JOHNEISHA WHITNEY
St Louis,MO
Summary
. Experienced Fraud Analyst with keen understanding of financial systems, data analysis and regulatory requirements. Strong ability to identify suspicious activities, conduct thorough investigations, and implement fraud prevention measures. Have effectively reduced instances of fraudulent activity in previous roles by improving internal controls and processes. Commended for analytical skills, problem-solving abilities, and deep knowledge of risk management principles. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
5
5
years of professional experience
Work History
Fraud Analyst
Citi Bank
Ofallon, MO
09.2023 - Current
- Performed detailed analysis of financial transactions to detect and prevent fraudulent activities.
- Reviewed and verified customer identification documents to ensure compliance with regulatory requirements.
- Investigated suspicious activities and incidents, compiling evidence to support fraud cases.
- Developed procedures for the prevention, detection, investigation, and reporting of fraudulent activities.
- Reviewed customer profiles for any changes that may indicate fraudulent activities.
Unemployment Claims Specialist
Equifax
Earth City, MO
10.2022 - 09.2023
- Processed and resolved unemployment claims, ensuring accurate and timely payments
- Provided excellent customer service by addressing inquiries and concerns related to unemployment benefits
- Collaborated with team members to streamline claim processing procedures and improve overall efficiency
- Maintained detailed records and documentation to track claim status and ensure compliance with regulations
Prior Authorization Rep
Cigna
Saint Louis, MO
10.2019 - 10.2022
- Managed prior authorization requests for medical procedures and treatments in a timely manner
- Reviewed medical records and documentation to ensure accuracy and compliance with insurance guidelines
- Communicated effectively with healthcare providers, insurance companies, and patients to obtain necessary information for authorization
- Verified insurance coverage and benefits for patients seeking prior authorization
Patient Access Rep
Mercy
Saint Louis, MO
08.2020 - 07.2022
- Managed patient registrations and insurance verifications for a busy medical office
- Assisted patients with scheduling appointments and navigating insurance claims processes
- Collaborated with healthcare providers to ensure timely and efficient patient care
- Maintained accurate and up-to-date patient records in electronic health records systems
- Overnight Position
Education
HIGH SCHOOL DIPLOMA -
Riverview HighSchool
Saint Louis, MO01.2014
Skills
- English
- Account information review
- Telephone and email etiquette
- Fraud Detection
- Proficient in mirosoft word
- Verbal and written communication
- Effective Communication
- Activity monitoring
- Banking operations
- Dispute Resolution
Certificationscourses
- Epic system
- Investigation
- Customer service 5+ years
- Financial analysis
- Regulatory compliance
- Critical thinking
- Attention to detail
- Time management
- Communication
Timeline
Fraud Analyst
Citi Bank
09.2023 - Current
Unemployment Claims Specialist
Equifax
10.2022 - 09.2023
Patient Access Rep
Mercy
08.2020 - 07.2022
Prior Authorization Rep
Cigna
10.2019 - 10.2022
HIGH SCHOOL DIPLOMA -
Riverview HighSchool