Fraud Investigator Resume

The number of fraudulent cases in business, corporate world, and insurance agencies are increasing at an alarming rate. The most common types of frauds are ticket fraud, financial fraud, internet fraud, insurance fraud, and corporate frauds, which involves theft of information, identity theft, stealing inventory, etc. Insurance companies lose millions of dollars per year due to fraudulent cases related to vehicle damage, false medical billing, fake deaths, or even staged apartment fires. In property insurance frauds, investigators with their exceptional analytical skills, and research-oriented attitude collect possible evidence from the location to present it before the insurance agency or court. They also investigate the cause of fire, damage to the property, and interview the claimant or witnesses to establish validity of the statements. An individual aspiring to work as an investigator must have a bachelor's degree in relevant field with an eye for details, and persistent attitude to obtain complete information related to the case.

An insurance fraud investigator working for property claims must be willing to travel to the location to inspect damage to assets, interview prime suspects, witnesses, and coordinate with police. He must be a good communicator to assess the claims, and communicate findings to the agency. To customize your resume for this profile, refer to the sample given below.

Fraud Investigator Resume Sample

Anne G. Sherman
2893 Collins Street
Tampa, FL 33634
Phone: 267-562-0631
Email: anne.sherman@anymail.com

Job 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.