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Customer Service Representative Resume
Suzanne
US-Texas-San Antonio
Special Investigator
Position in the Special Investigations Unit, (SIU), or Insurance industry-related fraud unit, as a Senior Investigator or higher, offering experience and knowledge regarding fraud related issues within the industry. I am multi-task oriented, have the ability to excel under pressure and a desire to serve in the capacity of fighting fraud.
SUMMARY OF QUALIFICATIONS:
• Knowledge of investigative procedures, interviewing techniques, obtaining analytical data.
• Analyze facts, data and documents and prepare clear and concise investigative reports.
• Maintain technical competency within the area of specialization, provide expert testimony.
• Knowledge of jurisdictional laws and statutes
Certifications/Accreditations/Affiliations
Texas Certified Peace Officer, 1996
John E Reid and Associates, The Reid Technique of Interviewing and Interrogation
International Association of Special Investigators, IASIU, member since 2004
Department of Insurance Casualty and Property Adjusters License, Texas #486222
EDUCATION AND RELEVANT COURSEWORK
AMERICAN EDUCATION INSTITUTE Fraud Claim Law Associate, October, 2001
KAPLAN UNIVERSITY Bachelor of Science Degree Criminal Justice
(Pending) Award September 11, 2007 *
SAN ANTONIO COLLEGE, San Antonio, TX
Criminal Justice emphasis 68 hours, 1993-1996
EMPLOYMENT
THI, INC/Nationwide Insurance, San Antonio, TX, Special Investigator 2002 to current
• Function as special investigation level to investigate assigned/referred claims suspected of insurance fraud and other irregularities. Conduct timely investigations through accurate inquiry of the relevant facts. Make recommendations based on investigative findings to claims staff.
• Maintain a caseload as assigned by SIU Manager
• Proper management of external vendors regarding investigations.
• Conduct red flag indicator fraud training to Claims Staff as requested by upper management.
• Maintains a professional rapport with federal, state and local government agencies.
The Hartford, San Antonio, TX., Senior Investigator 1998-2002
• Function as a first level investigator in the Claims Investigation Unit regarding suspect claims consisting of an element of fraud.
• Maintained a work case load to consist of investigating theft/fire losses
UltraMar Diamond Shamrock, San Antonio, TX Intervention Specialist 1995-1997
• Functioned as an intervention specialist, monitoring security store alarms, residential alarms. Dispatched the necessary law enforcement investigating authority.
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