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ARVIND RAWAT

Insurance Investigator

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PROFILE

  • Extensive experience of XX years inexamining claims forms and other records to determine insurance coverage; investigating and assessing damage to property and create or review property damage estimates
  • Adept in reviewingpolice 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 analyzinginformation 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

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Education

Bachelor of Business Administration, BBA

ABC College

BBA

Delhi, Delhi

Completed, July 2003

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WORK EXPERIENCE

April 2004 - August 2010
Insurance Investigator

XYZ Ltd

Delhi, Delhi

Key Result Areas:

  • Investigate cases of arson, where fires may have beenset 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
  • Consultwith 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????

 

August 2011 - Current
Insurance Investigator

ABCD Ltd

Delhi, Delhi

Key Result Areas:

  • Conducted objective, fair, thorough, unbiased and timely investigations into allegations of fraud, waste or abuse committed by clients against ourcompany
  • 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 andrestitution proposals

Key Highlights:

  • Any existing systems/ processes streamlined???? Results obtained????Major assignments handled????
  • Any unique initiative taken to improvecustomer satisfaction level?Any major accounts/clients handled?
  • Awards/appreciation letters received???? Other relevant achievements????

 

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Computer Proficiency

Operating Systems
  • MS Office – Word, Excel and PowerPoint star3
Software
  • Internet Applications star3
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Languages

  • English star3
  • Hindi star3

Personal

  • Birthday:01/10/1981

Address:

C-21
Sector-21
Delhi - 212652
Delhi
India
ARVIND RAWAT

Insurance Investigator

REFERENCES

U72627 U72627

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