Summary
Overview
Work History
Education
Skills
Timeline
Personal Information
Generic

KEVIN J CAREY

Wilmington

Summary

Skilled project manager with extensive experience in insurance fraud detection, investigation and prevention. Proven ability to collaborate with assorted legal, medical and other professionals in order to achieve organizational objectives. Strategic and hands-on leader with a track record delivering continuous improvement in process, cost, quality, and productivity. Achieved improvements by effectively communicating solutions to internal personnel. History of creating culture of teamwork and common mission. Adept at leveraging corporate resources to solve customer problems and attain business goals. Drove major projects, programs, and initiatives from planning through execution. Demonstrated dedication and loyalty through long term association and progressive growth with a single organization. Possess absolute commitment to quality service and client satisfaction. Extremely organized and attentive to detail. Adept at prioritizing and completing multiple tasks and projects simultaneously. Superior communication and interpersonal skills. Able to build and maintain strong working relationships with a wide array of individuals. Successfully led the New Jersey Fraudulent Insurance Identification Card Project, which required development of sensitive and long lasting relationships within New Jersey Law Enforcement and Legal Communities. Developed and delivered educational curriculum on identification and investigation of insurance fraud activities for various internal and external audiences. Recognized for in-depth industry knowledge and was asked by New Jersey Special Investigators Association to present coursework at an annual seminar that fulfilled statutory training requirements of the New Jersey Insurance Fraud Prevention Act.

Overview

38
38
years of professional experience

Work History

Bodily Injury Claim Specialist

State Farm Insurance Company
11.2025 - Current
  • Auto BI Claims Adjuster with introductory experience assisting in the handling of Auto Injury claims involving bodily injury. Skills in reviewing financial records, understanding policy coverage, and supporting claim evaluations under supervision. Highly motivated, detail-oriented, and eager to build expertise while delivering accurate and fair claims service.

Learning Delivery Facilitator

State Farm Insurance Company
01.2015 - 11.2025
  • Organize and/or oversee comprehensive training programs using both current and newly designed processes. Build interactive training content based on an existing foundation of knowledge and experiences with the ability to effectively apply these foundations to new learning experiences. Utilize a variety of training techniques and learning tools to ensure maximum learning effectiveness. Appropriately establish and provide regular feedback against detailed learning objectives. Measure knowledge transfer, knowledge retention, and effectiveness of training; reporting training effectiveness and results to leadership. Develop best practice learning and develop methodology and programs that ensure sustainable development outside of the classroom. Continually observe current processes and techniques, working with various business units to effectively identify opportunities for best practice and training development. Develop case studies and simulated practice examples. Prepare new employees for their roles by conducting new hire training programs. Execute various training roles including facilitator, presenter, coach, mentor and evaluator.

Claim Specialist

State Farm Insurance Company
01.2011 - 01.2015
  • Team Leader for the Centralized Claim Department. Responsible for coaching, training and development of Claim Representatives, Claim Processors and Support Staff. Analysis & development of departmental workflows to increase productivity and efficiency. Driving results, success and remarkable customer service. Created, administered and delivered multiple training programs which resulted in a 100% success rate with respect to state licensing of Adjusters, Appraisers & Team Managers. Mentoring, development and on-boarding of new hirers.

Special Investigative Unit Representative

State Farm Insurance Company
01.1996 - 01.2011
  • Conduct extensive investigations on possible fraudulent auto claim activity regarding bodily injury, property liability and PIP. Perform statement canvassing and undercover surveillance on assorted cases. Detect and research questionable actions performed by medical professionals. Filed multiple major affirmative action defenses on assorted healthcare providers. Participate in all facets of litigation, including providing depositions and expert testimony needed to successfully prosecute criminal cases and resolve civil cases. Review doctor office practices and procedures to assure compliance with PIP statute regulations. Examine medical records, charts, X-rays and technical documents to determine irregularities in treatment programs and associated charges. Work closely with law enforcement professionals, fire investigators, county prosecutors and internal and external attorneys on researching and solving insurance related crimes. Supervise database research and follow-up activities conducted by administrative support personnel. Mentoring and development of staff members.

Claims Representative

State Farm Insurance Company
01.1994 - 01.1996
  • Evaluated and processed property damage, bodily injury and PIP claims related to auto accidents. Reviewed policy coverage to determine and authorize appropriate pay-outs. Served as liaison between claimants, legal representatives and corporation on processing status and all closure activities. Participated in litigations and aggressively pursued subrogation with carriers, courts and arbitrators.

Vehicle Damage Estimator

State Farm Insurance Company
01.1991 - 01.1993
  • Utilized mechanical expertise to inspect and evaluate damaged vehicles and determine appropriate loss settlements. Prepared comprehensive damage appraisal reports and secured photographic documentation needed to support decisions. Instructed associates on proper automobile repair methods, use of non-OEM replacement parts, damage assessment techniques and total loss valuation and settlement.

Underwriter

State Farm Insurance Company
01.1988 - 01.1991
  • Thoroughly reviewed coverage applications for completeness and accuracy. Researched data to determine risk factors and developed premiums according to rating modules. Investigated irregularities in submitted information and retrieved necessary details needed to complete processing.

Education

Bachelor of Science - Business Administration in General Management

Thomas Edison State College
Trenton, New Jersey

Fraud Claim Law Specialist

American Educational Institute
Basking Ridge, NJ

AIC Designation - undefined

Insurance Institute of America
Malvern, PA

INS Designation - undefined

Insurance Institute of America
Malvern, PA

AIS Designation - undefined

Insurance Institute of America
Malvern, PA

ACS Designation - undefined

Insurance Institute of America
Malvern, PA

CPCU Designation - undefined

Insurance Institute of America
Malvern, PA

Chief Structure Alignment Certification - undefined

Chief E-Z Liner School
Toledo, OH

Vehicle Damage Appraisal Certification - undefined

Vale Technical School
Chambersburg, PA

Associate in Claims–Management - undefined

Insurance Institute of America
Malvern, PA

Skills

  • Advanced Microsoft Word
  • Excel
  • PowerPoint
  • Access
  • Outlook
  • Proprietary Electronic Claim Systems
  • Window Applications
  • Internet Navigation

Timeline

Bodily Injury Claim Specialist

State Farm Insurance Company
11.2025 - Current

Learning Delivery Facilitator

State Farm Insurance Company
01.2015 - 11.2025

Claim Specialist

State Farm Insurance Company
01.2011 - 01.2015

Special Investigative Unit Representative

State Farm Insurance Company
01.1996 - 01.2011

Claims Representative

State Farm Insurance Company
01.1994 - 01.1996

Vehicle Damage Estimator

State Farm Insurance Company
01.1991 - 01.1993

Underwriter

State Farm Insurance Company
01.1988 - 01.1991

Fraud Claim Law Specialist

American Educational Institute

AIC Designation - undefined

Insurance Institute of America

INS Designation - undefined

Insurance Institute of America

AIS Designation - undefined

Insurance Institute of America

ACS Designation - undefined

Insurance Institute of America

CPCU Designation - undefined

Insurance Institute of America

Chief Structure Alignment Certification - undefined

Chief E-Z Liner School

Vehicle Damage Appraisal Certification - undefined

Vale Technical School

Associate in Claims–Management - undefined

Insurance Institute of America

Bachelor of Science - Business Administration in General Management

Thomas Edison State College

Personal Information

ID Number: 2016028417
KEVIN J CAREY