Hi, I’m
Aleyda Miranda
Homestead,FL
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, and problem-solving skills. Looking for forward to the opportunity with professional growth and development.
Overview
7
years of professional experience
Work History
Assurant
Mobile Triage- Fraud Specialist
09.2018 - Current
Job overview
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
- Performed risk assessments to determine level of fraud risk and prioritize investigations.
- Evaluated customer data to identify and prevent fraudulent activities.
- Developed and implemented procedures to detect and prevent fraud.
- Tracked fraud cases and monitored trends to develop strategies for prevention.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Worked with third-party vendors to access and analyze data and systems.
- Produced detailed reports of fraud investigations and presented findings to senior management.
- Evaluated success of fraud detection systems to identify areas for improvement.
- Reviewed transactions and receipts to identify any suspicious activity.
- Adjudicate claims based on terms of program while maintaining follow up tasks.
- Manage all red flags claim with in service levels.
- Collaborated with team members to discuss fraud trends and brainstorm methods to combat this type of crime.
- Perform specialized functions related to Fraud detection and prevention.
- Adhere company policies and procedure.
Assurant
Customer Service Representative
02.2017 - 09.2018
Job overview
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Responded to customer requests for products, services, and company information.
- Investigated and resolved customer inquiries and complaints quickly.
- Met customer call guidelines for service levels, handle time and productivity.
Carnival Cruise Lines
Customer Service Representative
08.2016 - 09.2016
Job overview
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Met customer call guidelines for service levels, handle time and productivity.
- Educated customers about billing, payment processing and support policies and procedures.
Education
Everest InstituteKendall, FL
No Degree from Medical Billing And Coding
09.2009
University Overview
- Medical billing and coding with academic honers
- Knowledgeable with CMS 1500, UB-04, CPT, ICD-9, medical terminology, medical billing and coding programs as Claim Gear and Medisoft.
Skills
- Support Service Delivery
- Past Due Account Management
- Critical thinking skills
- Loss Mitigation
- Account Verification
- Proficient in Windows
- Customer Service Process Improvement
- Verbal and Written Communication
- Special Projects
- Data base Query Software
Timeline
Mobile Triage- Fraud Specialist
Assurant
09.2018 - Current
Customer Service Representative
Assurant
02.2017 - 09.2018
Customer Service Representative
Carnival Cruise Lines
08.2016 - 09.2016
Everest Institute
No Degree from Medical Billing And Coding