Gladys Moore
Independent Adjuster
Dallas
Summary
Dynamic Fraud and Risk Analyst with expertise in AML compliance, honed at Goldman Sachs & Co. Proven track record in detecting fraud through advanced data analysis and effective communication. Enhanced security measures and developed internal controls, significantly improving fraud prevention strategies and optimizing resource allocation.
Skilled Insurance professional with handling remote, complex, field and auto claims; delivering fair settlements. Known for reliability and adaptability in dynamic environments, ensuring seamless collaboration with team members. Expertise in damage assessment, policy interpretation, and client communication.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Fraud and Risk Analyst
Goldman Sachs & Co
06.2022 - 12.2024
- Detected fraudulent activities by conducting thorough investigations and analyzing transactional data.
- Evaluated new technology solutions, ensuring the most effective tools were utilized in combating potential threats.
- Reviewed customer accounts for unusual activity or patterns indicative of potential fraud risks, flagging concerns for further investigation.
- Leveraged statistical models to identify high-risk transactions, optimizing resources towards areas requiring enhanced scrutiny.
- Assisted in the development of internal controls, enhancing overall security measures against credit card fraud schemes.
- Developed and implemented procedures and reference materials to identify potential fraudulent behavior/patterns.
Inside Property Adjuster
Pilot Catastrophe
10.2020 - 11.2024
- Enhanced customer satisfaction by providing prompt, accurate, and empathetic responses to inquiries throughout the adjustment process.
- Interviewed insured, claimants and witnesses and requested official reports as part of investigations.
- Settled claims after determining clients coverages, liability and authority levels.
- Increased efficiency by effectively utilizing claims management software tools to track progress and monitor workload distribution.
- Provided training and mentorship to new adjusters on company policies and procedures, resulting in improved team performance and reduced learning curve for new hires.
- Assisted colleagues with complex or high-value cases, offering expert guidance on strategies for successful negotiation and settlement resolution.
- Improved claim resolution times by efficiently managing a caseload of property claims and conducting thorough investigations.
- Mitigated losses through timely on-site inspections, ensuring accurate damage assessments were conducted in accordance with company guidelines.
- Effectively managed conflicts between parties involved in the claims process, facilitating amicable resolutions in contentious situations.
Property and Commercial Adjuster
Alacrity Solutions
07.2020 - 10.2020
- Upheld legal compliance standards through meticulous reporting and documentation of claims processes.
- Assisted team members in resolving challenging cases using expert-level problem-solving skills and attention to detail.
- Expedited claims closure rates without sacrificing thoroughness or accuracy by applying exceptional organizational skills.
- Collaborated with other adjusters, contractors, and engineers to ensure accurate evaluations of complex claims situations.
- Negotiated fair settlements between policyholders and insurance companies, ensuring both parties were satisfied with the outcome.
- Provided clear explanations to clients regarding complex policy terms, ensuring they felt informed and confident throughout the claims process.
- Enhanced claim resolution speed by efficiently investigating and assessing damages in the field.
Administrative Coordinator
Drywall Doctor
11.2018 - 06.2020
- Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
- Facilitated smooth day-to-day operations by anticipating needs, proactively addressing potential issues, and efficiently resolving problems as they arose.
- Maintained a well-organized filing system to ensure easy access to important records and documents.
- Managed and maintained electronic and paper-based filing systems to keep essential documents and information easily accessible and organized.
- Collaborated closely with department heads for strategic planning purposes while ensuring their alignment with overall organizational goals.
- Increased team productivity with effective delegation of tasks and prioritization of responsibilities.
- Supported project management efforts by tracking deadlines, maintaining documentation, and assisted with on-site project management and development.
Education
Clinical Psychology
University of Phoenix
07-2016
Skills
- Python programming
- SQL proficiency
- Anti-money laundering
- Integrity maintenance
- Telephone and email etiquette
- Effective communication
- AML compliance
- Transaction monitoring
- Transaction review
- Call management
- Procedure review
- Dispute resolution
- Fraud prevention
- Case management
- Loss prevention
Certification
- NFIP Cerified - 2020-2025
- Statefarm Licensed
- TWIA Cerified 2021-2024
- Xactimate Certified
Timeline
Fraud and Risk Analyst
Goldman Sachs & Co
06.2022 - 12.2024
Inside Property Adjuster
Pilot Catastrophe
10.2020 - 11.2024
Property and Commercial Adjuster
Alacrity Solutions
07.2020 - 10.2020
Administrative Coordinator
Drywall Doctor
11.2018 - 06.2020
Clinical Psychology
University of Phoenix
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