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Insurance Investigator Resume Samples (Text format)

About Me

Insurance Investigator

  • Extensive experience of XX years in examining claims forms and other records to determine insurance coverage; investigating and assessing damage to property and creating or reviewing 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 recommending litigation when settlement cannot be negotiated
  • Deft in analyzing the 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

EDUCATION

Management, Bachelor of Business Administration, Completed, 2003-07-01

College Of Engineering Guindy

Marks null,

Chennai, TN

Work Experience

2010-04-01 - Current

Insurance Investigator / Insurance Claims Investigator

Code F Solutions Pvt Ltd

Pune, MH
  • 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 the court case
  • Inspect damaged buildings and automobiles; investigate doctors suspected of malpractice
  • Create detailed reports documenting incidents; perform background checks
  • Examine medical reports

2003-08-01 - 2009-04-01

Insurance Investigator

Russell Tobin Associates Staffing Solutions India Pvt Ltd

Bengaluru, KA
  • 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 the 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 caseload effectively and efficiently to achieve positive results; prepared prosecution packages and restitution proposals

Skills

  • Organization
  • Written communication
  • Investigation
  • Critical thinking
  • Decision-making
  • Negotiation
  • Persuasion
  • Good numeracy and literally

Languages

  • Punjabi
  • Hindi
  • English
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Insurance Investigator Resume Sample

Insurance Investigator Resume Sample
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