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Investigation Specialist

Location:
Oklahoma City, OK
Salary:
60,000
Posted:
September 05, 2023

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Resume:

Steven M. Rogers

adzhtw@r.postjobfree.com * **** Wynn Circle, Edmond, OK 73013 * 405-***-****

Summary of Qualifications

Assimilated years of experience working in the insurance industry, most recently as an investigation specialist in the auto fire & theft unit. Incorporated skill set includes reputable customer service skills with ability to work under pressure in a team environment and as a professional in the field, experienced P&C Adjuster, experience in special investigations related to all types of insurance claims including AOE/COE, scene investigations, including alive and well checks, knowledge of SIU operations and claim handling processes, ability to interpret policy and investigate accordingly, excellent oral and written communication skills, Strong negotiation, coordination, and interpersonal skills. licensed as a Private Investigator & claims adjuster.

Dependable

Thorough

Loyal

Efficient

Empathetic

Detail Oriented

Organized

Punctual

Education

University of Central Oklahoma: Edmond, OK

• Bachelor of Arts in Criminal Justice

Professional Profile

National General Insurance September 2022 to Present

Investigation Specialist - Auto Fire & Theft

Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority. Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department. Determines subrogation or fraud potential and how to handle. Identifies customer needs and works to meet those needs using appropriate customer service skills. Recognizes and identifies body parts of a vehicle and understanding of other potential property damage. For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome.

CoventBridge Group August 2021 to September 2022

SIU Investigator

Conducts multiple types of complex claims investigations, provide daily submission of updates regarding work performed on each case, manage time, maintain a sufficient level of client billable hours, write, and record detailed statements, conduct scene investigations, submit professional and client ready investigative reports, conduct background/activity checks and courthouse research.

Delta Group March 2021 to September 2022

SIU Investigator

Handle numerous claims investigation ranging standard alive and well checks, to more complex AOE/COE workers compensation claims. Take statements, conduct scene investigations, gather police reports, conduct background, perform activity checks, and courthouse research.

Veracity Research Company Investigations July 2018 to September 2022

SIU Investigator

Conducts multi-line insurance investigations suspected of insurance fraud or other irregularities as requested by clients by obtaining in-person interviews, identifying, collecting, and preserving relevant evidence and documenting all findings into a clear, concise, and timely investigative report. Investigates auto, property, Worker’s Compensation, and liability claims of varying complexity in which specific indicators have been identified; and coordinates with law enforcement and / or the state fraud bureaus for regulatory compliance and criminal prosecutions.

Claims Verification Inc. July 2017 to July 2018

Private Investigator

Covert field surveillance via both stationery and mobile surveillance, conduct scene investigations, interviews, and recorded statements. Obtain professional quality video and photographic documentation of subjects, draft thorough, detailed investigative reports, upload video and photographic evidence as well as surveillance reports.

Hub Enterprises, Inc. July 2014 to May 2015

Private Investigator – Insurance Defense Investigator

Responsible for investigating anything to do with an insurance claim that is filed, looking for instances of fraudulent behavior. Handles investigations for the following areas: Accident Reconstruction, Arson & Fire, Asset & Recovery, Consulting Services, Financial, Insurance, Background & Employment, SIU Investigations, Workers’ comp and General Claims. Conducts all facets of an insurance investigation, not limited to Interviewing all parties with information on the claim including the claimant, witnesses, police, and documenting statements that will be used to prove/disprove a claim Collecting and presenting evidence, including photographs, videos, measurements. Writing extremely detailed reports about findings. Meeting strict deadlines to present final reports. Strong computer and internet skills.

AAA NCNU September 2009 to July 2014

Claims Service Adjuster

Takes claims from members in several different states, investigates, manages, and resolves claims. Determine liability and total value of the claim, set reserve levels appropriately, negotiates the settlement of claims with members, makes independent claims handling decisions on assigned claims, ensures that all inquiries are responded to in a timely manner. Obtains police reports and other documents relating to the claim. Handles an average of 175-225 claims at any given time.

The Hertz Corporation September 2003 to September 2009

Team Lead - Emergency Road Service Specialist

Emergency Road Service Specialist - Team leader, responsible for monitoring agents calls, going over their reports, and holding daily briefings to discuss the groups’ goals and current standings, research, compile, and formulate how to streamline the overall process in the department, file reports utilizing Hertz proprietary roadside case management system, assist in various clerical duties along with assisting supervisors in various roles an active contributor as an internal consultant in the department.



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