Fraud Investigator Resume

[First Name] [Last Name]

Contact Address: [street]

[Country] [City] [State/Province] [Zip Code]

Contact Number: (012)-345-6789

Email Address: [[email protected]]

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Career Objective:

Highly knowledgeable and certified Insurance Fraud Investigator seeking a challenging role in ‘XYZ Organization’ to use my analytical and research-oriented skills to identify cheating claimants, and prevent losses to the company.

Summary of Skills:

  • Capable of investigating suspicious claims submitted by the policyholders

  • Expert in interviewing claimants, witnesses or third party, and preparing reports on the outcome of investigation

  • Ability to conduct interviews of claimants, and involved parties to determine the truth, and put them under surveillance if required

  • Capable of collaborating with firefighters, medical workers, police officers, and policyholders as required

  • Proficiency in using Microsoft Office Suite, and other computer applications

  • Excellent analytical skills to evaluate information provided by claimants, and determine if any criminal or fraudulent activity are involved

  • Exceptional written and verbal communication skills

Work Experience:

Fraud Investigator

CoreLife Insurance Corporation, Tampa, FL

April 2016 – Present

  • Analyzing the first reports of total loss in property damage, and determining if the claimant is the suspect

  • Conducting interviews with fire fighters, and insurance claimants on getting suspicions about deliberate fires in preliminary investigation

  • Assessing the damage caused to property, and personal injuries to residents post fire or short circuit incident to determine the total amount for claimant as per the policy coverage

  • Collaborating with police department, and attorneys for cases involving overstatement of claims, staged accidents or fake insurance policies

  • Conducting field investigations in property cases, and initiating appropriate surveillance activities on suspicious claimant as directed by supervisor

  • Coordinating with team and police force for completing thorough investigations in minimal time

Associate Fraud Investigator

CoreLife Insurance Corporation, Tampa, FL

December 2014 – March 2016

  • Conducted site investigations for damages to vehicles and property as reported by claimants, and captured photographs as proofs

  • Prepared extensive reports on fraud related activities, and presented information to law enforcement agencies as required

  • Took responsibility to travel to locations, performed necessary investigations, and collected evidences for the alleged property damage claim to present it in court proceedings

  • Managed investigations pertaining to the construction projects involving new apartments, and verified the real estate builder’s background before processing request for property insurance

  • Documented, stored, and maintained evidence for 50+ cases per quarter, and ensured the inquiries are completely in relation with the company’s contract rules

  • Conducted interviews of claimant, family members, suspects, and witnesses to understand individual version for the property damage

Claims Adjuster (part-time)

AML Insurance Services, Tampa, FL

September 2013 – November 2014

  • Interviewed claimant and witnesses for gathering pertinent information, and prepared reports for senior Fraud Investigator’s review

  • Took responsibility to be a part of the team that inspected property damages to determine the extent of damage, and took photographs of the location

  • Observed Fraud Investigators to learn about the procedures involving property claims with respect to damage to buildings or structures

  • Conducted special sessions with the claimant to watch video surveillance or listen to the statements and prepared claims reports to be submitted to the respective insurance department

  • Visited locations to evaluate property damages, and ascertained permissible compensation amount under the policy coverage

Education:

  • Bachelor’s Degree in Criminal Justice

    University of South Florida, Tampa, FL

    2010

  • Diploma in Insurance Services

    University of South Florida, Tampa, FL

    2012

Certification:

  • Certified Fraud Investor

    International Association of Special Investigation Unit, Tampa, FL

    2013

Reference:

On request.