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siu investigator resume example with 5+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Motivated, professional claims adjuster with ten years of experience negotiating complex bodily injury and property claims. Specializing in fair and thorough investigations while fostering an environment of exceptional customer service and attention to detail. Strives to maintain quality of service and integrity without compromising company values. Active licenses for Property and Casualty, Life and Health, and Claims Adjusting.

Skills
  • Understanding of medical/legal terminology
  • Knowledge of Insurance/Policy coverage
  • Dependable, reliable, and competent
  • Resilient and adaptable to change
  • Advanced problem solving, judgement/decision making, oral and written communication
  • Proficient in multi-tasking, critical thinking, active listening, and persuasive communication
  • Excels in emotional intelligence and rapport building
  • Works efficiently with a team and learns new tasks quickly
  • Typing speed of 100+ words per minute
Professional Experience
06/2022 to 02/2023 SIU Investigator The Travelers Companies | Wall, NJ,
  • Promoted to a bodily injury adjuster in less than a year.
  • Analyzed [Number] medical bills, police reports and medical treatment records for [Business Name] in [Year].
  • Investigated and assessed property damage.
  • Decided whether claims can be negotiated.
  • Collected evidence to support contested claims in court cases.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Reviewed customer's policies to identify coverage gaps generating more referrals than 95% of the department.
  • Promptly and appropriately reviewed the claim to provide an accurate and timely investigation complying with statutory and regulatory fair claims practices, as well as company policies.
  • Investigated, evaluated, and negotiated bodily injury and property damage claims, determined liability, reviewed medical bills and records, negotiated settlement for injured parties, and processed payments.
  • Interviewed and spoke with claimants, witnesses, police officers, doctors, and other parties to determine claim settlement or denial.
  • Monitored, documented, and updated reserves on multiple claims simultaneously in a fast-pace environment.
  • Established and maintained high level of positive working relationships with insureds, claimants, attorneys, and other claims professionals ensuring satisfaction and a positive claims experience.
  • Recognized, identified, and investigated potential fraudulent claims.
  • Pursued continuing education and training programs to continue professional development.
  • Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
  • Negotiated and settled claims according to information presented through reports, research and data verification.
  • Obtained necessary information to complete proper evaluation of injury claims.
  • Investigated questionable claims to determine payment authorization.
  • Reviewed data to verify validity of claims and determine case management actions.
  • Coordinated benefits while applying applicable deductibles, co-insurance and out-of-pocket costs.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Completed required investigations on referred files within established timeframes.
  • Identified and collected evidence and determined value to specific claim to properly assess conditions.
  • Conducted witness interviews to assist claim information gathering process.
  • Identified and obtained evidence to ascertain claim value.
  • Gathered information from various third parties to determine claim acceptability.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Investigated claims, conducted field audits, determined losses and reported findings.
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Analyzed and audited open claims to calculate additional payments owed.
  • Decreased loss ratios through fair and timely claim processing.
  • Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
  • Explained premiums owed to policyholders, agents and underwriters.
  • Interviewed subjects, targets and witnesses for information verification and corroboration.
  • Testified under oath in administrative hearings and criminal court cases.
  • Completed comprehensive face-to-face interviews with subjects, neighbors and employers to generate reports to document investigative findings.
  • Ran background checks of individuals to obtain data on character, financial status and personal history.
  • Developed case plans and conducted comprehensive investigation tactics to obtain necessary evidence.
  • Researched and reviewed case files and gathered information to solve crimes.
  • Completed debriefings for arrested subjects to obtain information pertinent to investigations.
  • Conducted stationary and mobile surveillance on individuals being investigated.
  • Verified and authenticated validity and admissibility of evidence and preserved integrity for court hearings.
  • Conducted multi-jurisdictional investigations to identify and dismantle criminal organizations.
  • Testified in court cases to back up case evidence and detail timelines.
  • Documented facts and statements gathered from complainants, witnesses and accused persons.
  • Prepared detailed reports and affidavits for courts by obtaining information through physical surveillance and thorough investigations.
  • Interviewed witnesses and persons of interest to gather statements for use in criminal investigations.
  • Obtained and executed search and arrest warrants in full compliance with legal protections.
  • Executed and obtained search warrants and subpoenas to obtain evidence for resolution of criminal matters.
  • Reported results of investigations with written observations and photographs, and produced final reports.
  • Secured evidence from crime scenes, bodies and secondary locations, carefully following sound evidentiary practices and chain of custody requirements.
  • Opened investigations into issues brought up by individuals in community.
  • Managed crime scene investigations by collecting evidence, performing fingerprinting and taking videos and photos of scenes.
03/2011 to 04/2014 Claims Adjuster & Licensed Property/Casualty Agent Simmons Bank | Marshfield, MO,
  • Consistently in the top five percent for policy sales within the company. 
  • Invited to speak during a corporate meeting about sales strategies and techniques. 
  • Selected over peers by the corporate office to be the spokesperson for the Change Readiness team.
  • Mentored new agents until they established themselves in the work center.
  • Researched and verified insurance policy coverage.
  • Presented and clearly explained insurance policy options to clients based on their needs and goals.
  • Researched coverage, premium options, and supplied clients with the best coverage available. 
  • Called warm leads each week to expand client base.
  • Promoted client retention through high-quality service and follow through.


08/2009 to 01/2011 Personal Banker/Teller US Bank | City, STATE,
  • Built strong rapport with new and existing clients to better serve financial needs and promote branch loyalty.
  • Delivered prompt, accurate and excellent customer service.
  • Maximized branch revenue by optimizing daily operations and increasing efficiency.
  • Promoted a diverse array of financial products by continuously acquiring new industry knowledge.
  • Expanded client base through consistent product promotion and sales strategy.
  • Opened new customer accounts, including checking, savings, loans, and lines of credit.
  • Networked to build client base and promote products to new and existing clients.
  • Trained employees on cash drawer operation.
  • Balanced daily cash deposits and bank vault inventory with a zero error rate.
Education and Training
Expected in 2014 to to Master of Science | Business Leadership Grand Canyon University, Phoenix, AZ GPA:
  • Attended: December 2012 - December 2014 
Expected in 2012 to to Bachelor of Science | Psychology Grand Canyon University, Phoenix, AZ GPA:
  • Attended: May 2012 - December 2012 
  • Graduated with honors
Expected in 2004 to to Associate of Arts | Psychology & Criminal Justice Glendale Community College, Glendale, AZ GPA:
  • Attended: May 2002 - May 2004
Licenses
  • Arizona license number for Property, Casualty, Life, & Health:  16178008
  • Texas Adjuster's  license number:  2021226

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Resume Overview

School Attended

  • Grand Canyon University
  • Grand Canyon University
  • Glendale Community College

Job Titles Held:

  • SIU Investigator
  • Claims Adjuster & Licensed Property/Casualty Agent
  • Personal Banker/Teller

Degrees

  • Master of Science
  • Bachelor of Science
  • Associate of Arts

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