GILBERT LEWIS
Overview
6
6
years of professional experience
Work History
Fraud Operations Specialist
Wells Fargo
05.2023 - Current
- Evaluated customer data to identify and prevent fraudulent activities.
- 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.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
Licensed Claims Adjuster
PROGRESSIVE INSURANCE
01.2022 - 05.2023
- Partner with appraisers/estimators to manage vehicle repairs.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Conduct interviews with claimants, insureds, and witnesses to gather statements
- Evaluated insurance policies and analyzed damages to determine coverage.
Dispute & Fraud Analyst
US BANK
01.2022 - 03.2023
- Communicate with bank branches to request additional information for claims resolution
- Investigate and resolve complex, large dollar customer claims of error or unauthorized use, involving ATM, ACH in compliance with regulation E
- Research and identify suspicious activity through comparative analysis to determine if the activity constitutes proactive steps to avoid further or potential loss
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
Unemployment Claims Specialist
State Of Arizona Department Of Economic Security
07.2021 - 01.2022
- Assisted claimants in navigating the unemployment benefits system, addressing concerns, and answering inquiries promptly.
- Reviewed appeal requests from denied claimants, making determinations based on legal guidelines and individual case factors.
- Maintained up-to-date knowledge of federal and state regulations governing unemployment insurance programs, ensuring compliance at all times.
Claims Specialist
Allstate
07.2018 - 11.2020
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Education
GED -
ARIZONA WESTERN COLLEGE
Associate in Business -
Arizona Western College
05.2026
Skills
- Verbal and Written Communication
- Proficient in Microsoft Office 365
- Problem Solving
- Fraud Prevention and Detection
- Regulatory knowledge
- AML compliance knowledge
Timeline
Fraud Operations Specialist
Wells Fargo
05.2023 - Current
Licensed Claims Adjuster
PROGRESSIVE INSURANCE
01.2022 - 05.2023
Dispute & Fraud Analyst
US BANK
01.2022 - 03.2023
Unemployment Claims Specialist
State Of Arizona Department Of Economic Security
07.2021 - 01.2022
Claims Specialist
Allstate
07.2018 - 11.2020
GED -
ARIZONA WESTERN COLLEGE
Associate in Business -
Arizona Western College
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