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
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
