WC & GL Claims Executive
Resume:
ANNETTE MARIE MOSCATO
Danbury, CT 06810
Cell: 203-***-**** *******.*******@*****.*** Home: 203-***-****
SUMMARY
An award winning, seasoned insurance claims professional with extensive multi-line fraud investigation experience. Has the ability to manage a variety of complex multi-million dollar cases concurrently. Retain a reputation as a highly motivated, energetic, and diligent investigator who delivers exceptional customer service. Investigation expertise includes:
• Workers’ Compensation • Staged Auto Accidents
• Automobile • Slip and Fall Accidents
• General Liability • Fatalities
• Catastrophic Urban Cases • Construction Claims
PROFESSIONAL EXPERIENCE
G4S COMPLIANCE & INVESTIGATIONS, Danbury, CT PRESENT
Sr. SIU Investigator
Conduct comprehensive and professional investigations into suspicious and questionable claims submitted by individuals and/or groups.
• Conduct in-person interviews, obtain appropriate releases and records.
• Obtain and safeguard evidence.
• Fraud identification and possible fraud prosecution.
• Provide a comprehensive, formal, and professional written report upon conclusion of the investigation, and when appropriate, make a proper recommendation for the disposition of the claim.
LIBERTY MUTUAL INSURANCE COMPANY, Tarrytown, NY 2008 - 2009
Supervisor of Underwriting Support
Led staff of six professionals who underwrote business lines accounts with authority to $1 million. Manage policy assignments and quality. Oversee staging policies for transfer as they were sold to independent brokers.
• Recruited and trained three new staff members who became top performing employees.
• Managed gathering and manual input of 1,000 policy files into SharePoint to prepare them for transfer.
• Trained staff and managed policy migration from “Underwriting Workstation” to “Insurance Writer” applications.
• Developed processes and procedures to ensure adequate controls related to newly installed “Insurance Writer” application.
• Develop audit process for claims across multiple lines.
• Conducted claims audits for multiple lines covering general liability, workers compensation, property, auto and disability.
• Follow-up & resolution.
ANNETTE M. MOSCATO PAGE TWO
SELECTIVE INSURANCE, Branchville, NJ 2007 - 2008
SIU Investigator
Investigated claims within Connecticut, Rhode Island, Massachusetts & the Lower Hudson Valley Region. Investigated ~20 claims and made disposition recommendations on suspicious losses referred to the Special Investigation Unit from branch offices.
• Brought 50% of caseload to prosecution and restitution
• Achieved 100% completion ratio of claims assigned.
LIBERTY MUTUAL INSURANCE COMPANY, Tarrytown, NY 1997 - 2007
Senior Field Investigator II
As the sole investigator for Manhattan, Investigated commercial line losses from inception to conclusion on general liability, workers compensation, auto liability and property cases. Assign numerous large clients including UPS and Turner Construction. As senior staff member, oversaw office operations when office manager was absent. Conducted in person investigations of accident scene and transformed information into a concise report.
• Developed and set up evacuation center for displaced people and businesses which assessed and settled claims of up to $10 million following a scaffolding collapse in mid-town Manhattan.
• Investigated over 2,000 claims arising from clean up the 911 World Trade Center collapse.
• Received Employee Recognition Award from the president of the company for response to the scaffolding collapse.
• Awarded Spot Light on Success Awards for outstanding investigations.
• Received the Presidential Award from the company president for post 911 investigations.
• Chosen to train and mentor newly hired Field Investigators.
USF & G INSURANCE COMPANY, Purchase, NY 1995 - 1997
Senior Claims Adjuster
Investigated and resolved complex $1million + liability claims in both personal and commercial lines.
• Managed approximately 180 general liability claims with a 90% closing ratio.
• Conducted full investigations on assigned cases, determined coverage and liability.
• Consistently added higher value claims in auto and the commercial realm.
• Received the Employee Recognition Award.
LIBERTY MUTUAL INSURANCE COMPANY, Tarrytown, NY 1990 - 1995
Senior Claims Representative
Managed claims on ~250 personal auto & homeowner cases from inception to conclusion. Conducted Investigations, exercised initiative and independent judgment, solved problems of unlimited scope and complexity.
• Achieved 100% completion ratio.
ANNETTE M. MOSCATO PAGE THREE
EDUCATION
Concentration in Biology/Psychology, Lehman College, Bronx, NY
COMPUTER SKILLS
MS Word, Excel, multiple proprietary insurance underwriting applications
CERTIFICATIONS
National Insurance Crime Bureau, Orlando Fl. Special Investigation Academy January 2001
NY ACT & FA 2002
NJ Special Investigators Association 2007
Insurance Fraud Awareness Seminar
Commercial & Workers Comp Adjusters License Rhode Island,
Casualty Adjuster License All Lines Connecticut
Private Investigator License NY, CT, MA
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