General resume template

• Manage a caseload of 35 to 45 suspected fraud matters monthly involving auto, bodily injury, and property claims across Texas and neighboring states.
• Identified material inconsistencies through recorded statements, document review, and database research, contributing to a 22% reduction in questionable claim payments year over year.
• Prepared detailed investigative reports and referral packages used by claims counsel and law enforcement, supporting 18 civil or criminal referrals since 2022.
• Coordinated surveillance, scene inspections, and medical canvasses with external vendors, improving evidence turnaround times by 30% on high-exposure cases.
• Partnered with adjusters and claims leaders to deliver fraud indicators training, increasing early SIU referrals by 17% within one calendar year.

• Investigated suspicious auto and workers' compensation claims by reviewing loss histories, billing patterns, and claimant activity, closing an average of 28 cases monthly.
• Conducted claimant, witness, and employer interviews that uncovered non-disclosed prior losses and employment conflicts in 14% of assigned files.
• Built chronologies and evidence summaries for adjusters and attorneys, helping support denials, settlement negotiations, and subrogation strategies on contested claims.
• Reviewed surveillance footage, social media activity, and public records to validate injury allegations, contributing to more than $1.1 million in avoided losses.
• Maintained compliant case files and documentation standards, achieving 98% quality audit scores across quarterly file reviews.

Focused on investigations, legal procedure, and evidence evaluation.