John Sims
Truist Financial
Cedar Hill,TX
9
years of professional experience
1
Certification
Licensed Claims Adjuster and Fraud Specialist experienced in claims investigation, risk assessment, and fraud detection. Delivered effective loss prevention strategies and ensured regulatory compliance through strong analytical skills and conflict resolution. Focused on leveraging investigative and problem-solving capabilities to drive organizational success.
Work History
Fraud Specialist
3 Months- Investigated suspicious account activity and transaction patterns to identify potential fraud cases.
- Analyzed deposit, card, and online banking activity for unauthorized access indicators.
- Reviewed alerts and case files to validate discrepancies and escalate confirmed risks.
- Documented findings in case management systems with clear, audit-ready notes.
Dietary Supervisor (SafeServ Certified)
1 Year 2 Months- Supervised and coordinated daily operations of dietary staff to ensure adherence to health and safety standards.
- Managed truck orders and inventory control processes, optimizing supply chain to prevent shortages and reduce waste.
- Updated patient reports using RDS systems, ensuring accuracy and compliance with regulatory requirements.
Insurance Adjuster
1 Year 10 Months- Investigated property, casualty, and liability claims, gathering evidence and evaluating coverage to support accurate claim decisions.
- Assessed damages and estimated repair/replacement costs, providing thorough claim documentation to facilitate timely settlements.
- Negotiated settlements with claimants, contractors, and vendors to ensure fair outcomes.
- Delivered high-quality customer service, resolving inquiries and enhancing claimant satisfaction through effective communication.
Aged Inventory Specialist
1 Year 5 Months- Processed title procurement for insurance companies, ensuring accuracy through collaboration with financial institutions and vehicle owners.
- Managed aging inventory and resolved claim-related problem files, improving resolution timelines and minimizing delays.
- Trained and mentored new employees, cross-training existing staff to enhance productivity.
- Trained and mentored new employees while cross-training existing staff, fostering a knowledgeable and versatile team.
Asset Protection Specialist
2 Years- Conducted surveillance and investigations to deter theft and fraud, enhancing overall security.
- Documented theft attempts and coordinated with local law enforcement for accurate incident reporting.
- Implemented theft-prevention strategies, resulting in significant reduction of shrinkage and loss.
Social Media Specialist
9 Months- Developed and managed social media content, increasing online engagement through tailored posts.
- Monitored conversations, enhancing brand presence with targeted strategies that resonated with audience.
- Led social content publishing across multiple platforms, maintaining brand voice and posting cadence.
- Managed community interactions, responding to comments and messages with accurate, timely support.
- Monitored social channels for trends, sentiment shifts, and emerging customer issues.
Customer Service Representative
1 Year 10 Months- Resolved high-volume inbound calls, addressing customer issues effectively.
- Trained and supported 100+ agents on the floor, enhancing team readiness.
- Enhanced customer satisfaction scores by proactively resolving issues.
Education
Skills
Claims Adjustment & Investigation
Fraud Risk Assessment
Fraud Case Management
Loss Prevention & Asset Protection
Fraud Case Documentation
CRM systems
Title Processing & Documentation
Fraud Awareness Training
Microsoft Office Suite
Office software
Typing Speed: 55+ WPM
Fraud Detection Techniques
Certification
Licensed Claims Adjuster (Active), SafeServ Certification
Timeline
Fraud Specialist
Truist Financial
07.2026 - CurrentRead More
Dietary Supervisor (SafeServ Certified)
Prestonwood Rehabilitation
07.2024 - 09.2025Read More
Insurance Adjuster
Care Professional Liability Association, LLC
02.2023 - 12.2024Read More
Aged Inventory Specialist
Copart, Inc.
02.2023 - 07.2024Read More
Asset Protection Specialist
Walmart
02.2021 - 02.2023Read More
Social Media Specialist
Genpact
05.2019 - 02.2020Read More
Customer Service Representative
Iqor
07.2017 - 05.2019Read More
Lincoln High School
Read More