SPECIAL INVESTIGATIVE UNIT I Summary Energetic enthusiastic insurance professional motivated succeed fast-paced deadline-driven professional environment. Comprehensive knowledge claims adjustments special knowledge identifying elements fraud. Highlights Claims file management processes Insurance fraud expertise Interviewing techniques Database management Strong interpersonal communication skills Self-directed Report writing Analytical Team player Critical thinker Accomplishments Promoted Claims Special Investigator within 1 month initial claims handling. Audit scores consistently exceeded expectations successfully maintained highest audit scores within Special Investigations Unit. Experience Special Investigative Unit I February 2013 February 2015 Company Name － City State My primary mission detect, deter defeat insurance fraud. Worked closely management various departments assist making coverage decisions focus thoroughness, quality, cost control mitigation future risk. Conducted interviews, gathered detailed information completed field investigations. Developed connections local fraud bureaus, district attorneys' offices professional associations. Worked house counsel preparing cases legal purposes. Train claims adjusters identifying fraud working closely addressing coverage issues red flags. Example typical investigations: theft, fire, vandalism, personal injury protection (first party medical payments), third party bodily injury, rate evasion, material misrepresentation application, state losses staged losses. Worked intense case load high pace environment quickly become familiar policies following states: Pennsylvania, New York, Connecticut, Illinois, Texas, South Carolina Georgia. Share intelligence fraud investigators entities, including regularly attended conferences seminars addressing current trends methods combating potential fraud. Field Adjuster II/ Claims Special Investigator October 2010 February 2013 Company Name － City State Investigate coverage liability personal auto policies. My performance within one month general claims handling, I promoted Claims Special Investigator, given responsibility handling sensitive files, often suspicious nature. Reduced loss ratios fair prompt processing claims. Conducted interviews, gathered detailed information completed field investigations. Mentored new members claim staff. Recommended settlement offers negotiated payment arrangements. Obtained necessary information complete proper evaluation injury claims. Drafted statement loss summarize damages, payments underlying policy coverage. Individually responsible high volume work intense, fast paced environment working directly management resolving issues related claim. Manage time work load office field. Investigating residency, employment, automobile history, narratives given interviewees, inspecting vehicle damage Routinely handling theft, fire, vandalism, questionable losses complex files. Warehouse Manager August 2009 January 2010 Company Name － City State Supervised material flow, storage global order fulfillment. Oversaw special orders after-hours, urgent shipping jobs. Unloaded, picked, staged loaded products shipping. Operated Visual 2000, Fedex Ship Manager UPS WorldShip shipping systems efficiently accurately. Oversaw completion highly detailed, custom orders bulk product shipping. Oversaw warehousing storage practices housekeeping. Received incoming shipments reviewed contents purchase order accuracy. Telemarketing, cold calling new clients following leads -utilized ms Excel, ms Word, email. Operations Manager July 2006 August 2009 Company Name － City State Executive position. Key member operations staff event planning. Managed operated day day activities warehouse janitorial staff. Instrumental event planning providing supply options solved logistic aesthetic issues. Evaluated operational records made scheduling adjustments maximize efficiency. Created implemented systems organization sending receiving. Oversaw special orders after-hours, urgent shipping jobs. Unloaded, picked, staged loaded products shipping. Worked independently, think quickly feet constantly solve evolving problems. Independently pulled completed work orders fly adjustments. Routinely planned schedule two weeks advance. Conducted monthly, quarterly yearly inventories warehouse stock. Education Continuing Education 2012 Kaplan Continuing education Infinity Insurance. Bachelor's degree Fine Arts 2005 Pennsylvania Academy Fine Arts － City State Fine Arts 2001 Hussian School Art － City State Four year commercial art school, transferred two years PAFA High School Diploma 1999 Woodstown-Pilesgrove High School － City State Additional Achievements Founder Owner Warrior Class LLC Certified Instructor Israeli Krav Maga