Special Investigations Unit (SIU) advisory board members

The Washington State Legislation that created the Special Investigations Unit also mandated that the insurance commissioner appoint a 10-member volunteer board to advise him on the fraud program.

The board includes representatives from the insurance industry, consumers, the National Insurance Crime Bureau, a county prosecutor and law enforcement.

Insurance industry

Craig Williamson - Farmers New World Life

Four year term

Craig began his career as an in-house investigator for a prestigious law firm in Seattle, Washington. He moved to Southern California and held several positions of progressive responsibility for an investigative services vendor serving the life and health insurance industry.

Presently he manages the Special Investigation Unit for Farmers New World Life Insurance Company, Zurich American Life Insurance Company and Universal Underwriters Life Insurance Company. In January 2012 he was appointed Head of the Fraud Expert Network for Zurich Global Life.

Craig is a graduate of Washington University with a Bachelor of Science Degree in Police Science and obtained a Master of Arts degree in Criminal Justice at Pacific Lutheran University. Craig has been involved in the Southern California Fraud Investigators Association (SCFIA), the Los Angeles, Orange County and the Phoenix Life & Health Claims Associations. He obtained his Certified Fraud Examiner (CFE) credential in 2004 and an Associate of Life and Health Claims (ALHC) designation in 2009. Currently his is an Executive Committee member of the International Claims Association (ICA) where he has served for over 10 years on the Fraud and Abuse committee of the ICA.

Ethan VanderLugt – State Farm Insurance

Four year term

Mr. VanderLugt is currently the Special Investigations Unit (SIU) section manager for the Pacific Northwest Zone at State Farm Insurance. He has been with State Farm for 21 years and his experience includes:

  • 1990 to 1991 - Property Claims Representative, Grand Rapids, Mich.
  • 1991 to 1993 - Bodily Injury Claims Representative, Holland, Mich.
  • 1993 to 1998 - Property/Bodily Injury Claims Representative, Fort Worth, Texas
  • 1998 to 2002 - Field Team Manager, Fort Worth, Texas
  • 2002 to 2003 - First Party Team Manager, Fort Worth, Texas
  • 2003 to 2005 - Injury Claims Central Team Manager, Dallas, Texas
  • 2005 to 2006 - Auto Claims Central Team Manager, Dallas, Texas
  • 2006 to 2011 - Auto Field Section Manager, Ore.
  • 2011 to present - SIU Section Manager - Pacific Northwest Zone (Alaska, Hawaii, Ore., Wash., Mont., Idaho)

Education:

  • B.A., Calvin College University
  • Associate in Claims (AIC)
  • Legal Principles Claims Series (LPCS)
  • Chartered Property Casualty Underwriter (CPCU)

Molly Matthys – Safeco Insurance

Four year term                                                                                         

Ms. Matthys is currently the Special Investigations Unit regional manager for Liberty Mutual. She has been with Liberty Mutual/Safeco for 12 years, 10 of those with the Special Investigations Unit. She has held positions of casualty adjuster, special investigator, and has been a manager for the last five years. Ms. Matthys has been a member of Puget Sound Special Investigators for 10 years and has served as secretary.

Education:

  • B.A. Business Administration, University of Washington
  • Fraud Claims Associate 
  • Numerous interviewing and investigative courses

Bill Baldwin – Insurance Brokers & Agents of the West             

Four year term

Mr. Baldwin is currently the president of Baldwin Resource Group in Bellevue, Wash., and chair of the Strategic Planning Committee for Insurance Brokers & Agents of the West.

His past positions include: president, Washington Institute for Policy Studies; chairman, Raleigh, Schwarz & Powell, Inc.; chief operating officer, Addington, Baldwin & McDaniel, Inc.; president and founder of Insurance Associates; claims and field manager, Fireman’s Fund; police officer, Reno Police Department, Reno, Nevada; and Law Seminars International adjunct-faculty member.

Mr. Baldwin also has served on the following: Washington State University, Committee Chairman, Board of Advisors, Business School Program Past Board of Advisors Member, Washington State Insurance Commissioner, Past Governor’s Hazardous Materials Committee Member, American Legislative Exchange Council (National Association of State Legislators), Maritime Alliance of the Pacific Northwest, Foundation for Economic Education, and Washington Council for Private Education.

Education:

  • Business Major, University of Nevada

Patrick M. Guiton - Cambia Health Solutions                     

Four year term

Pat has been the manager of the External Audit and Investigations (EAID) Special Investigations Unit (SIU) at Regence for the Ore. and Wash. Plans since July 2010. As manager, Pat has been responsible for the Regence Government Programs. This includes the Medicare Advantage Program, as well as the Federal Employee Program (FEP). This is in addition to the oversight of the day-to-day operations of the Wash. and Ore. Fraud and Abuse SIU.

Pat retired from law enforcement in July 2010 after 32 years of service, 23 years as a federal special agent with the Internal Revenue Service (IRS) and the Treasury Inspector General for Tax Administration (TIGTA). While at Treasury, Pat held the positions of inspector, special investigator, chief of technical services, and retired as the assistant special agent in charge (ASAC) in the Seattle Post of Duty for the Denver Field Division. Pat was also assigned to the IRS Headquarters in Washington DC conducting internal investigations and on the Commissioner Protection Detail when he conducted much travel and met some interesting people.

Prior to his employment with the Treasury Department, Pat was employed by the Ocean City, Md., Police Department, where he worked as a police officer in the patrol unit, and later a detective in the narcotics division. Pat conducted several major investigations while working with the Ocean City Police Department and the Treasury Department. Many of these were short- and long-term undercover operations.

Education:

  • B.A. (psychology, with a minor in criminal justice administration), East Stroudsburg State University, Pa.
  • Advanced and Supervisory Training and certifications from the Federal Law Enforcement Training Academy (FLECT), Ga.
  • Maryland State Police Commission and Instructor Certification, Eastern Shore Police Training Academy, Salisbury, Md.

Jeannie Fleming - Enumclaw Insurance Group                           

Four year term

Ms. Fleming is currently the vice president of claims for Enumclaw Insurance Group (Mutual of Enumclaw Insurance Company & Enumclaw Property and Casualty). She has been a member of the claims department since 1980, serving previously as a Claim Department CSR, claims adjuster, claims examiner, field office manager, and director of field operations.

Education:

  • B.A., Central Washington State College
  • Certified Leadership and Coaching, Performance Leadership Group
  • Insurance Management, Swiss Re Academy
  • Licensed Property and Casualty Agent, Washington state
  • Financial Management for non-Financial Insurance Executives, University of Wisconsin
  • ICAR-certified
  • Supervision Certification, Green River Community College

Consumers

Kent Davis – Law Firm Technology Specialists                               

Four year term

Education and experience:

Mr. Davis founded Law Firm Technology Specialists in 1994, a consultancy devoted to technology, with specific application to the legal profession. Before entering private practice as a consultant to law firms, Mr. Davis filled the role of administrator to small, medium, and large law firms for more than 15 years. Because of his intimate knowledge of law-firm operations, he has conducted bar-association CLE presentations, where he discusses the needs of the lawyer, paralegal, accounting staff, and other personnel, combining human resources, existing practices, and technology into his subject matter. Mr. Davis has also authored numerous articles published in bar-association journals. He attended Bradley University, John Jay College of Criminal Justice and West Los Angeles School of Law.

In addition to the above, he spent four years in the insurance industry as a pre-trial field investigator, claims representative, and claims supervisor in first-party property and third-party liability claims units of two large insurance carriers.                                                                                        


Jean Mathisen – AARP Washington Fraud Fighter Call Center   

Four year term

Ms. Mathisen has 25 years of management experience in the not-for-profit sector. Prior to joining AARP, she served as program director for Senior Rights Assistance, a consumer-education program of Senior Services of Seattle/King County, where she created a victim-advocacy program serving crime victims age 60 and older. She also managed the agency’s partnership with the Office of the Insurance Commissioner as the King County sponsor of the SHIBA program.

Ms. Mathisen has been the director of the AARP Washington Fraud Fighter Call Center since it opened in 2006. She manages a team of 55 paid and volunteer staff who specialize in consumer education and fraud prevention. Their primary audience is comprised of individuals who fit the AARP demographic. In the past four years they have communicated with more than 300,000 people of all ages to better understand their rights and responsibilities as consumers.

Education:

  • B.A., University of California, Santa Cruz
  • M.P.A., University of Washington, Evans School of Public Affairs

National Insurance Crime Bureau

Dana MacDonald – Director of Operations NICB                                   

Four year term

Education and experience:

Mr. MacDonald graduated from Santa Clara University, Santa Clara, Calif., in June 1971 with a bachelor of science (commerce, with a major in accounting). He worked for Callan, Delucchi, and Swanson Certified Public Accountants, Santa Clara, Calif., while attending college and after graduating. He became a senior accountant/auditor and obtained his CPA.

Mr. MacDonald entered the Federal Bureau of Investigation (FBI) on June 11, 1972, and retired from the FBI on June 30, 2002. While with the FBI, he served in the Kansas City, Los Angeles, and Seattle divisions. In February 1995 he was promoted to the position of supervisory special agent in charge of the FBI Seattle Division White Collar Crimes Squad, specializing in bank and insurance fraud. During this time he established the FBI’s first Computer Crimes Squad in the Northwest.

In June 2002, he was hired by the National Insurance Crime Bureau (NICB) for the position of director of operations for Area 2, which covers the eight-state region of Alaska, Wash., Ore., Idaho, Mont., Wyo., Utah, and Colo.

 

Prosecutor

Joe Wheeler – Thurston County Prosecutor’s Office                   

Four year term

Mr. Wheeler is currently the senior deputy for the Thurston County Prosecutor’s Office.

His experience includes 19 years as an aggressive felony attorney involving trials for murder, complex fraud, vehicular homicide, theft, rape, forgery, assault and drug manufacture. He is experienced in trials involving expert testimony, including forensic accounting, physical-injury analysis, arson reconstruction, chemical analysis, accident reconstruction, and handwriting and document analysis.

Mr. Wheeler has participated in all phases of criminal prosecution, including initial collaboration with investigators, search-warrant preparation, direction of additional follow-up investigation, charging decisions, special-inquiry proceedings, preliminary hearings, pretrial memorandum, suppression hearings, 3.5 hearings, trial briefs, and appellate work for both personal-restraint petitions and for post-conviction appeals including successful argument in front of the Washington State Supreme Court. He is a founding member of the Thurston County Fraud Task Force, a member of Fraud-Net, and the Thurston County contact person for National White Collar Crime Center.

Education:

  • Graduated in 1982 from Washington State University with a B.S. (psychology) and also obtained his law degree from the University of Puget Sound in 1986.

 

Law Enforcement

Steve Boyer – Kitsap County Sheriff’s Office                               

Four year term

Mr. Boyer has been the Kitsap County sheriff since 1998. Mr. Boyer was elected Kitsap County sheriff after serving 26 years with the Washington State Patrol. As sheriff he prepares and executes an annual budget that exceeds $27 million. He is responsible for more than 250 employees and provides primary safety and security to the 70 percent of Kitsap County citizens who live in unincorporated areas. His 12-plus years of experience as Kitsap County’s sheriff includes his management of deputy patrol, jail services, SWAT team, Search and Rescue, and the Marine Patrol.

Education:

  • B.A. (Law and Justice Degree with Honors), Central Washington University
  • Southern Police Institute, Graduate Level Studies, University of Kentucky at Louisville
  • Graduate, FBI Law Enforcement Executive Development
  • Graduate, Emergency Management Institute course in Integrated Disaster Management
  • Graduate, Southern Police Institute Administrative Officers Course
  • Graduate, National Sheriffs Association Sheriff executive training
  • Graduate, Management for Excellence conducted by the Boeing Company

Updated 04/04/2014

See also

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