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Insurance Investigator Resume Example

Resume Score: 70%

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INSURANCE INVESTIGATOR
Professional Summary
Results-oriented management professional with 5+ years experience in a team environment. Demonstrated math aptitude, computer literacy, strong interpersonal, analytical, communication and leadership skills.  Organized and detail-oriented. Broad Background includes: customer service, account management, quality control and cash management
Skills
  • Policy investigations
  • Skilled multi-tasker
  • Highly motivated
  • Advanced oral and written communication skills
  • Customer service-oriented
  • MS Office
Work History
Insurance Investigator, 06/2004 to Current
Maryland Insurance Administration – Baltimore, MD
  • Assist citizens of Maryland to ensure that insurers have complied with the applicable Maryland insurance laws when settling claims, canceling or non-renewing insurance policies.
  • Analyze responses received from insurers and investigate further if necessary.
  • Process new cases received by mail by writing to insurance companies to initiate investigations.
  • Evaluate and documentation received from insurers and complainants.
  • Write closing letters to companies and complainants.
  • Manage account level load of 100+.

Claims Associate, 01/2000 to 01/2004
Zurich US Maryland Casualty – Baltimore, MD
  • Handled claims of low to moderate exposure and complexity for all standard lines of commercial claims, including bodily injury and physical damage claims.
  • Initiated actions on new losses.
  • Managed account level load of 60+, as part of a team of 5.
  • Substantiated legitimate claims and denied unjustified claims.
  • Documented all investigation activity and presented reports to management.


Team Leader, 01/1998 to 01/2000
Maryland Casualty Company – Baltimore, MD
  • Supervised 10 employees in handling inquiries from agents and internal customers on billing accounts.
  • Handled disputes and assisted in resolving team issues.
  • Delegated problems/inquiries referred outside of team for resolution.
  • Reconciled data in direct collection system with the accounting system to address discrepancies.


Customer Support Consultant, 01/1997 to 01/1998
Maryland Casualty Company – Baltimore, MD
  • Investigated and resolved payment discrepancies.
  • Utilized billing system to respond in a timely manner to agent and customer inquiries.
  • Maintained records of activity.
  • Reconciled data in direct collection system with the accounting system to address discrepancies.

Education
Bachelor of Science: Management Science, 2000
Coppin State University - Baltimore, MD
GPA: Summa Cum Laude
  • Minor in Economics
  • Finance and Accounting coursework
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Maryland Insurance Administration
  • Zurich US Maryland Casualty
  • Maryland Casualty Company

School Attended

  • Coppin State University

Job Titles Held:

  • Insurance Investigator
  • Claims Associate
  • Team Leader
  • Customer Support Consultant

Degrees

  • Bachelor of Science : Management Science , 2000

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