
Jacksonville,Florida
Summary
Seasoned Investigator with the ability to thoroughly prepare, review and analyze comprehensive reports. More than 30 years of Investigative, Managerial and Quality Assurance experience in data analysis, operations, and project management while directing large-scale, multi-national projects and programs derived from the United States Navy, Florida Department of Health, and NTT Data Services. Constant proven results in leading cost - type contract efforts, supply requisition oversight, and personnel performance management; delivering project scope on time and under budget. Possesses a comprehensive background in regulatory compliance, process improvement, and project planning which resulted in streamlined daily operational functions that ensured maximum productivity and optimize quality through implementation of Hazard abatement program with an 86% decrease in reported hazard and infractions. Possesses a strong working knowledge of computer databases, to include Word, Excel and Outlook; laws, legal codes, court procedures and government rules & regulations. Skill in reading and writing; investigating and researching. Ability to understand sentences and paragraphs in work related documents; effectively manage time; communicate effectively, verbally and in writing; make sound judgments; write detailed narrative investigative reports; interpret, understand and apply applicable rules, regulations and policies and procedures; Ability to maintain strict confidentiality. Passionate about operational processes and improving efficacy through measurable outcomes. Career supported current attainment of a Bachelor of Science (Business Management) and Associate of Science (Business Administration).
Overview
24
24
years of professional experience
1
1
Certification
Work History
Senior Compliance Investigative Associate
NTT DATA Services
06.2023 - Current
- Investigate and respond to inquiries from Department of Insurance, Consumer, Attorney for various clients
- Monitor business processes and perform routine audits to identify potential compliance risks
- Perform technical and analytical work to identify violations of insurance laws by insurance providers regarding rating, underwriting, and claims practices and initiate corrective or enforcement actions
- Provide direct technical information to resolve informal/formal consumer complaints
- Mediate complaints between consumers, their agents, and insurers with complaints concerning insurance rating, underwriting, or claims issues; and conduct field market examinations of the application and interpretation of policy forms, transactions, and claims practices
- Perform complex, varied, and responsible insurance regulatory activity
- Investigate, identify violations, and mediate resolution of consumer complaints including inquiries by parties to the insurance contract or other interested parties or claimants
- Act as a conciliator in disputes and misunderstandings in an attempt to reach an amicable settlement between insurer and insured
- Report and analyze facts found in such inquiries and disputes and make recommendations; conduct examinations of the application and interpretation of policy forms, transactions, and claims practices of insurers, managing general agents, third-party administrators, or other related insurance entities
- Direct the regulated insurance organization to resolve both individual and general issues, complaints, or violations of insurance laws
- Investigate and mediate inquiries or cases where the issue or issues in dispute are clearly discernible and involve limited contact or investigation with the insurer, agent, or other entity in order to resolve the subject(s) at issue
- Respond to consumer inquiries and complaints regarding all lines of insurance and provide the specific information requested and/or identify insurance practices.
Medical Quality Assurance Investigator
Florida Department of Health
04.2014 - 06.2023
- Conduct complex medical quality assurance investigations relating to alleged violations of the practice acts/rules under the jurisdiction of the Florida Department of Health
- Investigates complaints of alleged malpractice among medical health care boards
- Initiates subject notification procedures
- Review and analyze complaint documents/information
- Prepares subpoenas to obtain medical records and other pertinent documents
- Reviews and analyzes medical/hospital records, court records, lab reports, peer review records and other pertinent records
- Contact/interview complainants, witnesses and subjects
- Prepares comprehensive reports of final, supplemental and probation investigations
- Coordinates investigations with federal, state and local law enforcement officials and regulatory agencies as requested or directed by supervisor/manager
- Coordinates and assists department legal/board staff regarding administrative hearings, subpoena service, administrative complaints, final orders and disciplinary enforcement requests
- Testify and/or present evidence at administrative hearings, depositions or trials
- Develop and maintain up-to-date professional contacts with risk managers, hospital administrators, nursing directors and other health care providers
- Assists in allied health investigations, participates in in-service training of medical investigative staff, conducts inspections, drug profiles and undercover investigations and serves as a mentor to new investigators, as directed
- Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department including participation in Sterling (Platinum Odyssey) related activities and events
- Acting Investigation Supervisor in the absence of the Investigation Manager/Supervisor.
Investigation Specialist II
Florida Department of Health
08.2014 - 04.2015
- Investigates complaints of alleged violations of Florida Statutes and Board Rules involving professions under the jurisdiction of the Florida Department of Health
- Investigations include interviewing source, subject and appropriate witnesses
- Reviews court records and other essential documents, conducts audits and inspections, prepares and serves subpoenas, administrative complaints, notices to cease and desist and issues citations
- Prepares comprehensive chronological reports of final, supplemental and probation reports within the guidelines of ISU’s quality control matrix
- Reports include synopsis of findings, table of contents, comprehensive details of investigation and sequential arrangement of evidentiary exhibits
- Conducts supplemental and probation investigations including coordination with impairment programs staff
- Enforces terms of Disciplinary Enforcement Requests and cooperates with Board staff members
- Engages in proactive enforcement programs individually and in cooperation with other government agencies
- Demonstrates good public relations with local authorities and professional organizations through personal contact and public speaking engagements
- Provides information to consumers regarding licensure and possible violations of laws and rules regulating professions under the Department’s jurisdiction
- Provides referral information
- Testifies and/or presents evidence at administrative hearings, depositions or trials.
Department Manager
USS NIMITZ CVN-68
06.2010 - 08.2012
- Utilized daily site inspections to ensure compliance of command safety posture for more than 5700 employees ensuring the highest level of occupational safety compliance in the United Sates Navy
- Streamlined and monitored daily operational functions to insure maximum productivity and optimize quality through implementation of Hazard abatement program resulting in an 86% decrease in reported hazard and infractions
- Command Safety Manager; responsible for the successful implementation of the 26 Navy Safety and Occupational Health (SOH) Program, Traffic Safety Program, and Recreational and Off-Duty Safety (RODS) Program; prepared various safety and mishap reports, maintains hazard abatement program documentation, and aids in mishap investigations; arranged and conducted indoctrination and periodic SOH training
- Directly supervised 13 Command Safety Representatives who Identified hazards, unsafe work practices, and health hazardous conditions while conducting evaluations of workplace hazards and workplace monitoring; managed 126 divisional personnel as to perform administrative and record keeping functions in support of the command safety organization.
Learning Site Manager / Senior Instructor / Training Coordinator
01.2006 - 06.2010
- Expertly led 10K+ Sailor and Marine students through 4256 courses of instruction while flawlessly maintaining a 3.93 GPA with zero attrition or setback and qualifying 412 instructors in curriculum delivery and development
- Developed 8 Naval aviation courses from inception through Fleet implementation
- Leading expert in the development and delivery of Naval aviation curriculum development and technical training, proven as such due to selection as 2007 Command Instructor of the year; selected as 2008 Command Sailor of the Year (runner-up)
- Quality Assurance Inspector; ensured that all materials, in-process production and end item products were in conformance with applicable written procedures, drawings, quality control instructions and applicable specifications
- Certified Master Training Specialist (MTS); member of Command MTS Certification Team and Command Training Team Chairperson
- Gather and disseminate information for status reports for presentation to upper level management as Senior instructor; responsible for grooming 141 Navy instructors for their role in the Instructional Delivery Continuum (IDC) as workspace trainers, journeyman instructors and training managers.
Divisional Primary Supervisor
PATROL SQUADRON 46 (VP - 46)
10.2003 - 01.2006
- Flawlessly led 37 personnel in the daily flight line operation of 6 aircraft valued at over $216M with zero attributed mishaps during 286,000 hours of flight operation.
Divisional Maintenance Supervisor
05.2000 - 10.2003
- Directed 41 technicians in 6 work centers, maintaining 212 items of support equipment valued at $8.2M at Naval Air Station Keflavik, Iceland
Education
Bachelor of Science in Business Mgmt. -
Everest University
01.2014
Associate of Science in Business Admin -
Everest University
01.2013
Skills
- Investigations and Inspections
- Data Analysis
- Quality Assurance
- Preparing reports
- Computer Skills
- MS Office
- Attention to Detail
- Leadership Qualities
Certification
- Nucleus White and Yellow Belt Curriculum
- Sterling Leadership Track Certificate
- Lean Management Certification
- Six Sigma Green and Yellow Belt Certified
- Certified Master Training Specialist (MTS)
Seminars Courses Workshops
- Leadership Insights on Leading Diversity
- Advancing Meaningful Diversity in The Workplace
- Women in Leadership: Moving Beyond Gender Roles as a Leader
- Leading through Inspiration
- Developing a Mindset of Growth and Learning
- Enabling Business Process Improvement
- Communicating Assertively
- HIPAA Privacy and Security Training
- Applying Value Stream Mapping in Lean Business
- Using Lean to Reduce Waste and Streamline Value Flow
- Using Lean to Improve Flow and Pull
- Using Lean to Perfect Organizational Processes
- 2018 Sterling Leadership and Management Conference
- Annual/Basic Investigator Training
- First Line Leadership Development Program (FLLDP)
- Primary Leadership Development Program (PLDP)
- Advanced Leadership Development Program (ALDP)
- Naval Leadership Training Continuum (NLTC) Leadership Course
- Executive Leadership Development Course
- Instructional Delivery and Methodology Continuum
Timeline
Senior Compliance Investigative Associate
NTT DATA Services
06.2023 - Current
Investigation Specialist II
Florida Department of Health
08.2014 - 04.2015
Medical Quality Assurance Investigator
Florida Department of Health
04.2014 - 06.2023
Department Manager
USS NIMITZ CVN-68
06.2010 - 08.2012
Learning Site Manager / Senior Instructor / Training Coordinator
01.2006 - 06.2010
Divisional Primary Supervisor
PATROL SQUADRON 46 (VP - 46)
10.2003 - 01.2006
Divisional Maintenance Supervisor
05.2000 - 10.2003
Bachelor of Science in Business Mgmt. -
Everest University
Associate of Science in Business Admin -
Everest University