Derek H.
Senior Siu Investigator @SageSure
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WORK HISTORY
Senior Siu Investigator @SageSure
Detection, identification, investigation, and prevention of questionable insurance claims as well as underwriting investigations involving coastal regions (CA, FL, LA. MS, NJ, NY, NC, SC, TX). Complete desk and field investigations including interviews, EUO\'s, and desk/onsite property inspections. Maintain working relationship with the NICB, Department of Insurance, regional law enforcement, counsel, and vendors. Development and delivery of fraud awareness training for claims department, policy service, business partners and other stakeholders as necessary to facilitate the identification and referral of potentially fraudulent insurance concerns to SIU. Support regulatory compliance activities including regulatory reporting, research, training and education requirements. • Desk / Field investigator / Trainer• Wicklander and Reid interviewing • Identification, investigation, and submission for DOI assessment / state prosecution
EDUCATION
University of Phoenix
Masters
NICB Advanced Academy
Insurance Fraud
Wicklander / Zulawski Interviewing
Law Enforcement Investigation and Interviewing
Reid Interviewing
Law Enforcement Investigation and Interviewing
Arizona State University
Bachelors
SKILLS
ABOUT DEREK H.
Current/Prior positions: Senior regional investigator, Senior field investigator, Major case investigator, SIU field/desk investigator trainer, Major case trainer, EDR trainer, Investigator mentor, Internal investigator, Loss Prevention/Asset Protection supervisor, Claims supervisor — • Masters – Organizational Management (University of Phoenix) • Bachelors – Criminal Justice (Arizona State University) • Tempe Crime Analysis Unit – Tempe Police Department – Internship • National Insurance Crime Bureau Advanced Academy — * Trained Special Investigations Unit Investigators / Analysts / Loss Prevention / Asset Protection * Investigations of auto/property/medical * Investigations of internal/employee * Investigation/Inspection/Audit of providers and agencies * Trained in Wicklander-Zulawski and Reid Interviewing * Internal investigator - investigations of 30+ revenue centers, 800+ employees, and 60+ million sales - 5 internals terminated monthly from investigations * Wrote new policy/procedures for cash-handling that reduced over/shorts by 10%+* Reduction in overall COP recognized nationally * Developed/implemented new Safety Plan that reduced employee workers\' compensation claims by 70%* Developed multiple PowerPoint presentations for all levels of management concerning fraud indicators, trends, policy/procedures, and the prosecutorial process * Relationships with Law Enforcement (FBI, DHS, DEA, National Insurance Crime Bureau, Department of Insurance - Fraud Unit, local Law Enforcement)
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