Summary
Overview
Work History
Education
Skills
Timeline
Receptionist

La’Shante A. Prendes

Lithonia,GA

Summary

Driven Fraud Analyst proudly offering over 15 years' experience in project management, data analysis and fraudulent pattern identification and Preventation. A determined professional known for reviewing and identifying suspicious activity. Offering a relentless commitment to finding solutions to problems. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Proficient in multiple Fraud systems such as... Hogan, Verint, RMS-Lexis Nexis, Columbia-PRR, SCRA, SMIS, UW, WFO, Workday, Prevent, Positive Pay and Webview.

Overview

5
5
years of professional experience

Work History

Premier Elite Advocate

United Healthcare
, GA
02.2023 - Current
  • Explained coverage options to current and potential members, discussing plan information, answering questions about billed amounts and concerns.
  • Provided communication through: Telephone, Email, Fax, and detailed notations on accounts.
  • Researched adjusted and settled claims according to information presented through various internal systems.
  • Maintained accurate records and documented client data in company databases.
  • Built and maintained strong relationships with patients by successfully resolving issues and responding promptly to phone inquiries.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Acted as a liaison between clients and external agencies offering assistance.
  • Provided emotional support to clients dealing with difficult life circumstances.

Detection Investigation Analyst Lead

PNC Bank
, GA
06.2021 - 10.2022
  • Analyzed and monitored customer accounts for suspicious or fraudulent activity.
  • Conducted interviews with suspects and witnesses involved in fraudulent activities as part of investigations.
  • Analyzed data from multiple sources such as credit card companies, banks, and payment processors for suspicious activity.
  • Created detailed documentation outlining processes used during investigations into suspected fraudulent activities.
  • Utilized software systems to detect patterns of fraudulent behavior.
  • Collaborated with law enforcement agencies to investigate fraudulent claims.
  • Assisted with the development of new policies and procedures related to fraud detection and prevention from occurring in the future.
  • Utilized effective interpersonal and active listening skills during interviews with witnesses regarding fraud cases.
  • Made recommendations for closing accounts and performed associated follow-up.

Fraud Claims Operations Analyst II

Wells Fargo Bank, N.A.
, GA
08.2018 - 06.2021
  • Monitored customer account activities for potential money laundering activities or other suspicious behavior.
  • Tracked fraudulent activity across multiple channels including online banking, mobile banking, ATMs.
  • Assisted in the development of new processes and technologies to detect, prevent, and mitigate financial crime risks.
  • Coordinated with internal teams to investigate suspect transactions and take appropriate action.
  • Communicated effectively with customers regarding suspected fraudulent activities or suspicious behavior
  • Assisted external law enforcement agencies when necessary during criminal investigations related to financial crimes.
  • Prepared detailed reports outlining the results of investigations into suspected fraudulent activities.
  • Made recommendations for closing accounts and performed associated follow-up.
  • Utilized specialized software tools designed for detecting patterns associated with fraudulent activity.

Education

Bachelor of Arts -

Georgia State University
Atlanta, GA
06.2020

Skills

  • Risk Mitigation
  • Investigation Documentation
  • Transaction Review
  • Fraud Detection
  • Account Information Review
  • Fraud Patterns
  • Verbal and Written Communication
  • Case Management
  • Self-Motivated
  • Problem-Solving
  • MS Office
  • Flexible and Adaptable
  • Critical Thinking
  • Multitasking Abilities
  • Organization and Time Management

Timeline

Premier Elite Advocate

United Healthcare
02.2023 - Current

Detection Investigation Analyst Lead

PNC Bank
06.2021 - 10.2022

Fraud Claims Operations Analyst II

Wells Fargo Bank, N.A.
08.2018 - 06.2021

Bachelor of Arts -

Georgia State University

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La’Shante A. Prendes