Margaret (Meg) Kinder

• Conducted thorough investigations into suspected fraudulent claims, utilizing analytical skills and attention to detail.
• Collaborated with law enforcement agencies to gather evidence and support case resolutions effectively.
• Developed detailed reports outlining findings, ensuring compliance with regulatory standards and procedures.
• Monitored industry trends and emerging fraud schemes to adapt investigation strategies proactively. Participated in monthly NICB meetings.
• Established strong relationships with internal departments to facilitate information sharing and coordination of efforts. Member of pulse team / committee

• Improved claim resolution times by efficiently managing a caseload 254 claims last year
• Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
• Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation that minimized financial risk for the company.
• Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.

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• Led training sessions for new adjusters on best practices, regulatory compliance, and effective communication strategies.
• Mentored junior staff in advanced claims handling techniques, fostering a culture of continuous improvement within the team.

Evaluated internal client needs and expectations, establishing clear goals for each consulting engagement. -handled auto, property, commercial for the southeast and casualty claims reviews for the top end (southeast outside of Florida) Completed 3 reviews per month for all auto and property adjusters in the Southeast and also 3 per month for casualty reps on the top end

Implemented best practices to optimize organizational performance, leading to improved operational efficiency.

• Analyzed data sets to identify trends, opportunities, and problematic areas and provided recommendations for process improvements within the organization.
• Liaised with customers and management to determine needs and recommend appropriate solutions.
• Gathered, organized and input information into digital database.
• Educated staff on organizational mission and goals to help employees achieve success.
• Evaluated staff performance and provided coaching to address inefficiencies.
• Enhanced communication among team members to foster collaborative and supportive work environment.
• Developed effective improvement plans in alignment with goals and specifications.
• Generated reports detailing findings and recommendations.

• Improved SIU investigations by implementing efficient case management strategies. Conducted comprehensive interviews with subjects to gather crucial information for cases. Handled 254 cases last year - more than any other rep in zone outside of Tier 1 or those handling responsible billing project
• Collaborated with law enforcement agencies to streamline investigations and share critical data.
• Analyzed complex data sets to identify patterns, trends, and potential fraud indicators in claims.
• Conducted thorough face-to-face interviews with employers, families, neighbors, friends, and suspects, and documented investigative findings.
• Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.

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• Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
• Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
• Participated in various professional development opportunities to stay current on industry regulations, best practices, and emerging technologies relevant to claim processing activities.
• Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
• Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
• Achieved high levels of customer satisfaction, handling each claim with professionalism and care.