Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
13
13
years of professional experience
Work History
Fraud Operations Specialist
Mission Financial Partners LLC
06.2020 - Current
New customer onboarding documentation review.
Customer demographic account maintenance.
Fraud review for new and existing customers.
Analyzed transaction patterns to detect fraudulent activities and mitigate risks.
Trained and mentored junior staff on fraud investigation techniques and best practices.
Collaborated with cross-functional teams to streamline fraud reporting processes.
Conducted in-depth investigations of suspicious transactions, ensuring compliance with regulations.
Utilized advanced analytical tools to assess risk levels and improve decision-making accuracy.
Reduced fraud losses by implementing effective detection strategies and monitoring systems.
Enhanced customer satisfaction with proactive communication and timely resolution of fraud cases.
Participated in regular meetings with senior management to discuss key performance metrics, challenges, and recommendations for improvement.
Provided exceptional customer service during sensitive situations involving identity theft or account compromise while preserving customer trust in the company''s security measures.
Successfully managed multiple priorities simultaneously under tight deadlines while maintaining a high level of accuracy in case investigations.
Contributed to a positive work environment by fostering teamwork, open communication, and professional development opportunities among team members.
Claims Examiner 2
Matrix Absence Management
12.2017 - 05.2020
Investigate & Manage FMLA/OFLA Leave and Disability claims.
Adhered to Legal Regulations & Client Policies.
Provided Customer Service while contributing to performance objectives.
Evaluated and processed claims to ensure compliance with company policies and regulations.
Analyzed complex claim issues, collaborating with stakeholders to facilitate timely resolutions.
Utilized claims management software to track case statuses and document key interactions effectively.
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.