Victoria Harrington
Godley,TX
Summary
Results-oriented professional with extensive experience in claims processing and fraud detection. Known for thorough investigations and effective communication with stakeholders, ensuring timely resolution of claims and maintaining compliance with industry standards.
Overview
32
32
years of professional experience
Work History
Claim Specialist-Special Investigation Unit (SIU)
State Farm
Richardson, Texas
01.2023 - Current
- Investigate claims as a multi-state licensed Claim Specialist in SIU, validating NICB indicators.
- Conduct comprehensive claims data analysis to detect fraud and discrepancies.
- Resolve customer inquiries regarding claim status and policy coverage.
- Collaborate with defense attorneys to facilitate the claims investigation process.
- Communicate the investigation process with management, customers, and attorneys verbally and through detailed written reports.
- Utilize multiple technology platforms to investigate claims.
Private Investigator
Harrington and Harrington Investigation Specialist
Chico, CA
08.2007 - 06.2022
- Interviewed witnesses and subjects to obtain critical testimonies.
- Prepared detailed reports summarizing findings for client review.
- Utilized advanced investigative tools and software for case management.
- Prepared timely and accurate case summaries highlighting investigated findings.
- Testified in court trials to present evidence as expert witness.
- Investigated background of claimants and witnesses to uncover past criminal activity.
- Gathered evidence through interviews, research and observation.
- Managed confidential information obtained during investigations.
Claim Specialist
State Farm
Chico, CA
10.1993 - 07.2003
- Resolved claims by approving or denying documentation, calculating benefits owed, and negotiating claims to a close.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Managed a caseload of claims efficiently, ensuring adherence to company standards.
Education
Bachelor of Arts - Journalism
California State University, Chico
Chico, CAAssociate - Claims
The Institutes
Skills
- Claims analysis and investigation
- Fraud detection
- Legal documentation
- Data reporting
- Claims processing
- Insurance regulation
- Customer service
- Case management
- Compliance management
- Adaptability and flexibility
Membership
- Association of Certified Fraud Examiners, Member
- International Association of Special Investigation Units, Member
- Engagement Committee, State Farm SIU, Member at Large
Timeline
Claim Specialist-Special Investigation Unit (SIU)
State Farm
01.2023 - Current
Private Investigator
Harrington and Harrington Investigation Specialist
08.2007 - 06.2022
Claim Specialist
State Farm
10.1993 - 07.2003
Bachelor of Arts - Journalism
California State University, Chico
Associate - Claims
The Institutes