Ruben Israel Sanchez
Pea Ridge,AR
Summary
Ruben is an experienced fraud prevention professional prepared to make a significant impact on risk management and loss prevention. With 10+ years of investigative work he has developed strong analytical skills, pays attention to detail, and is an expert in fraud detection in a fast paced environment. Ruben is known for his collaborative mindset and adaptability to changing needs, ensuring effective team performance and achieving results. He is highly reliable with a strong focus on problem solving and delivering outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Case Manager II, Delivery Teams
Claim Management Inc.
03.2018 - Current
- Analyzed claims to determine extent of company's liability
- Established and maintained high level of positive working relationships with internal and external customers, ensuring satisfaction with company services
- Adhered to all statutory and regulatory fair claims practices
- Developed skills to investigate claim evidence efficiently and thoroughly.
- Investigate/assess higher exposure claims, including Third Party Delivery BI and AP claims
- Communicate and negotiate with attorneys to reach a reasonable and fair resolution
- Assume handling of Total Loss and Subrogation claims
- Aid and support to L1/L2 case managers
- Trained and mentored new adjusters
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Specialist IV, Payroll
Global Shared Services
01.2016 - 03.2018
- Payroll accounts reconciliation
- Enhanced the reconciliation process by implementing automated tools and streamlining procedures. (Cash and Termination accounts)
- Optimized data entry processes for increased accuracy and reduced time spent on manual tasks.
- Reduced financial discrepancies by diligently reviewing account statements and identifying errors.
- Managed high-volume workloads effectively, prioritizing tasks based on urgency and complexity.
- Collaborated with cross-functional teams to achieve project goals on time.
- Followed all company policies and procedures to deliver quality work.
- Create, validate and submit Journal Entries from corporate to store level accounts
- Work with business partner, JP Morgan Chase, to review and correct payment exceptions including checks and ACH transfers
- System Knowledge; Document Direct, HOST, ChecksIE, Walmart applications (example: Administrator access to GAIN, Online Paystub and TALX), JP Morgan Banking, and SAP.
Fraud Analyst
Sam’s Club Home Office
06.2014 - 01.2016
- Performed fraud review for eCommerce orders
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Performed risk assessments to determine level of fraud risk and prioritize investigations.
- Tracked fraud cases and monitored trends to develop strategies for prevention.
- Settled bank charge disputes by submitting documentation to Member’s financial institution. (Chargebacks and Retrievals)
- Trained new associates in certain processes necessary for our role
- Drafted a step-by-step manual for specific processes in our role to support new employee training
- Provided training to colleagues on current AML regulations, enhancing their understanding of compliance requirements.
- Strengthened AML compliance by conducting thorough risk assessments and monitoring transactions.
Education
Associate of Applied Science - Business Management
Northwest Arkansas Community College
Bentonville, AR01.2012
Technical Certificate - General Business
Northwest Arkansas Community College
Bentonville, AR01.2012
Technical Certificate - Business Management
Northwest Arkansas Community College
Bentonville, AR01.2012
Skills
- Attention to Detail
- Independent Investigator
- Strong analytical and Problem-Solving
- Project Management
- Verbal and written communication
- Organization and Multitasking
- Quick and Efficient Decision-Making
- Reliability
- Adaptability and Flexibility
- Self Motivation
Certification
Leadership Foundations Course, 05/16
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Case Manager II, Delivery Teams
Claim Management Inc.
03.2018 - Current
Specialist IV, Payroll
Global Shared Services
01.2016 - 03.2018
Fraud Analyst
Sam’s Club Home Office
06.2014 - 01.2016
Technical Certificate - General Business
Northwest Arkansas Community College
Technical Certificate - Business Management
Northwest Arkansas Community College
Leadership Foundations Course, 05/16
Associate of Applied Science - Business Management
Northwest Arkansas Community College
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