Analytical Insurance Claims Investigator known for high productivity and efficient task completion. Skilled in fraud detection, claim analysis, and regulatory compliance, ensuring thorough investigations and accurate reporting. Established interpersonal communication, problem-solving, and negotiation to facilitate resolutions that protect company interests—committed to maintaining confidentiality and integrity in all interactions.
•Conducted thorough investigations into suspicious property damage and injury claims, including PIP claims.
•Analyzed claims data and reviewed documents to identify potential fraud indicators.
• Prepared comprehensive investigative reports outlining key findings and actionable recommendations.
•Completed investigations for referred files within established deadlines.
• Carried out SIU investigations and background checks to assess character and financial status.
•Trained as a backup manager to support daily operations effectively.
I bring over two decades of experience as a police officer with the City of Houston, where I developed strong communication skills that allowed me to build trust with both colleagues and community stakeholders. I have led diverse teams in safety and training, ensuring adherence to policies and procedures while maximizing individual potential. I specialize in analyzing property damage, injury, and PIP claims for fraud indicators. I conduct comprehensive interviews, background checks, ensure regulatory compliance, and produce detailed reports that support actionable decisions. In addition, I am proficient with Windows, MS Word, MS Excel, SharePoint, and various internet applications, and I stay current with social media trends. Throughout my career, I have consistently demonstrated the ability to maintain confidentiality while conducting a wide range of complex investigations.