Insurance Fraud Investigator Resume
Insurance fraud investigators work for insurance companies as a private investigator, some detective agencies, or independent. They are usually employed to find and collect facts on insurance claims related to health and medical, auto, and general insurance. They use all the tools in their investigative kitty from using surveillance to digging up information on the Internet. A bachelor's degree in Criminal Justice, Insurance, Banking, Business, or Accounting is asked by employers. With education, experience is a must as the job is to prevent insurance companies from paying out money to fraudulent claims.
Insurance Fraud Investigator Resume Example
Rebecca Stinson
15, Blue Nile Street, Cincinnati, OH 87714
Telephone Number: 988 - 050 - xxxx
Email Id: rebeccastinson@example.com
Career Objective:
Seeking an insurance fraud investigator position with “PurpleCross” to help the company from giving away money to claimants submitting false claims, and preparing a strong background for civil prosecution against those greedy people.
Summary of Skills:
- Excellent knowledge of the current legal systems
- Knowledge of insurance claim settlement procedures
- Skilled in interviewing people and conducting online research
- Ability to use surveillance and electronics devices
- Proficient with MS Office Suite and the Internet
- Strong attention to detail and work ethic
- Holds clean background, valid driving license, and driving record
Work Experience:
Insurance investigator
KLM Insurance Consultants Inc., Cincinnati, OH
May 2012 - Present
- Identify claimant's identify and conduct personal interview
- Read policies and conduct investigation for disability, accidental benefits, and thefts claims
- Use surveillance and other digital devices to confirm the validity of claims
- Analyze policy holders accounts and determine the flow and sources of money
- Keep watch on people on wheelchair and find out if he or she really require the mobility device
- Gather social and criminal background of policy holders through various sources
- Visit public agencies to request and collect personal information about claimants
- Check the public records and find out if the insured vehicle is really stolen
- Negotiate with the parties involved in accidents and settle dispute amicably
- Ensure compliance with all regulatory acts in investigation and settling claims
Jr. Insurance Fraud investigator
PQR Insurance Services Inc., Cincinnati, OH
November 2010 - April 2012
- Assisted in investigating suspected claims
- Kept watch on claimants activities from a visible distance
- Prepared groundwork for investigation on arson, theft, and accidents insurance claims
- Reviewed medical records for claims on ground on total disability
- Investigated and unearthed staged accidents with intention to extort money from the company
- Examined damage caused to the vehicles in accidents
- Inspected facilities damaged in fire and recorded video
- Consulted with legal experts for civil prosecution against fraud claims
Education: -
Bachelor's Degree in Business
Cincinnati University, Cincinnati, OH
2009
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Private Investigator Certification
D&K Institute, Cincinnati, OH
2010
Reference:
Name: Kevin Fleming
Designation: Chief Investigative Officer
Organization Name: KLM Insurance Consultants Inc
Telephone Number: 988 - 611 - xxxx
Email Id: kevinfleming@example.com
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