Jacqueline Saliba
Dearborn,MI
Summary
Dynamic individual with extensive hands-on experience in investigations and a natural talent for navigating challenges. 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
Work History
Assistance Payments Worker A11 – Lead Worker/Advanced Level - Senior
State of Michigan Department of Human and Health Services
2018.02 - Current
- Overseen work activities/cases of other Assistance Payments Workers to ensure case 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, advised clients on benefits procedures, and trained new employees.
Services Specialist/Child Protective Services Investigator P 11/Advanced Level
State of Michigan Department of Human and Health Services
2014.06 - 2018.02
- Investigated claims of neglect and abuse of child victims, coordinated with law enforcement, assisted in relocating victims, developed intervention strategies, and provided direct counseling to clients.
Assistant Inspector General Field Agent/Departmental Analyst P 11 – Lead Worker for Home Health Care Fraud Investigations
State of Michigan Department of Community Health Office of Health Services Inspector General
2012.12 - 2014.06
- Investigated allegations of health services fraud, performed research and analysis, completed data queries, and recommended steps to improve internal controls.
Group Processor, Claims II
Blue Cross Blue Shield of Michigan
2012.09 - 2012.12
- Examined and processed complex claims, entered claims into the database, reviewed and adjudicated claims, and resolved claim problems.
Regulation Agent 10/Unemployment Compensation Fraud Investigator/Lead Worker for Identity Theft Investigations
State of Michigan Unemployment Insurance Agency Fraud Division
2010.10 - 2012.09
- Conducted investigations of fraudulent activities, analyzed unemployment claims, worked with law enforcement, and testified in court regarding regulatory violations.
Education
Post-Bachelor’s Degree in Forensic Investigation -
Wayne State University College of Pharmacy and Health Sciences
12.2007
Bachelor of Arts - Criminal Justice
Western Michigan University
04.2004
Skills
Policy Knowledge
Benefits Administration
Cross-cultural sensitivity
Teamwork and Collaboration
Referral Coordination
Fraud investigation
Analytical Skills
Data Compilation
Payment Collection
Application support
Training
- Michigan State Police Training Academy, Laboratory for Scientific Interrogation, Certificate for completion of the Basic Scientific Content Analysis Course, Certificate for completion of the Advanced Scientific Content Analysis Course
- State of Michigan - PTD Technology, Completion of Excel Level 1 – Basic, Completion of Excel Level 2- Intermediate, Completion of Excel Level 3- Advanced
Timeline
Assistance Payments Worker A11 – Lead Worker/Advanced Level - Senior
State of Michigan Department of Human and Health Services
2018.02 - Current
Services Specialist/Child Protective Services Investigator P 11/Advanced Level
State of Michigan Department of Human and Health Services
2014.06 - 2018.02
Assistant Inspector General Field Agent/Departmental Analyst P 11 – Lead Worker for Home Health Care Fraud Investigations
State of Michigan Department of Community Health Office of Health Services Inspector General
2012.12 - 2014.06
Group Processor, Claims II
Blue Cross Blue Shield of Michigan
2012.09 - 2012.12
Regulation Agent 10/Unemployment Compensation Fraud Investigator/Lead Worker for Identity Theft Investigations
State of Michigan Unemployment Insurance Agency Fraud Division
2010.10 - 2012.09
Post-Bachelor’s Degree in Forensic Investigation -
Wayne State University College of Pharmacy and Health Sciences
Bachelor of Arts - Criminal Justice
Western Michigan University
Similar Profiles
Shannon ProutShannon Prout
Eligibility Specialist at State of Michigan Department of Health and Human ServicesEligibility Specialist at State of Michigan Department of Health and Human Services
Lauren StephensLauren Stephens
Home Health Caregiver at State Of Michigan Department Of Health And Human ServicesHome Health Caregiver at State Of Michigan Department Of Health And Human Services
Julie BairJulie Bair
Assistance Payments Worker/Public Assistance Eligibility Specialist at Department Of Health And Human Services, State Of MichiganAssistance Payments Worker/Public Assistance Eligibility Specialist at Department Of Health And Human Services, State Of Michigan