Cynthia Robinson
SIU Investigator
Sale Creek,TN
Summary
Accomplished SIU Investigator with 6+ years of expertise in fraud detection, claims investigation, and regulatory compliance. Proven ability to uncover complex fraud schemes, lead cross-functional collaboration, and deliver actionable insights to mitigate risks. Adept in auto/property claims, data-driven trend analysis, and litigation support. Combines forensic acumen with strong communication skills to drive organizational fraud prevention strategies.
Overview
18
18
years of professional experience
Work History
SIU Investigator – Auto & Property Claims
Ethos Risk Services
11.2023 - Current
- Manage end-to-end SIU investigations for personal lines auto/property claims, ensuring compliance with state regulations and Allstate’s investigative standards.
- Leverage advanced knowledge of fraud detection methodologies to identify red flags (e.g., staged accidents, inflated damages) and resolve 100-115 cases monthly.
- Draft comprehensive investigative reports with actionable recommendations, supporting litigation readiness and recoveries.
- Partner with claims adjusters, legal counsel, and law enforcement to resolve high-risk claims, reducing fraudulent payouts by 22% QoQ.
- Spearhead cross-functional collaboration to identify process improvements, enhancing Allstate’s fraud detection framework.
- Utilized reporting systems such as ISO, LexisNexis accurint, vehicle sightings, Shift, Carfax, Carrier discovery, and social media accounts
SIU Fraud Investigator
Claims Bureau USA
11.2020 - 11.2023
- Conducted 80+ complex fraud investigations, identifying 5+ organized fraud rings (3–10+ participants) and recovering $1.2M+ in disputed claims.
- Utilized Splunk and Excel to analyze claims data, uncovering patterns in billing discrepancies, provider collusion, and claimant misrepresentation.
- Authored 150+ court-ready reports, ensuring adherence to legal standards and presenting findings to senior leadership for strategic decision-making.
- Trained 10+ junior investigators on interview techniques, evidence collection, and documentation best practices.
Quality Auditor II
Unum/Colonial Life
01.2017 - 11.2020
- Audited 75+ employee cases monthly, identifying 30% reduction in procedural errors through trend analysis and corrective training programs.
- Collaborated with HR and operations teams to redesign workflows, improving compliance with state/federal insurance regulations.
Customer Service Representative II
Unum/Colonial Life
07.2015 - 01.2017
- Achieved 95% customer satisfaction by resolving escalated claims issues and streamlining communication between departments.
Human Resource Specialist
U.S. Army Reserves
02.2007 - 04.2010
- Managed personnel records for 200+ soldiers and implemented training programs to boost compliance with military HR standards.
Education
Bachelor of Arts - Anthropology/Sociology
University of Tennessee
ChattanoogaAssociate of Science - Biology
Chattanooga State Community College
ChattanoogaSkills
Fraud Detection & Prevention
Claims Investigation
Regulatory Compliance
Data Analytics
Excel
Splunk
Litigation Support
Interviewing & Interrogation
Report Writing & Documentation
Cross-Functional Collaboration
Additional Details
Microsoft Office Suite, Claims Management Systems, Adobe Acrobat, Fraud trend analysis, forensic archaeology, animal welfare advocacy
Timeline
SIU Investigator – Auto & Property Claims
Ethos Risk Services
11.2023 - Current
SIU Fraud Investigator
Claims Bureau USA
11.2020 - 11.2023
Quality Auditor II
Unum/Colonial Life
01.2017 - 11.2020
Customer Service Representative II
Unum/Colonial Life
07.2015 - 01.2017
Human Resource Specialist
U.S. Army Reserves
02.2007 - 04.2010
Bachelor of Arts - Anthropology/Sociology
University of Tennessee
Associate of Science - Biology
Chattanooga State Community College