Luis Vega

Investigations professional with 12+ years of experience conducting complex fraud, misconduct, and compliance investigations across private-sector Special Investigation Unit (SIU) and Florida state government settings. Proven ability to plan and execute investigations from allegation intake through evidence collection, interviews, findings, and final reporting — the same lifecycle required for audits and reviews conducted by an Office of Inspector General. Skilled in applying regulatory standards, evaluating conflicting evidence, and communicating findings and corrective-action recommendations to leadership.

Experienced handling confidential, sensitive, and legally significant matters, including cases involving vulnerable populations while at the Florida Department of Elder Affairs. Seeking to bring this investigative and compliance foundation to the Inspector General position with the Florida Department of the Lottery, supporting the agency's audit, investigation, and Whistle-Blower's Act obligations under the Chief Inspector General's office.

Senior Special Investigator at Farmers Insurance (2025-08 – Present)

Conduct complex administrative investigations involving suspected fraud, claim irregularities, financial exposure, and potential policy violations. Analyze evidence, conduct interviews, identify discrepancies, and prepare investigative findings supporting organizational decision-making, regulatory compliance, and risk mitigation.

• Investigate suspected fraud, misrepresentation, and irregular claim activity from allegation through resolution.
• Collect, review, and analyze evidence including documentation, recorded statements, photographs, financial records, and inspection reports.
• Interview claimants, insureds, witnesses, contractors, and other involved parties to establish facts and resolve inconsistencies.
• Identify investigative leads through analysis of documentation, claim activity, and conflicting information.
• Prepare detailed investigative reports documenting allegations, investigative steps, evidence reviewed, findings, and recommendations.
• Maintain confidentiality of sensitive investigative information and coordinate activities with internal departments, legal representatives, and external resources.

Senior Property Field Adjuster at Farmers Insurance (2021-12 – 2025-08)

Conducted field-based investigations involving complex property claims, financial exposure, disputed damages, and potential coverage concerns.

• Conducted on-site investigations to determine facts, evaluate damages, and identify contributing circumstances.
• Interviewed policyholders, contractors, witnesses, and other involved parties to gather factual information.
• Reviewed and analyzed photographs, estimates, reports, documentation, and expert evaluations.
• Managed complex case inventories while maintaining accuracy, compliance, and timely completion.
• Prepared comprehensive reports documenting findings, evaluations, and recommendations for internal and external stakeholders, including attorneys and public adjusters.

Bodily Injury Claims Adjuster at Progressive Insurance (2014 – 2020)

Conducted investigations involving liability disputes, financial exposure, documentation review, and legal considerations.

• Investigated complex claims through interviews, records review, evidence evaluation, and liability analysis.
• Reviewed medical documentation, legal correspondence, and supporting records to determine claim validity.
• Evaluated conflicting information and developed conclusions based on available evidence.
• Prepared detailed documentation supporting claim decisions and litigation activities while ensuring regulatory compliance.

Investigator / Advocate / Support Specialist at Florida Department of Elder Affairs (2013 – 2014)

Conducted government investigations involving allegations affecting vulnerable adults while supporting resident protections and regulatory compliance.

• Investigated complaints involving potential abuse, neglect, exploitation, and violations of resident rights.
• Conducted interviews with residents, caregivers, administrators, and witnesses to obtain relevant information.
• Reviewed records and statements, prepared investigative reports summarizing evidence, observations, conclusions, and recommendations.
• Coordinated with government agencies and community partners on investigative matters, applying state regulations and investigative procedures.

– Eastern University