Investigator Resume

Investigators are employed in all industries to prevent scams in business or detect the alleged frauds. They work for private clients, government agencies, corporate world as well as insurance industry to identify cases of fraud focused on obtaining monetary gain. The health insurance industry provides different types of policies to customers to help in medical emergencies for the policy holder or a family member. However, sometimes the claimant presents exorbitant bills to the insurance agency to get substantial benefits. Furthermore, hospitals levy surplus charges by not following standard regulations adding to the patient's treatment cost. These are cases related to frauds in healthcare. To keep these issues in check, the insurance agencies employ investigators who verify the case before approving claims. A health insurance investigator has exceptional research abilities, is responsible for collecting thorough information about the treatment, has expertise in conducting interviews, analytical abilities and good people skills. These investigators maintain close relations with law officers, and assist to identify fraud claims by following investigative procedures. A bachelor's degree in law or relevant field is required. If you are interested in working for this profile, draft your resume by referring to the sample given below.

Investigator Resume


Keri A. Cluff
455 Northwest Boulvard
Washington, DC 20024
Phone: 577-726-9371
Email: keri.cluff@anymail.com

Career Summary:

Detail-oriented and certified professional with extensive knowledge about the procedure followed in investigating fraud cases. An experienced Health Insurance Investigator with ability to collect concrete evidence, analyze submitted documents, and prepare investigation reports on claims. Adept at doing sound research, and conducting interviews with excellent communication skills.

Summary of Skills:

Work Experience:

Health Insurance Investigator
AFLAC Insurance Corporation, Washington, DC
September 2017 – Present

Health Insurance Investigator
AmeriHealth Insurance, Washington, DC
April 2015 – August 2017

Insurance Claims Analyst
AmeriHealth Insurance, Washington, DC
July 2013 – March 2015

Education: Certification: Reference:

On request.

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