Results-driven insurance professional with over two decades of experience in claims investigation, fraud detection, and compliance, known for leveraging data analytics and cross-functional collaboration to mitigate risk, reduce losses, and drive operational excellence.
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Here’s a strong, polished “Tell me about yourself” you can use in interviews—tight, confident, and aligned with your background:
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“I’m an insurance professional with over 25 years of experience specializing in complex claims, fraud investigations, and compliance. Throughout my career, I’ve worked closely with claims, legal, and regulatory teams to assess risk, uncover questionable activity, and support sound decision-making.
I’ve built a reputation for being highly analytical and detail-oriented, but also collaborative—I’m often the person brought in to connect the dots across departments or handle high-exposure cases. I’ve also led training initiatives, worked with data tools like ISO NetMap to identify patterns, and contributed to significant cost savings by preventing fraudulent losses.
More recently, I’ve been focused on leveraging my experience in a broader way—supporting process improvement, mentoring, and helping organizations strengthen their overall claims strategy and compliance framework.
At this stage, I’m looking for an opportunity where I can bring that depth of experience while continuing to add value in a more strategic or cross-functional capacity.”
Lancer Insurance, a division of Core Specialty | Remote / Ohio
Lead complex, high-exposure investigations involving suspected fraud, large-loss claims, and multi-party liability across commercial trucking and cargo lines
Analyze claim data, financial records, and investigative findings to identify patterns, inconsistencies, and potential fraudulent activity
Partner with Claims, Legal, Compliance, and external agencies to assess risk exposure and support claim resolution strategies
Provide actionable recommendations that drive claim denials, settlements, or further investigation, contributing to significant cost containment
Utilize tools such as ISO ClaimSearch and network analysis platforms (e.g., NetMap) to uncover organized fraud schemes and connections
Deliver training to claims teams on fraud indicators, investigative techniques, and emerging trends
Maintain a 95% completion rate of assigned investigations within 30 days, consistently exceeding performance expectations
Support referrals to Fraud Bureaus and the National Insurance Crime Bureau (NICB), ensuring proper documentation and compliance
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Lancer Insurance, a division of Core Specialty | Ohio
Conducted investigations into suspicious claims including staged accidents, theft, and arson-related losses
Interviewed claimants, witnesses, and involved parties to gather statements and assess credibility
Collaborated with law enforcement and regulatory agencies on fraud-related cases
Prepared detailed investigative reports used in litigation, claim resolution, and fraud prosecution
