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Results-driven, detail-oriented professional with over 10 years’ experience in Health Care fraud detection, deterrence and prevention. Knowledgeable in both Medicare and Medicaid. Over 10 years’ experience in Quality Assurance. Developed expertise in both Business Analyst and Data Analyst roles. Superior computer skills and proven analytical ability. Excellent time management skills to meet timeliness requirements and deadlines. Additional experience in areas of loan servicing, records management, team leadership and customer relations. Strong problem-solving skills as well as a proven ability to boost efficiency and productivity. Excellent interpersonal skills with an energetic approach to the task. 
PeoplesoftLotus NotesMicrosoft Office suite- Word, Excel, Access, Outlook and Power Point/ IBM Reflection application/ Citrix/ Ascent Capture/ Teleform/ PECOS/ Business Objects and ONE PI/ UCM/SAS/RACDW.

Fraud specialist skilled in risk assessment and fraud detection. Adept at analyzing complex data and identifying suspicious activities. Known for strong teamwork and adaptability in dynamic environments. Possess critical thinking, problem-solving capabilities, and excellent communication skills. I am committed to continue learning and growing my skills in the business field.

Knowledgeable and dedicated customer service professional with extensive experience in the customer service industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Dynamic and results-driven professional with extensive experience at Infosys BPM as a Sr. Support Specialist, specializing in fraud analysis and customer support management. Proven ability to lead teams effectively while enhancing operational efficiency. Strong expertise in ticketing systems and a competitive spirit drives innovative solutions in fast-paced environments.

Lily Wolfmeier

Summary

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Business Fraud Support Specialist

Customer Support Services

Shift Leader

Line Leader

Line Worker

Operations Associate

Service Associate

Unit Counselor

Education

Some College (No Degree) - Political Science

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Business Fraud Support Specialist

Customer Support Services

Shift Leader

Line Leader

Line Worker

Operations Associate

Service Associate

Unit Counselor

Some College (No Degree) - Political Science

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