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Insurance Investigator Resume Samples (Text format)

About Me

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

EDUCATION

Management, Bachelor of Business Administration, Completed, July 2003

College Of Engineering Guindy

Chennai, Tamil Nadu

Work Experience

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

Training Certifications

  • Certified Private Insurance Investigator (CPII) , 2017

Skills

  • Organization
  • Written communication
  • Investigation
  • Critical thinking
  • Decision-making
  • Negotiation
  • Persuasion
  • Good numeracy and literally

Computer Proficiency

  • Window star3
  • Microsoft Office star3
  • Internet Applications

Languages

  • English
  • Hindi
  • Punjabi

Personal Interest

  • Reading Books / Newspaper
  • Yoga
  • Blogging

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Insurance Investigator Resume Sample

Insurance Investigator Resume Sample
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