California Dept Field Investigator

PATRICK CLEARY FCLS

**********@*****.***

909-***-**** Mobile

PROFILE

HIGHLY EXPERIENCED INVESTIGATIONS SUPERVISOR AND INVESTIGATOR

Over 24 years of expertise in special investigations, insurance claims, and multiple management positions. Outstanding analytical, problem solving, and investigative skills. Highly effective results oriented team leadership experience. Proven ability to develop training programs, achieve and exceed goals, reduce fraudulent claims, manage an efficient SIU team operation, work well under pressure, and adhere to all state regulations and requirements. I create significant and positive impact in organizations for which I work. I am motivated and driven to exceed goals and deliver exceptional results.

CORE COMPETENCIES AND SKILLS

Supervision, Management, Team Building, Training, Coaching, Coaching Plans, Goal Setting, Performance Appraisals, Root Cause Analysis, Claims Analysis, Investigating, Interviewing, Evidence Collection, Report Writing, Examinations Under Oath (EUO), Data Retrieval, Database Analysis, Case Preparation, Critical Thinking, Deductive Reasoning, Problem Solving

CAREER HIGHLIGHTS

GEICO

SIU Supervisor 02/17- 08/22

Supervised internal and field investigator teams consisting of 6 to 11 investigators in LA, Orange, Riverside, and San Bernardino County.

Exceeded regional company core metric performance goals and standards by an average of 32%.

Created individual monthly coaching plans. Consistently surpassed individual monthly team productivity and performance standards by over 34%.

Effectively improved team support. Conducted individual coaching sessions and team meetings.

Edited and approved case reports for all newly assigned investigators.

Performed monthly case quality audits and completed annual performance reviews.

Addressed and responded to CA Dept. of Insurance complaints.

Achieved a team average of 4.2M per year in annual fraud payment avoidance savings.

Investigated major and complex fraud ring cases.

SIU Lead Investigator 06/05 - 01/17

Conducted investigations of all referred suspected fraudulent property damage and bodily injury claims within the Orange County, CA region, with supervisory responsibility in the absence of the SIU manager.

Investigated low impact injuries, performed clinic inspections, evaluated property damage claims, theft and fire losses, body shop fraud, subleasing fraud, VIN switching, organized ring activity, staged and paper accidents.

Conducted Examination Under Oath (EUO’s), recorded statements, database searches, and vehicle border crossing searches.

Worked closely with regional DA investigators, auto theft task force members, CA Dept. of Insurance, NICB, and other regulatory agencies on suspected fraud cases, stolen vehicle cases, burned vehicle investigations, medical provider investigations, and body shop investigations.

Achieved an average of 700K per year in net fraud payment avoidance savings.

Vice President and Director, Elite SIU Services 01/02- 06/05

Created a new business plan and organized the SIU program, establishing company SIU services for the California region.

Marketed new business accounts and introduced SIU services to existing clients.

Provided red flag training, medical fraud and auto theft training and seminars, file reviews, and other support to claims advisors, new clients, and existing clients.

Supervised a staff of five full time investigators.

Assisted clients with the California Dept. of Insurance SIU audit process.

Increased company revenues by 20%.

EDUCATION AND HONORS

B.A. Business Management – California State University Fullerton – Fullerton, CA

A.A. Liberal Arts – Mount San Antonio College – Walnut, CA

Honors at Entrance, California State University – Fullerton, CA

Permanent Member, Alpha Gamma Sigma Honor Society

Reid Interviewing- Course Graduate

Five Time Recipient – GEICO San Diego “Elite” Productivity Achievement Award

Seven Time Recipient- GEICO “Ace” Investigator Award

Fraud Claims Law Specialist – American Education Institute

Guest Speaker – “Fighting Medical Fraud” – IASIU National Conference, Pittsburg, PA Graduate – National Insurance Crime Bureau Basic Academy

Graduate – Rio Hondo Police Academy

United States Air Force – E-5 Turbojet Flight Engineer – Honorable Discharge

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