Trustworthy Fraud Investigator touting 8 years of expertise developing problem solving methodologies that work. A knowledgeable resource committed to finding answers and working with clients, companies, witnesses and law enforcement. Promoting exemplary skills in project management, analytics and information presentation.
Overview
10
10
years of professional experience
Work History
Fraud Investigator
Goldman Sachs Asset Management
02.2020 - Current
Performed detailed background checks on individuals suspected of fraudulent activity to gather critical information needed for successful investigations.
Provided exceptional customer service to clients affected by fraudulent activities, addressing their concerns while maintaining compliance with regulatory guidelines.
Maintained a high level of confidentiality when handling sensitive information, protecting both company reputation and client privacy.
Conducted prompt and thorough investigations on referred cases.
Collaborated with law enforcement agencies to resolve complex fraud cases, including fraud rings and exploitation of vulnerable adults, leading to successful prosecution of offenders.
Interviewed witnesses thoroughly, asking appropriate questions to ascertain critical details about each case. Also, summarized all key information regarding investigation into detailed report for delivery to client or law enforcement.
Specialty Funding -Fraud Specialist
Capital One Financial Corp
04.2017 - 01.2020
Conducted prompt and thorough investigations on referred files.
Improved customer trust by promptly addressing and resolving reported instances of fraud.
Investigated cases of insurance and credit card fraud, which involved upwards of $70,000 per case.
Gathered evidence, which included recorded and written statements, financial documentation and audio materials for examination.
Conducted pre-funding and funding activities for over 3500 monthly applications.
Reviewed and validated details of loan applications and closing documentation.
Communicated acceptance or rejection to applicants via mail, email, telephone or personal consultations.
Customer Service Coordinator
Capital One - Auto Financing- Loan Origination, Tx.
04.2016 - 02.2017
Initiated operations improvements to improve overall call center productivity.
Accurately documented, researched and resolved customer service issues.
Mastery of customer service management systems and databases.
Provided incentive to increase productivity by offering employees awards for best customer service.
Defused volatile customer situations calmly and courteously.
Accepted coaching, constructive criticism and recognition with humility and composure.
Exhibited sound judgment while executing coaching responsibilities and functions.
Corporate Collections Administrator
NCH
04.2015 - 04.2016
Providing customer service regarding
collection issues, process customer refunds, process and review account
adjustments, resolve client discrepancies and short payments.Responsible for
monitoring and maintaining assigned accounts- Customer calls, account adjustments,
small balance write off, customer reconciliations and processing credit memos.
Accountable
for reducing delinquency for assigned accounts.
Perform other assigned tasks and
duties necessary to support the Accounts Receivable Department.
Enlist the efforts of sales and
senior management when necessary to accelerate the collection process.
Communicate & follow up
effectively with sales dept regarding customer accounts on a timely basis.
Establish and maintain effective and cooperative
working relationships with dealers and sales.
Insurance Prior-Authorization Processor
CVS CAREMARK
12.2014 - 04.2015
Supported doctors and hospitals in obtaining prior authorizations.
Rendered exceptional customer service and met volume deadlines and timetables.
Analyzed prescription benefit plan.
Ensured the appropriate use of selected prescription drugs.
Prevented the improper prescribing or use of certain drugs.
Coordinated and communicated with doctors to prescribe an alternate drug beneficial for the patient.
Customer Service Rep
IQOR
07.2014 - 12.2014
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Posted payments to accounts and maintained records.
Identified and recommended changes to existing processes to improve accuracy, efficiency and responsiveness of customer service department.
Determined appropriateness of payers to protect organization and minimize risk.
Education
BBA - Small Business Administration And Management
Grand Canyon University
Phoenix, AZ
05.2026
HIGH SCHOOL DIPLOMA -
Lancaster High School
Lancaster, TX
2007
Skills
Customer interface expertise
Financial Fraud
Records Research
Anti-Money Laundering
Effective problem solver
Exceptional telephone etiquette
Creative problem solver
Microsoft Office and Google Suites
Fraud detection
Document review
Case Management
Timeline
Fraud Investigator
Goldman Sachs Asset Management
02.2020 - Current
Specialty Funding -Fraud Specialist
Capital One Financial Corp
04.2017 - 01.2020
Customer Service Coordinator
Capital One - Auto Financing- Loan Origination, Tx.
04.2016 - 02.2017
Corporate Collections Administrator
NCH
04.2015 - 04.2016
Insurance Prior-Authorization Processor
CVS CAREMARK
12.2014 - 04.2015
Customer Service Rep
IQOR
07.2014 - 12.2014
BBA - Small Business Administration And Management
Grand Canyon University
HIGH SCHOOL DIPLOMA -
Lancaster High School
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