Investigator/Police/Insurance Fraud Investigator
Resume:
Thomas Peyton
Ennis, Texas *5119
Confidential Resume
EXPERIENCE
*/**** - */**** ****** Automobile Insurance Company Dallas, Texas
SIU Fraud Investigator/All-Lines Claims Adjuster
Performs complex investigations, evaluates claims, and suits through contact with insured's, claimants, witnesses, and experts.
Ability to conduct Examinations Under Oath.
Ability to exercise independent judgment and make critical business decisions effectively.
Strong analytical, problem solving, organizational skills and flexibility.
Ability to work independently.
Works with attorneys, account representatives, agents, doctors and insured regarding the handling and/or disposition of claims.
Solid knowledge of Auto claims and insurance industry theory and practices.
Performs other essential duties as assigned.
Knowledge of Microsoft Office Suite as well as other business-related software.
Conducts Fraud Awareness Training to claim staff and Vendors.
Ability to cover a 3 state territory.
Review open and closed files for potential fraud.
State of Texas All-Lines Licensed Claims Adjuster.
1/2006 – 2/2008 Global Options Plano, Texas
Special Investigations Unit Fraud Investigator/All-Lines Claims Adjuster
Ability to exercise independent judgment and make critical business decisions effectively.
Strong analytical, problem solving, organizational skills and flexibility.
Ability to work independently.
Works with attorneys, account representatives, agents, doctors and insured regarding the handling and/or disposition of claims.
Solid knowledge of claims and insurance industry theory and practices.
Conducts Fraud Awareness Training to claim staff and Vendors.
Ability to cover a 4 state territory.
Review open and closed files for potential fraud.
State of Texas All-Lines Licensed Claims Adjuster.
1/2001 – 10/2005 CNA Insurance Company Dallas, Texas
Fraud Investigator/DTI Coordinator
Coordinates and performs complex investigations and evaluates claims and suits through contact with insured's, claimants, witnesses and experts.
Ability to exercise independent judgment and make critical business decisions effectively.
Strong analytical, problem solving, organizational skills and flexibility.
Ability to work independently.
Works with attorneys, account representatives, agents, doctors and insured regarding the handling and/or disposition of claims.
Solid knowledge of claims and insurance industry theory and practices.
Performs other essential duties as assigned.
Knowledge of Microsoft Office Suite as well as other business-related software.
Conducted Fraud Awareness Training to claim staff.
Review open and closed files for potential fraud.
Managed day-to-day functions and responsibilities for over 15 SIU Field Investigators and over 350 approved Vendors for the South Central Region.
4/1999 - 1/2001 Wilmer Police Department Wilmer, Texas
Detective
Investigate all criminal cases from minor thefts to capital murder.
Interview/Interrogate suspects.
Prepared reports and filed cases with the District Attorney's Office.
Provide trial testimony.
Work with State Police, DEA and FBI on major cases.
1/1996 - 4/1999 TNG Landscape Services Ennis, Texas
Owner/Operator
Serviced residential/commercial landscape accounts.
Installation of residential/commercial landscape accounts.
Employed and supervised up to 15 employees.
Heavy customer contact.
Self-owned business.
2/1994 - 1/1996 Ennis Police Department Ennis, Texas
Patrolman
Patrol neighborhoods and business districts within city limits.
Investigate crimes/accidents within city limits.
Enforce city ordinances and state laws.
Serve and execute arrest warrants within city limits.
Prepare reports.
Testify in court.
4/1993 - 2/1994 Ellis County Sheriff's Department Waxahachie, Texas
Criminal Investigator
Investigate criminal offenses from minor thefts to murder.
Interview/Interrogate suspects.
Prepare reports and filed cases with the District Attorney's Office for prosecution.
Work closely with State, Federal and Municipal agencies.
Testify in court.
1/1986 - 4/1993 Southern Pacific Railroad Police Department Dallas, Texas
Special Agent/Investigator
Investigate crimes against the company.
Protection and surveillance of high value and priority shipments.
Enforce Federal and State laws.
Present railroad safety programs to area schools.
Prepare reports and filed cases with the District Attorney's Office or Federal courts.
Work closely with Federal, State and Municipal agencies.
Testify in court when needed.
2/1982 - 1/1986 State Farm Insurance Dallas, Texas
Sr. Structural Damage Appraiser
Prepared written estimates for damages to property and residences.
Assisted claims adjusters with estimates for repairs and replacement from theft or damage.
Strong analytical, problem solving, organizational skills and flexibility.
EDUCATION
04/2007 US Staffing Adjusting Services Irving, Texas
State of Texas All-Lines Claims Adjuster License
12/1981 Regional Police Academy Arlington, Texas
Professional Certificate
Basic requirements for Law Enforcement Certification.
Currently hold State of Texas Advanced Peace Office License in Law Enforcement.
5/1980 Ennis High School Ennis, Texas
High School Diploma
Basic education diploma.
AFFILIATIONS
1/2001 - Present IASIU Member
SKILLS
Windows 95/98/XP/NT
Microsoft Office Suite
Integrated Proposal System
Reimbursement Manager Billing Software
Word Perfect
Electronic Billing Systems Software
Internet
LICENSES & TRAINING
State of Texas Basic Peace Officer License.
State of Texas Intermediate Peace Officer License.
State of Texas Advanced Peace Office License.
State of Texas Railroad Peace Officer License.
State of Texas All-Lines Claims Adjuster License.
Family/Juvenile Investigation Certificate.
Homicide Investigation Certificate.
Legal/Update/Aids Awareness Certificate.
1989 & 1990 Exceptional Duty Award.
Standardized Field Sobriety Testing License.
Standardized Field Sobriety-Practioner License.
Doppler Radar Operation Instructor Certificate.
Legal Update Certificate.
Child Abuse Investigation Certificate.
Family Violence Investigation Certificate.
Sexual Assault Investigation Certificate.
Cultural Diversity Certificate.
Basic/Intermediate Crime Scene Investigation Certificate.
Burglary Investigation Certificate.
Child Abuse Investigation Certification.
Practical Kinesic Interview & Interrogation Certificate.
Community Notification of Sex Offenders Certificate.
Managing Property & Evidence Certificate.
CNA Anti-Fraud Basics Training
Continuing Education on Fraud Investigation & Defense Training.
Texas Products Liability Training
Discovering Deception Training.
Smith System Advanced Driver Training.
Introduction to Privacy Awareness Training.
Introduction to Data Security Training.
Racial Profiling Training.
Suicide Prevention Training.
Asset Forfeiture Training.
The Crime Victim Training.
Sex Crimes Training.
Handling Claims under Texas Auto Policy.
Trends in Auto Theft.
Exploring EUO’s.
Indicators of Deception.
Organized Insurance Fraud through Analysis.
Fighting Fraud on the National Level.
Contact this candidate