Created The Special Investigation Risk Unit from the ground up, helping to save the company millions of dollars in fraud savings. Analyze High risk claims and transactions to identify fraudulent behavior. Maintained files of any fraudulent activity which included any interviews completed and documents to be escalated to compliance and or the state department. Identified process improvement opportunities to enhance operational effectiveness and improve system functionality. Spearheaded new initiatives to be able to develop a metric for year-end goals.
Experienced with data analysis, statistical modeling, and business intelligence tools. Utilizes analytical skills to identify trends and provide actionable insights that support business decisions. Knowledge of data visualization techniques and effective communication ensures clear presentation of complex information to stakeholders.