Experienced with uncovering fraudulent activities through detailed investigations and data analysis. Utilizes advanced investigative techniques and cross-functional collaboration to ensure thorough and accurate findings. Track record of maintaining compliance with legal standards and providing reliable results.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Work History
Fraud Investigator
Discover Financial Services, DFS
2021 - 2025
Analyzed transaction patterns to detect fraudulent activities and mitigate risks.
Collaborated with cross-functional teams to enhance fraud prevention strategies.
Conducted thorough investigations of suspicious claims, ensuring compliance with regulations.
Developed and implemented improved processes for identifying potential fraud cases.
Utilized advanced data analytics tools to assess risk levels and inform decision-making.
Prepared detailed reports summarizing findings and recommendations for management review.
Reduced fraudulent activity by implementing effective fraud detection strategies and tools.
Billing Follow-up/Credit Balance Specialist
Knox Community Hospital
2018 - 2021
Analyzed credit balance discrepancies to ensure accurate account reconciliation.
Collaborated with finance team to resolve billing inquiries and improve customer satisfaction.
Developed and maintained comprehensive reports on credit balances for management review.
Trained junior staff on credit balance procedures and best practices for accuracy.
Managed high volume caseloads with exceptional attention to detail, ensuring timely resolution of all credit balance cases.
Collaborated with billing departments to proactively address potential credit balance discrepancies.
Boosted productivity by leveraging advanced software tools for efficient data entry and analysis.
Resolution Specialist / Client Service Rep
Express Scripts
2012 - 2017
Resolved complex customer issues through effective communication and problem-solving techniques.
Analyzed claims data to identify trends and implement process improvements.
Collaborated with cross-functional teams to enhance service delivery and operational efficiency.
Mentored junior staff on best practices for conflict resolution and customer engagement.
Assisted colleagues in navigating challenging situations by sharing expertise and offering guidance when requested or needed.
Handled escalated calls calmly and professionally, ensuring that even highly dissatisfied customers felt heard and supported throughout the process.
Utilized advanced problem-solving abilities to identify creative solutions for atypical client concerns.
Participated actively in ongoing professional development opportunities to stay current on industry best practices and enhance personal skillset.
Managed client accounts, ensuring timely updates and accurate information delivery.
Handled sensitive client information with discretion, ensuring confidentiality at all times.
Trained staff on operating procedures and company services.
1, Inspection For Repairs, Customer said when blades engaged unit shuts off please get estimate, Seg 3- Replace mower blade spindle. Found left side spindle seized and will need replaced. Belt has wear and is recommended replacement. The reason this happened is water got in the bearings and ate away the metal on bearings then causing the spindle to seize. Seg 4- Replace left steering arm shock absorber. Shock absorber is not returning steering arm smoothly., 2025-05-02, PICKUP/DEL TURF, SHOP SUPPLY LG