Strategic Investigative Professional with experience managing a portfolio of fraud cases, ensuring timely investigation and resolution in accordance with company policies. Dedicated and adaptable professional with a positive attitude and the ability to learn quickly. Strong work ethic and effective communication skills, driven with strong time management and prioritization abilities. Eager to contribute to a dynamic team and support organizational goals.
Overview
6
6
years of professional experience
Work History
Investigator
The Canada Life Assurance Company
Winnipeg, Manitoba
02.2023 - Current
Analyse evidence, such as financial records, medical documents, and internal data, to determine the validity of claims.
Organize and maintain files and case notes of all investigative activities.
Conduct interviews with plan members, providers, and clinic owners to obtain information related to the case.
Collaborate with internal departments, such as legal, compliance, and audit teams, on identifying suspicious claims.
Gather intelligence through open source research methods, such as internet searches and social media monitoring.
Input information regarding fraud investigations into detailed reports for submission to clients.
Prepare and present comprehensive fraud cases to senior management, enabling informed decision-making.
Manage overpayment recoveries by negotiating repayment agreements with plan members when fraudulent activity is identified.
Co-Founder
Hawthorne Homes
Niverville, MB
10.2020 - Current
Oversee budgetary and financial activities and implement strategies to grow the business and profits.
Lead organization by establishing business direction and actualizing operational plans to meet goals.
Building strategic business partnerships by cultivating relationships with employees and experts.
Leverage trends in customer industries and marketplaces to shape solutions and approaches.
Check financial reports to confirm financial soundness and good operating margin.
Increase productivity by creating new policies, objectives, and procedures to streamline operations.
Real Estate Professional
Royal LePage Prime Real Estate
Winnipeg, MB
07.2018 - 01.2024
Conducting sales development with lenders, mortgage companies, buyers, and sellers.
Building rapport with industry leaders through efficient and effective communication and industry expertise.
Verify accuracy of documentation and fund disbursements for sales.
Oversee and negotiate offers for real estate purchases on clients' behalf.
Liaise with real estate attorneys to assist with deal-related questions.
Manage real estate transactions from initiation to closing.
Oversee real estate investment trust and real estate portfolios totaling approximately $30,000,000 in value.
Effectively handle office duties, including maintaining computer files and documenting all aspects of deals.
Education
Real Estate Salesperson Licence -
Manitoba Real Estate Association
Winnipeg, MB
06.2018
Bachelor of Environmental Science -
University of Winnipeg
Winnipeg, MB
06.2017
High School Diploma -
Springfield Collegiate
Oakbank, MB
06.2015
Skills
Complex Problem Solving
Exceptional Verbal and Written Communication
Investigations Proficiency
Vast Insurance Knowledge
Extensive Case Management
Documentation and Correspondence
Analytical Thinking
Awards
Royal LePage Master Sales Award 2021, 2022 & 2023
Reference
Jennifer Underwood, Supervisor of investigations, DPIS, The Canada Life Assurance Company - 204-792-1061
Manager, Reinsurance Pricing at The Canada Life Assurance Company (Canada Life)Manager, Reinsurance Pricing at The Canada Life Assurance Company (Canada Life)