Special Investigations Manager

• Jan 2021 - Present

Special Investigations Supervisor

• Jul 2002 - Jan 2021

• Oversee all SIU operations for offices in Atlanta, GA, Blue Bell, PA and Chicago, IL. • Develop and file company anti-fraud plans and annual fraud reports with multiple departments of insurance. • Advise Product Management on noted fraud trends. • Thoroughly investigate claims referred to the Special Investigations Unit containing one or more NICB indicators. • Examine and analyze financial fraud to include credit card fraud, money laundering and identity theft. • Provide fraud training to various claim units on a monthly basis. • Communicate with various local, state and federal law enforcement agencies regarding investigations as they relate to indictments, criminal prosecutions, and restitution of fraud committing individuals. • Provide testimony in local, state and federal court. Show less

Claim Representative

• Mar 1999 - Feb 2001

• Utilized authority to negotiate property damage and bodily injury settlements. • Effectively communicated and demonstrated a thorough knowledge of vehicle damage estimates, terminology, and repair procedures. • Responsible for injury claim analysis and investigative planning. • Facilitated team workshops in order to troubleshoot coverage issues on complex claims. • Anticipated, recognized, and developed solutions to resolve agency concerns. • Identified training needs and programs to enhance claim processors’ knowledge. Show less