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Home: 000-000-0000 | Cell: 000-000-0000
email@email.com
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.
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- 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.
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