SIU Investigator Resume

SIU (Special Investigation Unit) is a department established by every insurance company in order to handle suspicious claims. When the insurance company suspects any act of fouls in claims, they handover the case to the SIU. The people conducting investigation of such claims are called SIU investigators. These investigators have the knowledge of insurance laws and regulations and are familiar with the claim processing formalities. They conduct forensic investigation and collect evidence that can prove the claimants wrong thus saving money for insurance companies.

A SIU investigator career requires a degree either in banking, insurance, administration, or accounting. The aspirants must also obtain experience by working at entry-level position. If you can satisfy the selection criteria, this sample resume can help you in applying.

SIU Investigator Resume Example

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Jane Robinson
15, Galaxy Street
Greensboro, NC 56643
Telephone Number: 688 - 010 - xxxx
Email Id: janerobinson@example.com

Career Objective:

To work as a SIU Investigator for a general insurance company and investigate multiple insurance claims, and background of claimants, and to save company's money by revealing frauds.

Summary of Skills:

• Experience in special investigations related to all types of insurance claims
• Knowledge of SIU operations and claim handling processes
• Ability to interpret policy and investigate accordingly
• Familiarity with civil recovery and multistate laws and regulations
• Complete knowledge of property insurance and State Fraud Statutes
• Excellent oral and written communication skills
• Strong negotiation, coordination, and interpersonal skills
• Excellent customer service skills with ability to work under pressure

Work Experience:

SIU Investigator
FGH Insurance Inc., Greensboro, NC
May 2012 - Present

• Verify the validity of claims and understand the types of coverages provided
• Review claim forms and analyze the submitted documents
• Conduct interview of claimants and witnesses and examine properties and vehicles
• Perform background check of claimants and identify connections of witnesses with the claimants
• Visit scene of accidents, and fire to analyze the damage caused
• Visit medical clinics and collect copies of the treatment provided to accident victims
• Complete scene investigation and document records
• Consider State's laws and regulations while investigating fraud claims
• Provide complete, accurate, and timely update to the management about investigation

SIU Investigator
KLM Insurance Inc., Greensboro, NC
October 2010 - April 2012

• Investigated and solved issues related to health care fraud
• Documented initial and final case reports and used them in court trials
• Analyzed provided claim data and identified fraudulent activities
• Consulted legal counsel and prepared background for civil prosecution
• Coordinated with law enforcement agencies and collected information of claimants
• Obtained copies of medical billing and detected doubling billing and excess charges
• Assisted in the up-gradation of the SIU systems through valuable inputs
• Contributed in saving millions of dollars for the company by debunking fraud claims

Education:

• Bachelor's Degree in Banking and Insurance
  Greensboro, University, Greensboro, NC
  2009

• Diploma in Forensic Accounting
  Greensboro, University, Greensboro, NC
  2010

Reference:

• Kevin Campbell
  Insurance Investigation Officer
  FGH Insurance Inc, Greensboro
  Telephone Number: 688 - 020 - xxxx
  Email Id: kevincampbell@example.com