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yyyyyy x. yyyyyy                                                            0000 xxxxxx xxxx , xxxx , xxxxx 00000

(xxx-xxx-xxxx

                                                                                                                                               abc@xyz.com

objective

insurance professional with strong experience in all facets of claims handling, qa, interviewing, interrogation, documentation and loss prevention seeking a challenging claims/special investigator assignment.

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career profile

ø  over nine years of successful claims experience with progressive insurance.

ø  expertise in all facets of claims adjustment, investigation and resolution.

ø  adept in investigations, documentation, analysis and obtaining documentation.

ø  knowledgeable in claims guidelines, fire and theft, loss prevention and wicklander & zulawski interviewing/interrogation.

ø  skilled in evidence collection and analysis.

ø  proven member of highly efficient teams.

ø  familiarity in fraud identification and investigation.

ø  skilled in coordinating customers, attorneys and vendors.

ø  deliver exceptional customer service.

ø  record of progression to assignments of increasing authority and responsibility.

ø  well-organized multi-tasker with strong detail orientation.

ø  proficient in advanced business software applications.

ø  b.a., political science and a.s, criminal justice.

ø  licensed physical damage appraiser.

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professional experience

progressive insurance                                                                                                               2000 - present

claims investigator (2003-present)

  • promoted to investigate first/third party suspicious claims.
  • tasked to interview insured individuals, witnesses while following- up with local law enforcement and fire officials to resolve claims.
  • research/secure physical evidence for analysis for use in future litigation/ criminal cases.
  • analyze physical damage in fire/theft related incidences for claims escalation to forensic vendor.
  • ensure all physical damage settlements are resolved efficiently.
  • deliver highly positive relations with policy holders to develop collaborative understanding of claims.
  • assigned as mentor for new investigators in pennsylvania.
  • identify vendor cost effective resources while maintaining quality product.
  • expertise in multiple manufacturer ignition properties.
  • obtain in-depth recorded statements.
  • administer/maintain investigative databases.
  • triage new assignments to other pa investigators.

claims representative (2000-2003)

  • recruited to investigate liability and resolve claims.
  • processed issues covering fraud, coverage and liability.
  • authored estimates on automobile/ property covering evaluating total losses, disposing of salvage, negotiating with body shops and issuing field drafts.
  • qualified, evaluated and negotiated soft tissue injury settlements including both early settlement opportunities and ongoing treatment claims.
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earlier background

during 1999-2000, served as loss prevention specialist, redners warehouse markets. in this assignment, serviced over 40 warehouses and retail units and reduced shrinkage, security violations and unsafe conditions.

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education

east stroudsburg university, east stroudsburg, pa , bachelor of arts., political science, 1998
luzerne county community college, nanticoke, pa, associates degree, criminal justice, 1994

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