Summary
Overview
Work History
Education
Skills
Accomplishments
Athletics
Timeline
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Jack Linch

Toledo,Ohio

Summary

Purpose-driven investigative professional with over 6 years experience providing high-level investigations for a variety of public and private organizations. Former student-athlete and team-captain for the University of Toledo football program in possession of bachelor's and master's degrees. Accredited Certified Fraud Examiner seeking an opportunity to grow professionally and improve your organization.

Overview

6
6
years of professional experience

Work History

Senior Financial Investigator

Medical Mutual
10.2023 - Current
  • Investigate allegations of fraud, waste, and abuse amongst providers, members, and colleagues on behalf of Medical Mutual.
  • Proactively utilize data-driven applications to uncover threats and move to mitigate activity through sound communication and definitive decision making.
  • Took on special psychology billing projects utilizing custom SQL inquiries that uncovered wide-spread abuse and potential fraud amongst numerous providers.
  • Responsible for monthly Medicare Pt. C analysis and compliance reporting to uncover, investigate, and audit potential threats and ensure compliance with federal regulations.
  • Spearheaded an investigation utilizing peer investigators and federal partnerships resulting in over $1.1 million dollars in avoidance

SIU Investigator

Centene Corporation
01.2023 - 10.2023
  • Investigate allegations of healthcare fraud, waste, and abuse between members and providers.
  • Analyzed complex data sets to identify patterns, trends, and potential fraud indicators in claims.
  • Utilize open source intelligence, social media, and investigative interviews to uncover unlawful actions leading to large scale recoveries and arrests.
  • Coordinated and conducted investigative interview and interrogation training to 100+ investigators.
  • Collaborated with federal and state regulators to ensure compliance with Medicare and Medicaid lines of business.

Corporate Investigator

Citizens Bank
06.2021 - 01.2023
  • Investigate internal and external suspicious financial activity for potential fraud against Citizens and their customer's.
  • Investigate ethics and compliance violations by colleagues and collaborate with multiple business units for a resolution.
  • Coordinate with local, state, and federal law enforcement in large scale fraud investigations.
  • Utilize investigative interview and interrogation techniques to elicit confessions of wrongdoings.
  • Filed 300+ regulatory reports as necessary, within the established service level agreement while maintaining less than 2% SAR error rate.
  • Implemented an internal living spreadsheet of peer bank contacts to streamline communications and subsequent recoveries.

Criminal Defense Investigator

Allen County Public Defender
06.2018 - 06.2021
  • Performs investigations of felony charges filed against individuals being represented by the Public Defender's Office.
  • Actively interviewing defendants, witnesses, and victims and summarizing information in detailed reports.
  • Obtains a variety of direct and indirect evidence including cell phone data, video surveillance, medical records, bank statements, as well as multiple others pertaining to investigations.
  • Coordinated the implementation of open source intelligence for the team of investigator's which subsequently improved witness location and testimony.
  • Volunteered to take on over 40+ highly sensitive homicide and sexual assault cases requiring in-depth investigations and complex defense tactics.

Education

Master of Arts - Criminal Justice

University of Toledo
Toledo, OH
08.2019

Bachelor of Science - Criminal Justice

University of Toledo
Toledo, OH
05.2017

Skills

  • Ethics and Integrity
  • Threat Analysis
  • SQL and Tableau Platforms
  • Open-Source Intelligence
  • Investigative Interviewing
  • Report Writing
  • Microsoft Office Suite
  • Data Analytics & Manipulation
  • Financial Crime Investigation

Accomplishments

    Certified Fraud Examiner (ACFE)

    Certified Investigative Interviews and Advanced Interrogations (The Reid Institute)

Athletics

  • Preferred walk-on that earned a scholarship after two years of consistent contribution and improvement.
  • Burlsworth Award nominee (2015-2017)
  • Leadership Committee member (2016-2017)
  • Team-Captain (2017)

Timeline

Senior Financial Investigator

Medical Mutual
10.2023 - Current

SIU Investigator

Centene Corporation
01.2023 - 10.2023

Corporate Investigator

Citizens Bank
06.2021 - 01.2023

Criminal Defense Investigator

Allen County Public Defender
06.2018 - 06.2021

Master of Arts - Criminal Justice

University of Toledo

Bachelor of Science - Criminal Justice

University of Toledo
Jack Linch