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Insurance Fraud Investigator

Location:
Marengo, IL
Posted:
November 01, 2021

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Resume:

Christopher C Koppel

*** ******* **

Marengo, IL 60152

Phone: 925-***-****

Email: ******.*****.*@*****.***

EDUCATION

Bachelor of Science, Business Marketing, May 2008 (GPA 3.82) University of Phoenix, Phoenix AZ

Permanent Employee Registration Card, 05/03/2018 License Number: 129423296

EMPLOYMENT

04/2019-Present Special Investigations Unit (SIU) Investigator Park Ridge, IL - Marshall Investigative Group

● Engaged in investigations of medium complexity in regards to workers’ compensation, product liability, theft and bodily injury.

● Conducted recorded interviews of claimants, witnesses and insureds both in person and over the phone.

● Performed scene investigations of claim location, including out of state.

● Responsible for roll-out and management of nationwide process serving program.

● Delivered personal service of legal documents (process serve) to witnesses and defendants.

● Developed and trained others on process serving best practices.

● Engaged in information fact-finding of subjects, including social media research and background investigations.

04/2018-04/2019 Field Investigator

Illinois - Litigation Solutions

● Investigated suspected Workers Compensation fraud through unbiased and objective fact finding, including the use of covert stationary and mobile surveillance, and interviews with relevant parties

● Compiled material findings into accurate and detailed reports, including high quality documentation of subject activities through still photographs and video.

● Conducted digital investigation preparation including social media, vehicle and license information, as well as real estate information.

● Mentored colleagues regarding investigation best practices, and relevant insurance knowledge.

● Knowledge of, and compliance with Illinois statutes and laws regarding private investigations and process serving.

● Ranked in Top 3 investigators for Illinois due to frequency, volume and quality of subject video documentation.

● Coordinate with the Special Investigations Unit and assist with their investigations into suspicious claims

8/2015-6/2017 Auto Damage Adjuster

Concord, CA - Geico

● Implementation of technical knowledge to determine vehicle damage, including analyzing consistency with driver statements

● Coordinate with the Special Investigations Unit and assist with their investigations into suspicious claims

● Completed 4 National Crime Information Bureau fraud investigation courses to increase effectiveness in detecting fraud

● Utilize negotiation and communication skills with customers and body shops to ensure fair and compliant outcome

● Documentation of findings in compliance with company procedure and state Department of Insurance regulations

● History of excellence including 2 awards for “customer service champion”.

10/2013-6/2015 Product Support Representative

Emeryville, CA - Relay Health

● Provide technical solutions to medical practices and health care systems for complex cases

● Utilize interview skills to conduct employment interviews of candidates

● Technical supervision of two tiers of technical support, including development and teaching of training sessions

● Privacy Issue Specialist for my team providing subject matter expertise and technical solutions to HIPAA issues.

10/2011 – 9/2013 Material Damage Adjuster

Benicia, CA - GMAC Insurance

● Review and assess liability related to motor vehicle accidents.

● Investigation, analysis and proper documentation of potential insurance fraud cases, including interviews, photographic evidence and third party expert reports.

● Escalation assistance to colleagues and management due to my professional communication and conflict management with challenging clientele.



Contact this candidate