Motivated and reflective individual aiming to leverage skills in a growth-oriented environment.
Overview
9
9
years of professional experience
Work History
Fraud Specialist
Triumphpay
Dallas, TX
11.2024 - Current
Evaluated real-time payment data to ensure accuracy of client account modifications.
Evaluated and documented emerging fraud trends to strengthen risk management strategies.
Oversaw and enforced compliance protocols to ensure procedural integrity.
Oversaw efficient completion of assigned tasks while maintaining proactive client communication.
Facilitated communication between clients and financial institutions during three-way calls to confirm accurate account ownership.
Adapted to evolving work assignments to drive team productivity.
Implemented established protocols to verify account ownership with precision.
Evaluated account behavior to identify potential security breaches and reported findings to management for prompt action.
Developed and executed innovative strategies to enhance task efficiency and optimize payment platforms.
Facilitated collaborative discussions to articulate and exchange ideas for enhancing business functionality.
Streamlined customer assistance by addressing inquiries regarding client accounts, broker operations, and invoicing procedures.
Engineered practical solutions for clients to enhance accuracy in payment update verification.
Instructed clients on optimal use of account and payment portal features to improve user experience.
Streamlined client communication by meticulously verifying account activity to enhance clarity and satisfaction.
Executed comprehensive reviews of account access records to identify potential account takeovers.
Digital Fraud Specialist
PNC
Remote
01.2023 - 08.2024
Streamlined case processing through utilization of various internal platforms.
Evaluated gray area accounts to determine appropriate actions, including release or request for additional verification.
Delivered prompt feedback on fraud trends to management and colleagues, fostering team alignment.
Embraced constructive feedback from teammates, managers, and subject matter experts to enhance performance.
Followed policies and procedures consistently. Reviewed emails daily to stay informed on updates.
Facilitated team meetings by providing constructive suggestions and insights.
Verified account notations for accuracy by adhering to established guidelines.
Conducted thorough review of Actimize to enhance security measures for customer accounts.
Utilized job aids within SharePoint to enhance task efficiency.
Monitored and reported emerging fraud trends to management for strategic decision-making.
Adhered to established protocols for utilizing various information-gathering platforms.
Proposed innovative process procedures to enhance operational efficiency.
Utilized early warning system to detect and confirm potential nefarious activities.
Fraud Specialist
Newfold Digital
Houston, TX
10.2019 - 12.2022
Executed rapid processing of new account signups utilizing internal and third-party tools.
Evaluated gray area accounts within Sift by analyzing custom attributes and customer behavior patterns.
Facilitated training sessions for new hires on systems and procedures documented in Confluence.
Delivered prompt feedback on fraud trends to management and colleagues, fostering team alignment.
Facilitated account verification for previously deactivated customers through Salesforce email communications.
Conducted thorough document reviews to verify authenticity of IDs and bank statements during account verification processes.
Oversaw completion of assigned tasks, including accurate processing of accounts within diverse billing systems.
Ensured adherence to notation and ticket response standards by utilizing established formats within Confluence.
Conducted daily fraud audits, ensuring accurate updates to Sift data.
Oversaw compliance adherence during sensitive customer data removal from systems.
Documented client concerns and resolutions in Salesforce, Pega, and Grove while managing caseloads.
Conducted comprehensive research on domains linked to signups to identify potential malicious sites.
Collaborated with Vantiv to prevent duplicate orders and mitigate payment abuse risks.
Utilized Microsoft systems to update trends, participate in team discussions, and revise existing articles within Confluence.
Monitored and integrated company-wide policy changes while completing assigned training during work hours.
Monitored compliance with Confluence guidelines to ensure proper account handling across diverse billing platforms.
Customer Service Specialist
Aetna
Houston, TX
10.2018 - 10.2019
Ensured compliance with HIPAA and privacy laws to safeguard member confidentiality.
Facilitated resolution of member concerns by accurately quoting relevant information.
Facilitated resolution of billing concerns by making outbound calls to providers on behalf of members.
Oversaw accurate processing of claims and initiated rework for discrepancies.
Facilitated member access to network providers through effective resource navigation.
Guided members through claim reimbursement procedures to ensure clarity and compliance.
Facilitated member appeal and grievance filing processes in compliance with legal requirements.
Monitored call flow adherence by consistently implementing established procedures.
Monitored and enforced adherence to established schedules.
Documented concerns and implemented resolutions to enhance operational efficiency.
Senior Fraud Specialist
JP Morgan Chase
Houston, TX
07.2016 - 10.2018
Ensured client privacy compliance by adhering to JPMorgan Chase's stringent privacy regulations.
Facilitated client calls to ensure resolution and satisfaction during interactions.
Evaluated accounts and profiles to assess potential financial risks associated with client relationships.
Executed outbound communications with financial institutions to determine funding ownership and payment status.
Ensured adherence to strict guidelines for bic verbiage in scripts and completed relationship checklist with clients.
Processed vendor payments and bill payments efficiently. Assisted in managing ACH transfers and approved wire templates. Facilitated quick payment processing for wires.
Executed strict adherence to guidelines and procedures for releasing and extending holds in accordance with Chase policy.
Executed system log-off procedures during breaks to uphold security protocols.
Monitored adherence to schedules and executed required CBT as mandated by JP Morgan Chase.
Monitored and maintained awareness of communications and company process updates.
Promoted respectful and dignified treatment of clients in all circumstances.
Documented all calls and system interactions to ensure accurate record-keeping.
Education
Bachelor of Arts - Fine Arts
Texas Tech University
Lubbock, TX
12.2006
Associate of Science - Science
San Jacinto College
Pasadena, TX
05.2001
Skills
Employed expertise in Microsoft Office applications to improve efficiency in document development and enhance data analysis processes
Implemented targeted organizational strategies and time management techniques to streamline workflows and optimize productivity
Employed analytical expertise to address and solve intricate problems, enhancing operational effectiveness
Utilized adaptability and resilience to navigate and respond to shifting workplace environments
Directed teams in the effective use of Pega, Salesforce, and Tableau to optimize project management efficiency Oversaw billing operations through successful integration with PayPal and Vantiv Championed data analysis initiatives utilizing Pinnacle and ATF WebView tools to enhance strategic decision-making
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical GroupEOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical Group