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Manager Insurance

Location:
Houston, TX, 77027
Salary:
65000
Posted:
April 03, 2013

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Resume:

Roger D. Do

**** ******* ****#***, *******, TX **027

281-***-**** ( Email: ********@*******.***

INSURANCE PROFESSIONAL

PROFESSIONAL PROFILE:

. Insurance Professional with more than fifteen (15) years experience

managing, investigating, and settling claims. Well organize, detail

oriented self motivator with abilities to proactively gather facts,

research and analyze complex data identifies coverage and exposure to

bring claim to resolution.

EDUCATION & CERTIFICATIONS:

. Bachelor of Business Administration concentrating in Management,

University of Houston

. Bachelor of Business in Administration concentrating in Computer

Information Systems, University of Houston

. All-Lines Insurance Adjuster, Texas Department of Insurance

. Private Investigator, Texas Department of Public Safety

AFFILIATIONS:

. Member, Texas Association of Special Investigation Units (TASIU)

. Member, International Association of Special Investigation Units

(IASIU)

PROFESSIONAL EXPERIENCE

Infinity Insurance Manager, February 2012 to October 2012

. Manage daily claim branch operation

. Hire, develop, monitor staff and ensured compliance and quality of work

file

. Monitor staff and ensured compliance and quality

. Administered everyday operation and processed all claims

. Assisted all staff members to resolve all issues for internal and

external customers.

. Manage responsibility for quality of all claims files, including

reserve adequacy and accuracy.

Body Shop Manager, ATPC LLC, May 2009 to February 2012

. Ensured shop meets goals and expectations to be profitable.

. Coordinated and scheduled vehicle repairs.

. Prepare auto estimate for customer.

. Resolved customers and vendors disputes.

. Communicate with adjuster and customer on the repair status.

Special Investigator, United Services Automobile Association, March 2008

to May 2009

. Examine incoming auto, home owner, and renter claims for fraud

indicators then developed SIU action plans, performed investigations

for resolution.

. Train and develop claim adjusters to recognize and tackle questionable

claims.

. Promote fraud awareness to the claims department.

. Set clear expectation for the customer(s) (internal & external)

regarding the next steps in the SIU process.

. Delegation of tasks to the appropriate claim handling parties.

. Proficient in the investigation of organized staged accident rings,

complex medical fraud, repair fraud, etc. with successes in criminal

prosecutions.

. Managed and monitor third party investigation.

Special Investigator II/Claims Manager, Progressive Group of Insurance

Companies, 1997 to March 2008

. Examine incoming auto claims for fraud indicators, developed SIU action

plans, performed investigations for resolution.

. Train and develop claim adjusters to recognize and tackle questionable

claims.

. Promote fraud awareness to assigned offices.

. Set clear expectation for the customer(s) (internal & external)

regarding the next steps in the SIU process.

. Delegation of tasks to the appropriate claim handling parties.

. Proficient in the investigation of organized staged accident rings,

complex medical fraud, repair fraud, etc. with successes in criminal

prosecutions.

. Trained and develop new reps.

. Resolved customer complaints and issues.

. Ensured team meets company's goals and expectations.

. Interviewed final candidates in hiring process.

. Contributed and participated in the performance management process.

. Calibrate file standards to corporate audit.

Manager, Enterprise Rent- A- Car, 1991 to 1997

. Trained and developed reps.

. Ensured branch meets company's goals and expectations.

. Coordinated and scheduled rentals of 200 cars.

. Resolved customers and vendors disputes.

. Sales call to vendors and customers.

. Responsible for accounts receivable.

Reference:

. Upon request



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