Fraud Investigator Resume Examples

Energetic Fraud Investigator successful at reducing company costs by employing results-focused problem solving techniques. Offers superior oral and written communication skills. Resourceful professional proficient at working with individuals from diverse cultural and socioeconomic backgrounds. Personable and resolution-focused.

• Complete required investigations on referred files in a timely manner.
• Analyze first reports of loss and underlying file material to determine if a claim is suspect.
• Review data to verify the validity of claims.
• Maintain membership in professional anti-fraud investigative organizations and attend trainings to stay up to date on latest information.
• Recommend punitive action on fraudulent claims.

• Investigated any potentially fraudulent claims with a focus on thoroughness quality and cost control.
• Coordinated with law enforcement and testified at criminal proceedings.
• Mentored 25 new members of the claim staff.
• Kept up-to-date on changes in regulations.
• Obtained all necessary information to complete proper evaluation of injury claims.
• Monitored the quality of independently conducted investigations.

• Interviewed claimants specialists and employers to determine pertinent claim information.
• Attended five anti-fraud trainings conferences client SIU trainings and industry seminars.
• Connected with local fraud bureaus and district attorneys’ offices.