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Insurance Investigator - Free Resume Sample

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What do you do, what is your job?

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ARVIND RAWAT

Contact: 999999999 | E-Mail: [email protected]


An Accomplished Insurance Investigator


PROFILE SUMMARY

  • Extensive experience of XX years in examining claims forms and other records to determine insurance coverage; investigating and assessing damage to property and create or review property damage estimates
  • Adept in reviewing police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability; negotiating claim settlements and recommend litigation when settlement cannot be negotiated
  • Deft in analyzing information gathered by investigation and report findings and recommendations; obtaining credit information from banks and other credit services; examining titles to property to determine validity and act as company agent in transactions with property owners

ORGANIZATIONAL EXPERIENCE

Since MM YY | XYZ Ltd, Delhi | Insurance Investigator
Key Result Areas:
  • Investigate cases of arson, where fires may have been set intentionally to cash in insurance claims.
  • Examine falsified workers' disability claims
  • Set up surveillance and attempt to catch people suspected of fraud in the act
  • Investigate possibly staged accidents; determine if medical treatments were necessary
  • Examine vehicular damage; verify claimant's identity
  • Visit claimants and witnesses to obtain an oral statement
  • Take photographs and document evidence
  • Examine videotapes to detect fraud; inspect facilities
  • Determine if doctors have a proper license
  • Consult with legal counsel; testify as an expert witness in court case
  • Inspect damaged buildings and automobiles; investigate doctors suspected of malpractice
  • Create detailed reports documenting incidents; perform background checks
  • Examine medical reports
Key Highlights:
  • Any existing systems/ processes streamlined???? Results obtained????
  • Major assignments handled????
  • Any unique initiative taken to improve customer satisfaction level???? Any major accounts/clients handled???
  • Awards/appreciation letters received???? Other relevant achievements????
MM YY – MM YY | ABCD Ltd, Delhi | Insurance Investigator
Key Result Areas:
  • Conducted objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by clients against our company
  • Reviewed and researched evidence/documents to analyze the overall fact pattern of claim and synthesize data into a professional report with recommendations
  • Prepared and coordinated field assignments to obtain relevant evidence and information
  • Coordinated with defense attorneys to provide deposition strategies and use law enforcement resources for assistance
  • Managed and prioritized a large and varied case load effectively and efficiently to achieve positive results; prepared prosecution packages and restitution proposals
Key Highlights:
  • Any existing systems/ processes streamlined???? Results obtained????
  • Major assignments handled????
  • Any unique initiative taken to improve customer satisfaction level???? Any major accounts/clients handled???
  • Awards/appreciation letters received???? Other relevant achievements????

EDUCATION

YYYY BBA from ABC College, Delhi

TECHNICAL PURVIEW

  • MS Office – Word, Excel & PowerPoint
  • Internet Applications

PERSONAL DETAILS

Date of Birth: 01st October 1981 | Languages Known: English & Hindi

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