Alexis Anderson
Grand Island
Summary
Highly skilled and detail-oriented Insurance Fraud Investigator with a strong track record of conducting thorough investigations and identifying discrepancies. Adept at interviewing witnesses, claimants, and policyholders to gather vital information. Expertise in coordinating examinations under oath (EUO) and referring fraudulent claims to the appropriate authorities. Committed to ensuring the integrity and accuracy of claims processing while adhering to quality and cost control standards.
Overview
14
14
years of professional experience
Work History
Desktop SIU Investigator
Veracity Research Company
09.2024 - Current
- Conduct comprehensive investigations into potentially fraudulent claims, ensuring accuracy and thoroughness.
- Conduct thorough interviews with policyholders, claimants, and relevant witnesses to gather pertinent information.
- Compile findings and refer fraudulent claims to the proper authorities for further action.
Senior Internal Security Investigator
GEICO
10.2019 - 09.2024
- Investigate potentially fraudulent claims with a strong focus on quality and cost control.
- Coordinate and conduct Examinations Under Oath (EUO) to gather essential information for claims resolution.
- Refer all verified fraudulent claims to the appropriate legal and regulatory bodies for follow-up.
Personal Injury Protection Claims Adjuster
GEICO
02.2016 - 10.2019
- Reviewed parties for coverage eligibility and processed claims efficiently and accurately.
- Issued timely and accurate Personal Injury Protection (PIP) payments to medical providers and vendors.
- Worked with claimants and medical providers to resolve payment issues and ensure compliance.
Upper Level Claims Adjuster
GEICO
02.2014 - 02.2016
- Investigated and managed comparative negligence claims.
- Collaborated as one of four employees handling commercial claims, ensuring accurate claims processing and resolution.
Auto Sales Performance Monitoring Technician
GEICO
04.2013 - 02.2014
- Monitored incoming sales calls to assess the quality of service and ensure customer satisfaction.
- Provided feedback and training to sales representatives based on performance evaluations.
Auto Sales Agent
GEICO
05.2011 - 04.2013
- Competently sold auto insurance policies, providing potential customers with coverage options and counseling on insurance needs.
- Met and exceeded sales targets while delivering excellent customer service.
Education
Fraud Claim Law Specialist -
American Educational Institute
04.2022
Associate of Business Management - undefined
Erie County Community College
06.2017
Skills
- Insurance Fraud Investigation
- Examinations Under Oath (EUO)
- Claims Processing & Adjusting
- Personal Injury Protection (PIP) Claims
- Comparative Negligence Claims
- Strong Attention to Detail
- Excellent Communication & Interviewing Skills
- Quality Control & Cost Management
Timeline
Desktop SIU Investigator
Veracity Research Company
09.2024 - Current
Senior Internal Security Investigator
GEICO
10.2019 - 09.2024
Personal Injury Protection Claims Adjuster
GEICO
02.2016 - 10.2019
Upper Level Claims Adjuster
GEICO
02.2014 - 02.2016
Auto Sales Performance Monitoring Technician
GEICO
04.2013 - 02.2014
Auto Sales Agent
GEICO
05.2011 - 04.2013
Associate of Business Management - undefined
Erie County Community College
Fraud Claim Law Specialist -
American Educational Institute
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