Insurance Investigator Resume Sample

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????

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????