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.
project managementdata analyst* Fraud Investigation & Detection * Complex Claims Analysis (Commercial Auto, Cargo, Large Loss) * Risk Assessment & Exposure Evaluation * Data Analytics & Pattern Recognition * Regulatory Compliance & Ethics * SIU / NICB Referral Management * Litigation Support & Case Development * Interviewing & Statement Analysis * Cross-Functional Collaboration (Claims, Legal, Compliance) * Investigative Reporting & Documentation * Process Improvement & Operational Efficiency * Training & Development (Fraud Awareness, Claims Best Practices) * Vendor & TPA Oversight * Conflict Resolution & Negotiation * Critical Thinking & Problem Solving
