Sunday, September 23, 2012

Claims Investigator Resume Sample

Objective:
Tenacious investigator with an impeccable list of
achievements spanning a 17-year career in Claims for
one of the largest auto insurers in the U.S. Recognized
for professional demeanor, effectively maintaining high
degree of tolerance, discretion and confidentiality.
Proven ability to organize and adjust priorities to
manage multiple assignments. Possess valuable life
experience and a keen sense of identifying fraud.
Excellent interpersonal skills, working well with
diverse client populations; demonstrated ability to
gain the confidence of others to successfully obtain
sensitive information. Superior communication strengths
in written and verbal formats.


Experience:
CAREER HIGHLIGHTS

**Received three Sleuth Awards for investigative
diligence that led to fraud disclosure.
**Earned two President*s Awards for top sales with
Adesa Auto Auction.
**Recognized for instrumental role in successful claims
resolution; dedicated high-level of accuracy and
meticulous attention to detail in investigations,
witness statements, interviews, reporting and follow-up.
**Built superior track record as Manage Repair Specialist,
completed 80% of claims with seven days closure on total
losses and all covered fire/theft losses closed within
30 days.
**Implemented Preferred Shop Network that offered
Progressive Insurance customers a number of selected
shops to complete auto repair after claim was presented.


PROFESSIONAL EXPERIENCE

PROGRESSIVE INSURANCE COMPANY, Charlotte, NC,
1995 to Aug. 2012

Fire and Theft Claims Investigator (2004 to 2012)
Promoted to handle half of North Carolina/western
territory for claims involving fire and theft on personal
auto, recreation vehicles and commercial vehicles.

**Established nature and scope of claim through in depth
evaluation to determine whether a covered loss versus
fraud.
**Planned and conducted field investigations that
included conducting in-person and telephone interviews
with insureds, claimants, witnesses and family members,
and canvassing loss/recovery locations.
**Collaborated with in-house attorneys and Special
Investigation Unit to gather information for litigation
purposes.
**Initiated and maintained solid working relationships
with regional law enforcement and fire investigators.
**Utilized technology applications such as ISO, public
records, social network sites and internal policy
systems to complete pre-surveillance
screening/background investigations prior to contacting
insured.
**Exercised due diligence to identify product liability
including subrogation opportunities such as automobile
and recreational recalls resulting in substantial
savings to Progressive.

Manage Repair Specialist (1998 to 2004)
Managed and collaborated with Preferred Shop Network
that included 3-4 automobile dealers and body shops;
wrote estimates and audited invoices to retain accuracy.

**Interfaced directly with insured and shop manager
regarding: monitoring rentals, performing walk around
inspections to ensure repair accuracy and following up
after auto delivery.


Claims Representative (1995 to 1998)
Handled high volume of claims processing; initialized
and negotiated with attorneys regarding bodily injury
resolution settlements.

Additional Experience:
Served as Ford Motor Company Liaison with Adesa Auto
Auction and Automotive Arbitrator for Niagara Automobile
Dealers Association.


Education:
Buffalo State University, NY
Bachelor of Science in Criminal Justice, Liberal Arts
and Science
Honors: Graduated Cum Laude


Skills:
Organizing & Interpreting Data
Resolving Complex Issues
Investigative Techniques
Rules of Evidence
Interviewing
Analytical Skills
Fire & Theft
Investigative Reporting
Conflict Management
Negotiations


Additional Information:
CERTIFICATIONS

Property Damage Certifications: Body, Suspension Damage
and Engine

Adjusters License: North Carolina, South Carolina and
Kentucky

Special Investigation Unit Certification: Fire and Theft
North Carolina Notary Public–Expires April 2017

PROFESSIONAL DEVELOPMENT

Arson Training for Auto
Charlotte Mecklenburg Police Department and Charlotte
Fire Marshals Investigation Unit


Provided by OneBuckResume.

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