Gregory Frey
New Hyde Park
Summary
SIU Investigator/Claim Representative with over 20 years of experience in conducting comprehensive insurance investigations across diverse coverage lines. I am skilled in communication, database management, and strategic planning, ensuring thorough fraud detection and efficient claims resolution. Dedicated to applying analytical skills and problem-solving abilities to deliver innovative solutions in complex investigative scenarios. I also have an extensive claim handling employment history which has provided excellent understanding of medical terminology and proper resolution of claims.
Overview
30
30
years of professional experience
1
1
Certification
Work History
SIU INVESTIGATOR
VRC Investigations
02.2024
SIU INVESTIGATOR
Lancer Insurance
09.1999
- Conducted in house reviews of cases involving red flags and developed comprehensive investigation plans.
- Conducted outside field investigations of cases referred to include in-person statements of all parties associated with a claim.
- Conducted clinic inspections of medical facilities to identify potentially fraudulently set up facilities.
SIU INVESTIGATOR
ICORP Investigations
03.2025 - Current
SIU INVESTIGATOR
Command Investigations
03.2024 - 05.2025
FIELD INVESTIGATOR
Ethos Risk Group
07.2021 - 03.2023
FIELD INVESTIGATOR/CLAIMS ADJUSTER
Copass Adjusters
01.2022 - 12.2022
FIELD INVESTIGATOR AND SURVEILLANCE
Veri-Fi Investigations
05.2017 - 06.2022
INVESTIGATOR
Alliance Risk Group
09.2015 - 07.2021
- Investigated and documented cases of suspected insurance fraud for multiple lines of coverage including personal and commercial automobile, property, homeowners, worker’s compensation and general liability by conducting on-site field investigations to include on-site loss location which included obtaining photographs, canvasing for possible security camera video, and prepared diagrams based on client requests.
- Conducted interviews with all parties involved in a claim including claimants, insurers, and witnesses.
- Conducted reviews of cases documents provide for any potential red flags and develop a comprehensive investigation plan.
- Collaborated findings with outside law enforcement, National Insurance Fraud Bureau (NICB) and state Fraud Departments of Insurance
- Performed undercover assignments by conducting covert surveillance
- Conducted Alive & Well Checks
- Developed strategic plans of action to ensure achieving assignment objectives.
- Conducted legal and background research including via social media databases.
- Maintained detailed documentation of evidence during investigations.
- Evaluated documents supplied by clients including claim notes, underwriting documents, police reports and other various documents to identify any potential red flags.
- Conducted onsite inspections of suspicious medical of suspicious medical clinics to identify any potential issues of fraud including but not limited to illegally set up “doc-in-the-box” clinics and other illegal issues.
- Provide detailed and accurate reports based on results of investigation as well as providing up to date summaries to clients as required.
SIU MANAGER
Lancer Insurance
09.2004 - 03.2013
- Planned and directed the activities of the in-house SIU staff as well as oversaw the use of the outside vendors hired to investigate potential cases of fraud to ensure proper and lawful investigations.
- Recruited in-hours SIU staff and conducted company fraud training of claims and underwriting staff.
- Prepared financial and regulatory fraud reports required by state insurance departments and prepared financial fraud reports to upper management.
- Worked closely with State Fraud Departments, law-enforcement and the National Insurance Crime Bureau (NICB) on cases of suspected and identified cases of insurance fraud and ensured all cases of such fraud were properly referred to the State Fraud Bureau.
- Collaborated closely with the NICB in the results our SIU department’s identification of fraud, especially in medically fraudulent medical clinics which they used upon their independent investigations of such identified fraudulent clinics that resulted in NICB issuing NICB Task Force Alerts issued. Our dedication in anti-fraud fighting resulted in one of our SIU representatives being awarded Investigator of the year.
- Upon taking over as SIU Manager, I collaborated with upper management to update company y fraud plan which enhanced the claim and underwriting staff in identification of red flags including the introduction of fraud detection including utilizing new fraud programs which resulted in both the number of cases referred to SIU as well as increased by millions of dollars the number of claims identified as fraudulent.
- Attended multiple anti-fraud conferences for continued education on multiple topics of insurance fraud which for enhanced fraud training of claims staff.
MEDICAL NO-FAULT CLAIMS ADJUSTER
Nu-Main (TPA)
09.1998 - 09.2000
- Reviewed and processed no-fault claims in accordance with state regulation for proper handling and referred any claims which had inherent red flags to SIU department for further investigation
MEDICAL NO-FAULT CLAIMS ADJUSTER
Lancer Insurance
09.2000 - 08.2000
- Reviewed no-fault claims to ensure proper fee-schedules and coding were adhered to.
- Verify eligibility for benefits
- Conduct on phone statements for facts of loss and treatment.
- Verified any additional coverage such as lost time from work
MEDICAL NO-FAULT CLAIMS ADJUSTER
The Robert Plan Insurance
10.1995 - 09.1998
- Reviewed and processed no-fault claims in accordance with state regulation for proper handling and referred any claims which had inherent red flags to SIU department for further investigation.
- Promoted to Sr. Claim Representative and oversaw staff of 5 claim representatives to ensure proper claims procedures were adhered to.
Education
Associate in Claims (AIC) -
The Institutes
Bachelor of Business Administration (BBA) - Management
Hofstra University
Hempstead, NY12.1991
Leadership Development Certificate Program - Program Covers Many Aspects of Managment Aspects
Hofstra University Taken At Lancer Insurance
Plainview05-2007
Skills
- Surveillance techniques
- Background checks
- Interviewing witnesses
- Investigative interviewing
- Claim analysis
- Detailed report writing
- Interrogation skills
- Research
- Undercover operations
- Action planning
- Investigation management
- Skilled interrogator
- Insurance documentation
Accomplishments
NYS Private Investigator
Received a National Insurance Crime Bureau (NICB) outstanding Achievement Award for anti-fraud efforts.
Certification
- Notary Public
- NYS Private Investigator License
Awards
National Insurance Crime Bureau (NICB) outstanding achievement award for fraud fighting.
ADDITIONAL INFORMATION
- Contributed to an enhanced fraud plan, leading to increased SIU referrals and identification of fraudulent claims worth millions of dollars
- Attended anti-fraud conferences for ongoing education and improved staff training
Notary Public
NICB award for outstanding Achievement award for anti-fraud efforts.
Timeline
SIU INVESTIGATOR
ICORP Investigations
03.2025 - Current
SIU INVESTIGATOR
Command Investigations
03.2024 - 05.2025
SIU INVESTIGATOR
VRC Investigations
02.2024
FIELD INVESTIGATOR/CLAIMS ADJUSTER
Copass Adjusters
01.2022 - 12.2022
FIELD INVESTIGATOR
Ethos Risk Group
07.2021 - 03.2023
FIELD INVESTIGATOR AND SURVEILLANCE
Veri-Fi Investigations
05.2017 - 06.2022
INVESTIGATOR
Alliance Risk Group
09.2015 - 07.2021
SIU MANAGER
Lancer Insurance
09.2004 - 03.2013
MEDICAL NO-FAULT CLAIMS ADJUSTER
Lancer Insurance
09.2000 - 08.2000
SIU INVESTIGATOR
Lancer Insurance
09.1999
MEDICAL NO-FAULT CLAIMS ADJUSTER
Nu-Main (TPA)
09.1998 - 09.2000
MEDICAL NO-FAULT CLAIMS ADJUSTER
The Robert Plan Insurance
10.1995 - 09.1998
Bachelor of Business Administration (BBA) - Management
Hofstra University
Associate in Claims (AIC) -
The Institutes
Leadership Development Certificate Program - Program Covers Many Aspects of Managment Aspects
Hofstra University Taken At Lancer Insurance
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