MICHAEL FUNKHOUSER SIU Claim Investigator

Lexington, SC 803-***-**** adrv1v@r.postjobfree.com

A dedicated, conscientious, and accomplished SIU insurance claims investigator experienced in coordinating and managing suspicious activities with government and law enforcement agencies. A business professional with a demonstrated track record of applying exceptional investigative and service-oriented skills to conduct thorough investigations and utilizes strong verbal and written communication skills to conduct forensic audits, analyze documents, and perform witness interviews. An investigative field expert-driven to achieve and exceed goals and objectives. Awarded Investigator of the Year 2012.

Areas of Expertise

Analytical & Problem-Solving • Research & Interviewing • Time Management • Detail-Oriented • Negotiations • Results-Oriented • Decisiveness • Customer Service • Technical Acumen • Report Documentation • Solutions-Focused • Team Training

Multi-Tasking • Sales • MS Office Suite • ISO Databases • Team Leadership • Investigative Techniques • Planning • Fraud Claims

Professional Experience

Allstate Insurance Company І 02/2020 – 12/2020

CLAIMS ADJUSTER

Evaluate insurance claims for liability, investigate the circumstances through witness consultations, review police reports, and gather evidence from other sources.

Interview witnesses to understand the nature of claims and gain an understanding of the events prior to the claim.

Negotiate claim settlements and oversee claims paid to the insured and claimant.

Serve as a resource to team members by leveraging experience and industry knowledge on terms, etc.

AIG Claim Services SC, NC, and GA І 12/1994 – 08/2018

SIU SENIOR INVESTIGATOR

Accountable for conducting investigations of suspected fraudulent activity and collaborate with government, law enforcement agencies, and other relevant parties associated with the claim to coordinate findings for all lines of insurance.

Provided advice and technical guidance on fraud-related issues, claim negotiations, and settlements.

Reviewed claim files for potential leads and sell SIU services to other branch offices of the company that do not handle SIU.

Created investigative work plans and developed case strategies based upon analysis of referral data and contractual/regulatory requirements.

Prepared claim files for prosecution to present to the local District Attorney and provided court testimony at the Worker’s Compensation Commission as necessary.

Recognized for assisting in the onboarding of several new staff members by providing valuable resources, training, and best practices in how to approach work scheduling and various tactics to get the best results during interviews.

Took the initiative to gain contact with local attorneys and law enforcement after being transferred to a senior position, helping to reduce the number of emergent requests from attorneys through regular communication.

Led sensitive work assignments and special investigations involving complex, specialized fraud referrals and examined insurance claims that were suspicious in nature to conduct investigations to uncover fraudulent activity.

Processed large quantities of unstructured detailed information with high accuracy levels by collecting evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.

Investigated and assessed the accuracy of information provided and associated with insurance claims.

Confirmed insurance policy details and reconciled written records, information, witnesses, and other associated persons with relevant and credible witness information.

Ensured risks associated with insurance-related activities are effectively identified, measured, monitored, and controlled.

Education

Bachelor of Arts Degree І Madonna University, Livonia, MI