TELMON CLARK

• Plans and conducts investigations of claims: including such activities as interviewing insureds and claimants, collecting and evaluating appropriate documentation
• Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim
• Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively
• Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status
• Maintained detailed records of all claims
• Finalized travel files for insurance claim payment release
• Investigated and processed (currency) insurance claims for policyholders.
• Directed claims negotiations within allowable limit of $30,000 + and supported successful litigations for advanced issues.

• File documents with bankruptcy courts within expected timeframes to prevent delays
• Answer telephone calls and email messages within 72-hour period
• Communicate pertinent information to clients via phone, email, and mail
• Researched statutes
• Revise and finalized letters, briefs, and memos
• Eliminate customer service issues by quickly resolving disputes and correcting problems
• Train, and evaluated workers
• Perform paperwork required for monetary transactions
• Listen effectively and used issue resolution skills to efficiently handle guest complaints and promote brand loyalty
• Follow policies, procedures, continuous quality improvement objectives and safety and environmental practices to promote workplace efficiency
• Stay current with latest changes to applicable regulatory standards and company procedures
• Assist investigation and risk management teams with fraud investigations and risk identification.

Review bankruptcy plans and evaluate new bankruptcy accounts

• Managed reaffirmation agreement and proof of claims paperwork
• Handled 30+ voluntary surrender requests
• Respond to debtor inquiries by telephone and email
• Assign vehicle out for repossession and mail letters certified mail
• Update account status once vehicle has been repossessed
• Answer bankruptcy-related questions by telephone and e-mail
• Maintain bankruptcy plan and proof of claims
• Address legal actions through attorney networks
• Manage assigned portfolio, keeping current on follow-up communication
• Oversaw a diverse caseload, managing competing deadlines and priorities with minimal supervision, ensuring timely and effective case resolutions
• Maintained strict adherence to regulatory guidelines, ensuring full compliance with federal and state bankruptcy laws
• Reduced outstanding debts by implementing strategic collections tactics and maintaining open lines of communication with customers
• Contacted customers to discuss payment schedules and set up or immediately process payments
• Reduced outstanding debts by implementing strategic collections tactics and maintaining open lines of communication with customers
• Contacted customers to discuss payment schedules and set up or immediately process payments
• Negotiated with account holders to devise repayment plans and minimize collections receivables
• Receive inbound calls on delinquent accounts and insurance claims
• Receive and post payment to client accounts
• Advise and follow-up with clients on unpaid accounts
• Completes required reports, records and other documentation as required
• Manage Indian team on auto sales
• Research documents for buy back and auto sales of vehicles
• Send requested files to Auto Vest, Plaza and First Financial for purchase of portfolio

• Detect and understand pattern of Fraud
• Develop skills in time management, diligence, quality assurance, and problem-solving
• Detect and minimize potential losses, originating from fraudulent and improper use of Credit/Debit Cards
• Ensure case work is documented appropriately in all applicable systems
• Monitor account activities for account takeover and/or identity theft
• Respond to inquiries from members, internal staff, and/or external parties
• Ensure compliance with Regulations E and Z while working fraud claims
• Prepare reports and assists management in identifying ways to reduce fraud
• Enhanced AML/KYC compliance by conducting thorough customer due diligence and risk assessments.
• Will take customer calls of inquire related to the fraud process
• Payment Scheduling.
• Conducted comprehensive research on clients'' backgrounds, verifying identities and assessing risks for potential financial crimes.
• Streamlined onboarding processes for new clients, reducing turnaround time and improving client satisfaction.
• Performed periodic reviews of existing client files, ensuring continued adherence to AML/KYC requirements.
• Identified potential suspicious activity by performing transaction monitoring and escalating cases for further investigation.
• Developed key performance indicators to measure the effectiveness of AML/KYC processes and identify areas for improvement.
• Managed complex investigations with multiple stakeholders, resulting in successful resolution of compliance issues.
• Collaborated with global teams to ensure consistent application of AML/KYC standards across all business units
• Reduced false positive alerts by refining transaction monitoring rules based on historical data patterns.

• Insurance Verification
• Serves as a liaison between clinical staff, referring offices, and patients
• Covered daily office workloads through effective staffing and resource coordination
• Developed and enhanced policies covering administrative processes
• Trained new team members in Rock and AS-400
• Prepared reports of findings of investigation
• Oversaw paper contracts and digital files to ensure company policy adherence and full regulatory compliance
• Reviewed and understand contract plans and specifications
• Established protocols for drug testing and physical examinations for clinical use
• Initiated and analyzed research on discrepancies with patient registration, insurance verification and billing issues
• Set up insurance profiles, collecting and verifying data for smooth billing processes
• Collected and input data into AS400 database.