Danielle Steele
Program Integrity Specialist
Fayetteville,GA
Summary
Professional consultant with 10 years’ experience detecting and preventing fraud, waste, and abuse across financial institutions, healthcare, and public programs. Expertise in federal/state compliance, investigative audits, and data-driven analysis. Proven track record of identifying fraud rings, evaluating healthcare billing, and advising corrective action plans, resulting in millions in savings and improved program integrity.
Overview
10
10
years of professional experience
Work History
Program Integrity Specialist
Centers For Independence
06.2025 - Current
- Investigates potential fraud, waste and abuse through pre-and post-pay claims reviews.
- Maintains a database of fraud case information, documenting case activity, fund allocation per departmental guidelines.
- Reconciles payroll-related documents with 100% accuracy, including court orders, budgets, and employee/employer records, ensuring compliance with legal and financial standards.
- Successfully processes and verifies over 250 payroll records per month, reducing discrepancies by 30% year-over-year.
- Establishes and maintains relationships with funders, law enforcement, and external agencies to support fraud investigations.
- Monitors work queues and internal reporting of HIPAA breaches, identifying potential violations, and documenting necessary reporting steps to ensure compliance with privacy and security regulations.
Program Integrity Consultant
Deloitte
05.2023 - 05.2025
- Collaborated with internal auditors to assess over 500 COVID-19 relief applications for indications of fraud, waste, and abuse by reviewing the client's standard operating procedures, ensuring their accuracy and compliance with regulations.
- Conducted over 150 investigations into potential Medicaid fraud and misuse, leading to the recovery of several improper payments.
- Partnered with Medicaid Fraud Control Unit to expose falsified medical billing records, resulting in proper disqualification.
- Helped draft a proposal for an AI-driven fraud detection platform for a state tax board, leveraging data analytics, policy changes, and streamlined risk identification.
- Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
- Monitored trends in program data to identify anomalies indicating systemic vulnerabilities or potential fraud.
Fraud Investigator
Capital One
12.2022 - 04.2023
- Successfully identified more than 200 instances of fraud rings through link analysis, revealing hidden connections between customers within a network.
- Conducted thorough reviews of customer transaction histories to trace suspicious financial movements that suggested potential money laundering, first-party fraud, or identity theft.
- Employed various systems, including Lexis Nexus, to monitor devices and IP addresses and verify identities and previous fraud involvement.
- Provided exceptional customer service to clients affected by fraudulent activities, addressing their concerns while maintaining compliance with regulatory guidelines.
- Maintained high confidentiality when handling sensitive information, protecting the company's reputation and client privacy.
- Collaborated closely with managers, judges, and court administration to provide adequate support for jury trials.
- Managed a multi-line phone system, routed over 50 calls, delivered messages to staff, and welcomed visitors.
- Developed and maintained physical records and digital files to ensure up-to-date, accurate, and compliant documentation using Jury Management Systems (ICON).
- Typed and prepared juror correspondence, reports, and other requested materials.
Jury Assistant
Superior Court of Fulton County
08.2021 - 11.2022
- Collaborated closely with managers, judges, and court administration to provide adequate support for jury trials.
- Managed a multi-line phone system, routed over 50 calls, delivered messages to staff, and welcomed visitors.
- Developed and maintained physical records and digital files to ensure up-to-date, accurate, and compliant documentation using Jury Management Systems (ICON).
- Typed and prepared juror summons, reports, and other requested materials.
Financial Crimes Investigator
Wells Fargo
08.2016 - 04.2021
- Investigated and resolved over 500 financial crimes, focusing on detective measures.
- Monitored high-risk accounts to analyze check transactions to detect money laundering, counterfeit, and forged items.
- Conducted thorough interviews with fraud suspects and victims to gather evidence and verify statements and discrepancies by utilizing behavioral analysis to detect deception.
- Provided training and mentorship to team members on complex fraud issues, ensuring accurate and efficient resolutions.
- Managed high-volume fraud claims operations, ensuring timely resolution and accuracy.
- Performed general account handling functions, such as closing compromised accounts while collaborating with multiple lines of business to determine action plans.
Education
Bachelor of Arts - Justice Studies
Winston-Salem State University
Winston-Salem, NCSkills
- Corrective Action Plans
- Microsoft Excel
- Fraud detection software
- Case management
- Regulatory Compliance
- Report Writing
- Risk mitigation strategies
- Transaction monitoring
- Cross-agency collaboration
- Due diligence practices
- Evidence documentation
- Data Analysis/Pattern Recognition
Timeline
Program Integrity Specialist
Centers For Independence
06.2025 - Current
Program Integrity Consultant
Deloitte
05.2023 - 05.2025
Fraud Investigator
Capital One
12.2022 - 04.2023
Jury Assistant
Superior Court of Fulton County
08.2021 - 11.2022
Financial Crimes Investigator
Wells Fargo
08.2016 - 04.2021
Bachelor of Arts - Justice Studies
Winston-Salem State University