Jashaunica Simon

The main duties of this role is to investigate fraudulent claims filed by the customers. The fraudulent claims may include card transactions, ach transactions, and transactions done via zelle or through wire transfer. Essentially the claims filed are due to the customers suspecting unauthorized activity on their accounts. As the investigator we use multiple applications such as Microsoft, 10 Key, Clear, Mastercom, spreadsheet, and our company surveillance system to make our determinations. As the supervisor, I also process chargebacks to recover any losses from merchants, track shortages/outages on foreign ATMS, and create weekly reports to make sure my team is remaining in compliance with Reg E. I am also the point of contact for my team.

In this role, I served as a Healthcare Specialist for Blue Cross & Blue Shield of Illinois and Alabama. Main duties included assisting customers with their policies, scheduling appointments, updating PCP, checking in network & out network benefits, and connecting with doctors on behalf of the customer. Started off working in the BCBS of Illinois department, but transferred to BCBS of Alabama (Under 65 years old).

In this role serving as a healthcare representative for OptumRX, main duties included assisting customers with their accounts, medications, shipments, and scheduling appointments with local pharmacies. This was a WFH position which included making inbound & outbound calls to the customers and pharmacies,

Our main duties as a collections agent was to collect on delinquent accounts for Toyota/Lexus Financial Service customers. Additional duties also included making outbound/inbound calls to past due account, assist in the process for repossession of the collateral, and working with the dealership to ensure the losses can be recovered in an efficient manner. This job served as a hybrid position with one day a month in office.