Ramick Rojas

• Investigated and resolved high-risk claims by analyzing data trends and detecting fraudulent activity, ensuring compliance with industry standards.
• Collaborated with cross-functional teams to enhance fraud detection processes, reducing false positives and increasing detection accuracy by X%.
• Developed and maintained reports on fraud case metrics, identifying patterns that informed proactive fraud prevention strategies.
• Trained and mentored junior staff on claims analysis and fraud detection techniques, improving team performance and knowledge retention.

Implemented new claim review protocols, which decreased processing times by X% and improved customer satisfaction scores

Led training sessions for new hires in fraud detection, providing hands-on guidance to ensure they quickly adapted to departmental protocols and industry best practices, enhancing team readiness and reducing onboarding time

Brought 4 years of expertise in fraud detection and prevention, leveraging in-depth knowledge of fraud processes to analyze complex cases and minimize risk.

Collaborated with contact center teams to streamline communication and ensure consistent support for fraud-related inquiries, improving response times and client satisfaction