Summary
Experienced insurance investigator skilled in fraud investigation, interviewing, and data analysis. Proven ability to uncover fraudulent claims and prepare detailed reports for legal and regulatory purposes.
Experience
- Investigated 35+ claims per month, identifying fraudulent activity in 10 percent of cases and saving $180,000 annually.
- Conducted interviews with claimants and witnesses, increasing case resolution speed by 25 percent.
- Analyzed data extracts from multiple databases to detect improper payments, leading to recovery of $300,000 in overpaid claims.
- Prepared comprehensive investigative reports used in 12 successful litigation cases.
- Audited 80+ claim files annually, ensuring 97 percent compliance with regulatory standards.
- Accepted and managed assignments for loss and claim investigations, closing cases 15 percent faster than team average.
- Adhered to company code of conduct and operating principles, maintaining a spotless compliance record.
- Analyzed financial records to identify assets for seizure, supporting legal action in 8 cases.
Education
Courses
- Certified Fraud Examiner (CFE), Association of Certified Fraud Examiners