Royal Whitaker
Cedar Park,TX
Summary
Dedicated and analytical Social Media Special Investigator in possession of a Bachelor of Science in Public Relations & Communication. Over 7 years of experience in performing risk management, tracking client transactions, and mitigating fraudulent activities. Expertise in verifying insurance claims, reviewing Special Investigations Unit (SIU) referrals, and liaising with public & private organizations.
Overview
17
17
years of professional experience
Work History
Sr. SIU Investigator - Social Media
Farmers Insurance
Austin, TX
01.2018 - 08.2023
- Social Media Develops and conducts statistical and trend analysis on more complex cases to support the needs of the Special Investigations Unit to identify, detect, investigate and mitigate insurance fraud
- Prepares reports, visual aids and databases using the latest industry recognized technology to determine organized crime links.
Office Special Investigator
Farmers Insurance
12.2017 - 02.2018
- Prepares and conducts fraud awareness/resistance training
- Determines whether to refer a claim to the applicable DOI and/or NICB
- Conducts special investigations of claims to confirm claim validity or to identify fraud
- Establishes and maintains liaison and cooperation with public and private organizations charged with prevention, detection, and prosecution of insurance fraud.
Senior SIU Triage Specialist
Farmers Insurance
05.2017 - 12.2017
- Responsible for making a decision on proper handling of SIU referrals
- Communicates with field claims and/or SIU personnel regarding referrals
- Reviews all SIU referrals for all fraud types and for all lines of business, except Work Comp.
Live Agent Chat Specialist
Farmers Insurance
09.2012 - 05.2017
- Personal Lines Auto/Home/Umbrella Communicates with customers via Live Chat software
- Effectively multi-tasks between several different customer conversations, while simultaneously using resources such as the web and other supplemental reference materials to answer customer inquiries.
Field Claims Adjuster
Farmers Insurance
09.2011 - 09.2012
- Prepared repair estimates
- Recommended SIU referrals for fraud investigation
- Negotiated the scope of work with auto repair facilities
- Inspected damaged vehicles to determine what is covered by our insured’s policy and who is responsible for the damage or loss.
Personal Lines Underwriter
Farmers Insurance
05.2010 - 09.2011
- Year End Review – Far Exceeds Expectations Investigates, confirms coverage, evaluates applications, identifies risk, consults with agents, consumers, and maintain policy structure
- Upheld the Quarterly Excellence award by achieving 100% Transactional Accuracy and Proper
- Decision for the entire month of October and April.
Umbrella Relationship Specialist
Farmers Insurance
01.2008 - 05.2010
- Makes recommendations on underwriting policy and pricing strategy
- Volunteered 100 hours of overtime to diminish company inventory
- Develops and sustains agency and outside insurer relationships to reach positive and profitable outcomes on intricate, high risk business for $5 mil umbrella policies
- Workson highly complex umbrella underwritingrisksemployingdiagnostic and systematic analysis to assess acceptability.
Customer Advocate
Farmers Insurance
01.2007 - 01.2008
- Team spokesman for Working as One peer group roundtables
- Averaged in the 95 percentile for weekly adherence and 5 Wows
- Analyze, clarify, and problem solve for general marketing initiatives and customer accounts
- Work to maximize positive customer service experience by responding to customer’s inquiries or complaints regarding company’s products or services.
Education
Bachelor of Science - Public Relations/Communication
Southern Illinois University Carbondale
Carbondale, IL12.2006
Skills
- Investigate and Mitigate Insurance Fraud
- Determine Organized Criminal Links
- Leadership Skills
- Teamwork Oriented
Timeline
Sr. SIU Investigator - Social Media
Farmers Insurance
01.2018 - 08.2023
Office Special Investigator
Farmers Insurance
12.2017 - 02.2018
Senior SIU Triage Specialist
Farmers Insurance
05.2017 - 12.2017
Live Agent Chat Specialist
Farmers Insurance
09.2012 - 05.2017
Field Claims Adjuster
Farmers Insurance
09.2011 - 09.2012
Personal Lines Underwriter
Farmers Insurance
05.2010 - 09.2011
Umbrella Relationship Specialist
Farmers Insurance
01.2008 - 05.2010
Customer Advocate
Farmers Insurance
01.2007 - 01.2008
Bachelor of Science - Public Relations/Communication
Southern Illinois University Carbondale
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