Denise Bliss
Lake Saint Louis,MO
Summary
Professional Claims Specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness.
Focused Claims Specialist professional with success and delivered unbiased perspective to solve disputes. Accomplished in collecting supporting information, drafting and reporting comprehensive documentation and leading agreements to resolve complex problems. Driven to strictly follow applicable laws and ethical procedures for all cases.
Overview
1
1
Certification
9
9
years of professional experience
Work History
Resolution Specialist
Vantage Credit Union
08.2025 - 02.2026
- Investigate Fraud: Conduct in-depth investigations into unauthorized transactions, scams, and fraudulent activities across checks, deceased accounts, and card systems.
- Identify Suspicious Activity: Regularly review and monitor alerts generated by financial tracking software {Verafin or Velera).
- Mitigate Risk: Analyze transaction data to identify emerging fraud trends and apply proper controls to prevent further losses.
- Regulatory Compliance: Adhere to federal regulations and guidelines including Reg E and Reg Z concerning claim investigations and provisional credits.
- Manage Disputes: Guide members through filing affidavits and claims for fraudulent debit or credit card transactions.
- Process Chargebacks: Act as a liaison with card processors and vendors to execute chargebacks and post appropriate general ledger and member account adjustments.
- Manage Provisional Credit: Process provisional and final credits accurately within internal and regulatory timeframes.
- Member Service: Work empathetically with members who have been victims of fraud or identity theft to recover funds.
- Law Enforcement Liaison: Represent the credit union by coordinating with local, state, and federal law enforcement agencies for relevant criminal cases.
Operations Specialist II
First Bank
08.2023 - 07.2025
- Reviewed and processed over 1000 claims yearly to ensure compliance with company policies and regulations.
- Communicated with clients to gather necessary information for claim evaluations.
- Analyzed documentation and evidence to determine claim validity and appropriate resolutions.
- Provided support in training new team members on claims handling procedures.
- Identified trends in claims data to recommend improvements in processes and policies.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Ability to pay close attention to detail and adapt to changing priorities and meeting compliance deadlines.
Asset Protection Associate
Saks Fifth Avenue
05.2023 - 07.2023
- Worked here previously as the Lead Detective for 5 1/2 years.
- Conducted regular safety audits to identify vulnerabilities and ensure compliance with regulations.
- Implemented loss prevention strategies to minimize theft and reduce inventory shrinkage.
- Trained new associates on asset protection protocols and emergency response procedures.
- Collaborated with law enforcement during investigations of theft incidents, providing necessary evidence.
- Monitored surveillance systems to detect suspicious activities and prevent potential losses.
- Monitored and analyzed customer behavior to identify and respond to potential theft and fraud incidents.
- Wrote reports outlining activities and results.
- Utilized security systems and CCTV to monitor store activities and detect possible security incidents.
- Assisted law enforcement in the apprehension of shoplifters, providing necessary evidence and documentation for successful prosecutions.
Loss Prevention Manager
Von Maur
07.2021 - 04.2023
- Trained 3 executive managers, 8 department managers and 50+ store employees on loss control and prevention measures.
- Developed and motivated staff and managers to ensure a safe environment.
- Attentively monitored store and surrounding areas for signs of attempted theft by customers or personnel, intervening when necessary.
- Uphold strict security and safety procedures to protect business from financial losses due to theft or careless mismanagement.
- Supported audits, shortage control initiatives, apprehension, and disposition by preparing and reviewing associated paperwork.
- Prepared and completed reports related to all theft incidents, merchandise recoveries and audits.
Loss Prevention Manager
HomeGoods
02.2020 - 07.2021
- Supported audits, shortage control initiatives, apprehension, and disposition by preparing and reviewing associated paperwork.
- Generated comprehensive reports, documenting evidence of attempted theft, and recovered merchandise.
- Calmly and efficiently addressed emergency situations such as safety hazards and threats to life or property, deescalating when possible and directing shoppers to safety.
- Installed and maintained covert security equipment.
- Performed thorough cash audits and deposit investigations.
- Covered seven stores.
Front End Manager / Department Manager OGP
Walmart
10.2016 - 02.2020
- Trained 40+ team members in successful strategies to meet operational and sales targets.
- Oversaw 40+ employee performance, corrected problems, and increased efficiency to maintain productivity targets.
- Reviewed financial reports and trend forecasts.
- Promptly handled 30+ customer inquiries and complaints per day with 97% customer satisfaction rate.
- Decreased wait time in customer service by 1 minute and 24 seconds by implementing cross-trained front-end associates.
- Motivated employees to perform at peak productivity with morale-boosting programs.
- Coached employees through day-to-day work and complex problems.
- Maintained strong customer relations and effective customer service standards.
- Assessed personnel performance and implemented incentives and team-building events to boost morale.
- Greeted customers upon arrival, offered hands-on assistance to customers, assessed customer needs, and answered questions to build rapport and retention.
- Coached and trained employees on methods for handling various aspects of sales, how to give excellent customer service, managing complicated issues and difficult customer situations.
Education
Associate of Science - Criminal Justice
Community College of Denver
Denver, CO05.1988
Skills
- Interviews and Interrogations
- Critical Thinking and Listening
- Six sigma methodologies
- Attention to detail
- Multitasking Abilities
- Problem Analysis and Resolution
- Excellent Communication Skills
- Organizing and prioritizing work
- Teamwork and collaboration
- Risk management
Certification
Security License
Timeline
Resolution Specialist
Vantage Credit Union
08.2025 - 02.2026
Operations Specialist II
First Bank
08.2023 - 07.2025
Asset Protection Associate
Saks Fifth Avenue
05.2023 - 07.2023
Loss Prevention Manager
Von Maur
07.2021 - 04.2023
Loss Prevention Manager
HomeGoods
02.2020 - 07.2021
Front End Manager / Department Manager OGP
Walmart
10.2016 - 02.2020
Associate of Science - Criminal Justice
Community College of Denver