Kevin L Sheckles
Https://www.linkedin.com/in/kevin-sheckles-04697753
Summary
Active Top Secret Security Clearance Background Investigator with specialties. Tech-savvy with proficiency. Accurately gathers information and compiles reports of findings. Consistently builds upon skills and tackle new responsibilities.
Overview
11
11
years of professional experience
Work History
Special Investigator
Peraton
05.2023 - Current
- Conducted in-depth interviews with subjects, witnesses, and other individuals to obtain information regarding case backgrounds.
- Reviewed investigative documents including police reports, court records, and other related materials.
- Utilized public databases to locate persons of interest or obtain additional background information on cases.
- Organized and maintained detailed case files for all investigations conducted.
Resource Manager
Oracle
01.2023 - 05.2023
- Coordinated with other departments to identify potential resources for projects.
- Analyzed resource allocation trends to develop strategies for optimizing resource utilization.
- Tracked employee performance metrics related to resource management objectives.
Provider Relations
United Healthcare Group
03.2021 - 12.2021
- Experience with Medicaid Agreements
- knowledge of relational databases, database structures
- researched claims for providers
- experience working with claims data and medical codes
- handle conflicting objectives and prioritize accordingly
- Reported results of investigations with written observations and photographs, and produced final reports.
- technical or metrics-based environment; preferably claims and/or customer service
- Macro development
Auditor/Fraud Analyst
Rawlings Group
06.2018 - 11.2020
- Conducted 10 to 15 Medicare investigations daily. (Extensive knowledge of fraud investigation tools, LexisNexis, and SAS).
- Conducted investigative research and analysis to resolve billing discrepancies, computed reserve funds for client rebate discounts.
- Prepared evidence for court presentation.
- Conducted reviews of flagged transactions and reports that showed potential suspicious activity.
- Investigated coordination of benefits errors, verifying overpayments.
Sales and Customer Service Manager
US Bank
07.2016 - 09.2017
- Investigated flagged accounts for the United States Treasury Department ( tools: submitted SAR, Suspicious Activity Report when unusual activity indicated ) AML (Anti-Money Laundering)
- Examined financial statements, written documents and audio files that could be used as evidence for fraud cases.
- Scrutinized incidents in which insurance or credit card fraud was alleged to have occurred.
- Coordinated investigations with specialized units in insurance and law enforcement agencies.
Assistant Branch Manager(PBII)
Fifth Third Bank
Louisville, KY
04.2014 - 07.2016
- Cultivated hands-on training, assessment, guidance and performance monitoring programs to coach and mentor employees.
- Analyzed trends, identifying consumer demand and forecasting seasonal trends to streamline operations.
- Mentored staff to enhance skills and achieve daily targets, using hands-on and motivational leadership.
- experience analyzing and solving customer problems in an office setting environment
Education
Bachelor of Science - Business Management
Indiana Wesleyan University
Marion, IN05.2015
Associate of Science - Business
Indiana Wesleyan University
Marion, IN04.2013
Military
Military Police Academy, United States Marines
Lackland Air Force Base, Bexar County, TXCertified Fraud Examiner (member)
(ACFE) Association of Certified Fraud ExaminersTimeline
Special Investigator
Peraton
05.2023 - Current
Resource Manager
Oracle
01.2023 - 05.2023
Provider Relations
United Healthcare Group
03.2021 - 12.2021
Auditor/Fraud Analyst
Rawlings Group
06.2018 - 11.2020
Sales and Customer Service Manager
US Bank
07.2016 - 09.2017
Assistant Branch Manager(PBII)
Fifth Third Bank
04.2014 - 07.2016
Bachelor of Science - Business Management
Indiana Wesleyan University
Associate of Science - Business
Indiana Wesleyan University
Military
Military Police Academy, United States Marines
Certified Fraud Examiner (member)
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