Joe Rodriguez
Austin,TX
Summary
Relentless professional known for working hard to determine risk levels. A well-spoken Fraud Analyst promoting exemplary talents in reviewing accounts and identifying issues.
Overview
21
21
years of professional experience
Work History
Senior Fraud Investigator
Texas Mutual Insurance Company
03.2015 - Current
- Analyzed financial statements to identify discrepancies, irregularities and fraudulent activity.
- Collaborated with team members to discuss fraud trends and brainstorm methods to combat this type of crime.
- Conducted research and interviews with relevant stakeholders to gather evidence and build case files.
- Interviewed witnesses thoroughly, asking appropriate questions to ascertain critical details about each case.
- Reviewed transactions and receipts to identify any suspicious activity.
- Testified in court for both civil and criminal cases, answering questions honestly and respectfully.
- Collaborated with internal and external stakeholders to create and maintain fraud prevention strategies.
- Coached and trained staff on fraud prevention techniques to increase awareness and reduce risk.
- Developed and implemented procedures to detect and prevent fraud.
- Produced detailed reports of fraud investigations and presented findings to senior management.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
Workers Compensation Underwriter
Texas Mutual Insurance Company
09.2002 - 03.2015
- Documented underwriting decisions and provided evidence of compliance with applicable regulations.
- Made approval and denial recommendations by determining accurate risk levels.
- Reviewed applications for insurance coverage and reports from loss control specialists to determine risks.
- Analyzed credit, income, compliance, title documents, and appraisals during underwriting process.
- Evaluated loan applications for affordability and conformance with underwriting guidelines.
- Supported review, acceptance or denial of new or renewal business after carefully reviewing all information.
- Supported review and acceptance or denial of new or renewal business.
- Monitored market conditions and economic trends to identify and limit potential risks.
- Evaluated applications to determine insurance coverage and appropriate risk classifications.
- Met with customers, agents and brokers to negotiate coverage, price, and service delivery.
Education
Associate Certified Fraud Examiner -
Associate Certified Fraud Examiner
Associate Degree - Claims -
Insurance Institute of America
Bachelor Of Applied Arts - Police Administration
University of Texas - Pan American
Edinburg, TXAssociate Degree - Underwriting -
Insurance Institute of America
Skills
- Training New Hires
- Financial Documentation
- Professional Correspondence
- Verbal and Written Communication
- Evidence Recording
- Fraud and Anomaly Analysis
- Employer-Employee Fraud Investigations
- Workers Compensation Claims Investigations
Timeline
Senior Fraud Investigator
Texas Mutual Insurance Company
03.2015 - Current
Workers Compensation Underwriter
Texas Mutual Insurance Company
09.2002 - 03.2015
Associate Certified Fraud Examiner -
Associate Certified Fraud Examiner
Associate Degree - Claims -
Insurance Institute of America
Bachelor Of Applied Arts - Police Administration
University of Texas - Pan American
Associate Degree - Underwriting -
Insurance Institute of America
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