Jacqueline Saliba
Dearborn,MI
Summary
Dynamic individual with extensive hands-on experience in investigations and a natural talent for navigating challenges. 14-year journey in the public sector marked by a deep commitment to integrity and justice. Strong problem-solving skills and a proactive approach to tackling new tasks. Recognized for adaptability, creativity, and a results-oriented mindset. Committed to making meaningful contributions and driving organizational goals forward.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Foster Care Specialist
Hands Across The Water - Child Placement Agency
Ann Arbor, MI
11.2024 - Current
- Developed case plans with goals and objectives that are focused on meeting the needs of the child or youth.
- Evaluated potential foster homes to ensure they meet necessary requirements.
- Facilitated meetings between biological parents and their children when appropriate.
- Increased placement success rates through developing new systems for case service plans and reports.
- Provided guidance and support to foster parents on issues related to parenting, discipline, family dynamics.
- Provided court testimony detailing client behaviors, treatment plans, and progress according to objectives.
- Collaborated with other professionals including social workers, psychologists, and attorneys to coordinate services for children in care.
- Monitored compliance with medication regimes prescribed by physicians or psychiatrists.
- Maintained accurate records of client contacts, progress notes and case activities in accordance with agency policies and procedures.
- Established behavioral modification goals and assessed progress toward goals.
Departmental Benefits Specialist A11 - Lead Worker
State of Michigan Department of Human and Health Services
Dearborn, USA
02.2018 - 11.2024
- Oversaw work activities/cases of other Departmental Benefits Specialists to ensure accuracy before administering the distribution of state welfare benefits
- Performed complex Medicaid/Medicare/SNAP assignments, interviewed clients, maintained a caseload of 1000 cases, coded medical records, and trained new employees
- Authorized immediate assistance on an emergency basis when warranted to obtain shelter, transportation, medical care, or utility services for clients
- Explained procedures and actions taken, responding to clients' requests for information or desire to appeal decisions or denials, and met with clients at case closure to review reasons for ineligibility
- Wrote hearing summaries and social summaries, participated in pre-hearing conferences and hearings, and explained decisions in administrative hearings
- Reduced case backlog by prioritizing tasks and working efficiently under pressure
Child Protective Services Investigator P11
State of Michigan Department of Human and Health Services
Dearborn, USA
06.2014 - 02.2018
- Improved child safety by conducting thorough investigations of alleged abuse and neglect cases
- Expedited case resolutions through diligent documentation, timely report submissions, and effective time management skills
- Enhanced family functioning by providing education on positive parenting strategies, child development, and available community resources
- Collaborated with multidisciplinary teams, such as law enforcement, court liaisons and mental health professionals, to develop comprehensive case plans for at-risk children and their families
- Maintained open lines of communication with law enforcement agencies to share pertinent information related to ongoing investigations or emergent safety concerns
- Testified in court hearings as an expert witness, providing essential information for legal decision-making processes
- Provided 24-hour crisis intervention assistance
Assistant Inspector General Field Agent/Departmental Analyst P 11
State of Michigan Department of Community Health Office of Health Services Inspector General
Dearborn, USA
12.2012 - 06.2014
- Performed research, writing, and analysis regarding relevant State and Federal statutory and case law, and relevant administrative rules and regulations
- Completed complex data query, analysis and reviews necessary to support audits and investigations of health services provider fraud, waste and abuse
- Identified and reviewed medical records for medical necessity, utilization, up-coding, and health services performed inconsistent with beneficiary diagnosis and treatment
- Performed investigative research activities, including forensic accounting review and analysis of financial, operational and other business records, data, and claims information of health services providers and suppliers in order to determine compliance with applicable health services law, rules, policies, and regulations
- Recommend steps necessary to improve internal controls to prevent and detect health services fraud, waste, and abuse; and evaluate the integrity of claims processing information systems used in claims processing and related information technology systems
Group Processor II
Blue Cross Blue Shield of Michigan
Dearborn, USA
09.2012 - 12.2012
- Responsible for processing transactions to initiate group wide coverage changes involving retroactive dates, mergers, group transfers, and suffix splits, involving decision-making/planning on the course of action required to accomplish the change
- Processed group reinstatement's without lapse in coverage
- Responded to telephone inquiries from Sales Support, Underwriting Group Billing, Production Support and Direct Billing
- Assisted colleagues as needed, fostering a positive work environment based on teamwork and mutual supportiveness
- Analyzed processor data and developed insight reports for management review
- Utilized strong analytical skills to identify potential risks or discrepancies within processed documents quickly
Regulation Agent 10/Unemployment Compensation Fraud Investigator
State of Michigan Unemployment Insurance Agency Fraud Division
Detroit, USA
10.2010 - 09.2012
- Conducted unemployment fraud investigations and analyzed complaints relative to fraudulent activities involving services and programs governed by state laws and regulations
- Investigated suspected violations of state and federal laws, licensing standards, rules and other governmental controlled regulations
- Reviewed financial and other operating records
- Conducted field investigations, background investigations and other investigatory surveillance activities to obtain and affirm necessary allegations of improper or illegal activity
- Interviewed witnesses, collected materials relevant to the allegations of Unemployment Compensation Fraud, such as, surveillance videos, bank records, weekly wage evidence, and prepared detailed investigative reports pertaining to the findings of regulatory state violations
- Worked with local and state law enforcement agencies on case files pertaining to Unemployment Compensation Fraud and Identity Theft investigations
- Testified in State Administrative and District Judicial court proceedings regarding regulatory violations of Unemployment Fraud
- Provided assistance to District Prosecutors, County Prosecutors and Assistant Attorney Generals through the provision of technical information regarding applicable statues
- Prepared and served subpoenas
- Prepared warrants for arrest
- Lead Worker for Identity Theft Investigations
Education
Postgraduate Degree - Forensic Investigation
Wayne State University College of Pharmacy And Health Sciences
Detroit, MI12.2007
Bachelor of Arts - Criminology, Sociology
Western Michigan University
Kalamazoo, MI04.2004
Skills
- Fraud Investigation
- Conflict Resolution
- Data Analysis
- Report Writing
- Statistical Analysis
- Financial Forecasting
- Policy Interpretation and knowledge
- Cross-cultural sensitivity
- Referral Coordination
- Analytical Skills
- Benefits Administration
- Regulatory monitoring and compliance
Certification
- Certificate for completion of the Basic Scientific Content Analysis Course, Michigan State Police Training Academy - Laboratory for Scientific Interrogation
- Certificate for completion of the Advanced Scientific Content Analysis Course, Michigan State Police Training Academy - Laboratory for Scientific Interrogation
- Completion of Excel Level 1 - Basic, State of Michigan - PTD Technology
- Completion of Excel Level 2- Intermediate, State of Michigan - PTD Technology
- Completion of Excel Level 3- Advanced, State of Michigan - PTD Technology
- Completion of Child Welfare In-Service Training for the State of Michigan MDHHS (CWTI)
- Completion of Office of Work and Development Training for the State of Michigan MDHHS (OWDT)
- Relevant Course work completed for CWTI and OWDT, Child Trauma, Forensic Interviewing of Children, Domestic Violence, Petitions for Child Removal with the Third Judicial Court, Court Preparation, and ICWA
Timeline
Foster Care Specialist
Hands Across The Water - Child Placement Agency
11.2024 - Current
Departmental Benefits Specialist A11 - Lead Worker
State of Michigan Department of Human and Health Services
02.2018 - 11.2024
Child Protective Services Investigator P11
State of Michigan Department of Human and Health Services
06.2014 - 02.2018
Assistant Inspector General Field Agent/Departmental Analyst P 11
State of Michigan Department of Community Health Office of Health Services Inspector General
12.2012 - 06.2014
Group Processor II
Blue Cross Blue Shield of Michigan
09.2012 - 12.2012
Regulation Agent 10/Unemployment Compensation Fraud Investigator
State of Michigan Unemployment Insurance Agency Fraud Division
10.2010 - 09.2012
Postgraduate Degree - Forensic Investigation
Wayne State University College of Pharmacy And Health Sciences
Bachelor of Arts - Criminology, Sociology
Western Michigan University
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