About Me
Insurance Investigator
- 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
Education
Bachelor of Business Administration, BBA
ABC College
BBA
Delhi, Delhi
Completed, July 2003
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????
Computer Proficiency
Operating Systems
- MS Office – Word, Excel and PowerPoint
Software
- Internet Applications
Languages
- English
- Hindi
Personal Details
- Birthday:October 01, 1981
