Insurance Investigator Resume Sample & Ready To Use Example

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

Management, Bachelor of Business Administration, Completed, July 2003

College Of Engineering Guindy

Chennai, Tamil Nadu

April 2010 - Current

Insurance Investigator / Insurance Claims Investigator

Code F Solutions Pvt Ltd

Pune, Maharashtra

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

August 2003 - April 2009

Insurance Investigator

Russell Tobin Associates Staffing Solutions India Pvt Ltd

Bengaluru, Karnataka

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