Claims Investigator

Writing a great claims investigator resume is important because it is one of the first things a potential employer will see when they are considering you for a position. It is your opportunity to make a good first impression and sell yourself as the best candidate for the job.

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If you're looking for inspiration when it comes to drafting your own claims investigator resume, look no further than the samples below. These resumes will help you highlight your experience and qualifications in the most effective way possible, giving you the best chance of landing the claims investigator job you're after.

Resume samples

Billiejean Arguinzoni

billiejean.arguinzoni@gmail.com | (381) 717-2814 | Oklahoma City, OK

Summary


I am a Claims Investigator with over 3 years of experience. I have worked in insurance and law enforcement, which has given me the skills to investigate claims thoroughly and efficiently. I have a strong attention to detail, and I am able to identify fraud and misrepresentation quickly. I also have excellent communication skills, which allows me to effectively communicate with claimants, witnesses, and other parties involved in the claim.

Experience


Claims Investigator at State Farm, OKJun 2022 - Present

  • Investigated 100+ fraud cases, leading to the recovery of $500,000 in fraudulent claims.
  • Authored 20+ investigative reports detailing findings and recommendations.
  • Trained 10+ new investigators on investigation techniques and report writing.
  • Presented at 3 national conferences on trends in insurance fraud.
  • Led 2 special investigations that recovered over $1 million in fraudulent claims.
  • Served as a subject matter expert on 5 task forces focused on investigating organized crime rings.

Claims Investigator II at Allstate, OKJul 2019 - May 2022

  • Investigated over 500 fraud cases, leading to the recovery of $2.5 million in fraudulent claims.
  • Authored 20+ investigative reports detailing findings and recommendations.
  • Presented at 3 national conferences on fraud investigation techniques.
  • Trained 5 new investigators on claim investigation methods and report writing.
  • Developed a new database query tool that saved the department 10 hours per week in data analysis.
  • Negotiated settlements in 50% of all investigated cases, saving the company an average of $15,000 per case.

Education


Associate's degree in Claims Investigation at Oklahoma State University, OKSep 2014 - May 2019

Some skills I've learned are: effective communication, writing reports, time management, and critical thinking.

Skills


  • Research
  • Analysis
  • Interviewing
  • Report Writing
  • Organizational Skills
  • Time Management

Royce Conney

royce.conney@gmail.com | (993) 676-1413 | Fairfield, IA

Summary


As a Claims Investigator with over 3 years of experience, I have developed strong research and analytical skills. I have extensive knowledge of the insurance industry and am able to quickly identify fraudulent claims. In addition, I have excellent communication skills and am able to effectively interview claimants and witnesses.

Experience


Claims Investigator at State Farm, IAMay 2022 - Present

  • Investigated 100+ insurance claims with a success rate of 75%.
  • Negotiated settlements for 50+ claimants resulting in an average payout of $5,000 per claim.
  • Recovered $50,000 in fraudulent insurance claims.
  • Trained 2 new investigators on best practices and company procedures.
  • Authored 5 articles on fraud investigation techniques that were published in industry magazines.

Claims Investigator I at USAA, IASep 2019 - Mar 2022

  • Investigated 150 fraud cases, leading to the recovery of $600,000.
  • Authored 50 investigative reports detailing findings and recommending actions.
  • Trained 10 new investigators in best practices and company procedures.
  • Presented at 2 national conferences on effective methods for investigating insurance fraud.
  • Led development of new software tool that increased efficiency by 30%.
  • Cut costs by 15% through process improvements.

Education


Associate's degree in Claims Investigation at Drake University, IAAug 2015 - May 2019

Some skills I've learned are critical thinking, organization, time management, and effective written and oral communication.

Skills


  • Research
  • Analysis
  • Critical Thinking
  • Organizational Skills
  • Communication Skills
  • Writing Skills
  • Investigative Techniques