Rodney S. Johnson
Law Enforcement
Lavalette,WV
Summary
Detail-oriented Insurance Fraud Investigator with proven skills in fraud detection, legal compliance, and effective communication. Strong background in collaborating with law enforcement and conducting thorough investigations.
Overview
2027
2027
years of professional experience
1
1
Certification
Work History
Insurance Fraud Investigator Position# 0704P00122
WV Offices of the Insurance Commissioner
Kanawha County, WV
2026 - Current
- Served as Chief of Milton Police Department from 1996 to 2000 where I supervised and conducted numerous types of investigations.
- Served as a Putnam County, WV Deputy Sheriff from 2000 to 2020 where I served as a Detective assigned to the Criminal Investigation Division. I was task with conducting major felony investigations ranging from felony level white collar crime to homicide, preparing detailed reports of said investigations, and assisting the Prosecuting Attorneys with court presentation of the cases.
- Served as an Insurance Fraud Investigator for the WV Offices of the Insurance Commissioner since December 5th, 2020.
- Possesses almost 600 hours of Law Enforcement training to include but not be limited to interview and interrogation, crime scene photography, crime scene processing, case management, etc (LEPSIS transcript is attached)
- Conducted thorough investigations into suspected insurance fraud cases, analyzing evidence and documentation.
- Collaborated with law enforcement agencies to gather information and support criminal prosecutions.
- Reviewed and evaluated claims for inconsistencies, applying investigative techniques to uncover fraudulent activities.
- Prepared detailed reports summarizing findings and recommendations for further action on fraud cases.
- Developed and maintained relationships with internal teams to enhance collaboration on fraud prevention strategies.
- Trained junior investigators on best practices for identifying red flags in insurance claims processes.
- Implemented process improvements that enhanced efficiency in investigation workflows and case handling procedures.
- Led cross-functional meetings to discuss emerging fraud trends and refine investigative approaches accordingly.
- Assisted legal teams in preparing case files, providing expert testimony during trials, contributing to successful prosecution outcomes.
- Evaluated complex claims involving multiple parties to determine the extent of potential fraud exposure for the company effectively.
- Enhanced team performance through continual mentoring and coaching junior investigators in investigative techniques and report writing skills.
- Increased recovery of fraudulent payouts by negotiating settlements with involved parties.
- Developed strong professional relationships with industry partners, fostering collaboration and intelligence sharing among peers.
- Maintained comprehensive knowledge of relevant laws and regulations, ensuring compliance throughout all investigations conducted.
- Conducted undercover operations to gather critical information on suspected fraudsters, successfully exposing fraudulent schemes.
- Produced detailed reports of fraud investigations and presented findings to senior management.
- Summarized all key information regarding investigation into detailed report for delivery to prosecutors.
- Interviewed witnesses thoroughly, asking appropriate questions to ascertain critical details about each case.
Education
High School Diploma -
Barboursville High School
Barboursville, WVSkills
- Microsoft office
- Persistence
- Stress tolerance
- Background checks
- Assertiveness
- Legal compliance
- Social media monitoring
- Video recording
- Evidence collection
- Investigative techniques
- Claim analysis
- Surveillance expertise
- Confidentiality
- Telephone and email etiquette
- Effective communication
- Verbal and written communication
- Data analysis
- Dispute resolution
- Fraud prevention
- Case management
- Fraud detection
- Fraud and anomaly analysis
- Ethical standards
- Fraud identification
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Reliability
- Critical thinking
- Organizational skills
- Self motivation
- Legal knowledge
- Financial statement analysis
- Investigation documentation
- Financial crimes
- Witness interviewing
- Report preparation
- Analytical skills
- Regulatory compliance
Certification
- Certified Law Enforcement Officer in State of WV since 1995 - WV LEPSIS # 8138-4062
Timeline
Insurance Fraud Investigator Position# 0704P00122
WV Offices of the Insurance Commissioner
2026 - Current
High School Diploma -
Barboursville High School