Fraud Prevention Specialist Resume
Objective : 9 years experience Medical Billing Specialist using HCPS, CPT and ICD-9 and ICD-10 manuals, modifiers. Medical Records Technician, Supply Officer. Submission medical claims, reviewing denied claims for primary, secondary and tertiary claim submission. Proficient knowledge Medicare / Medicaid, commercial, private insurance.
Skills : BLS For Healthcare Providers.
Description :
- Consolidated Lead Evaluation Reporting (CLEAR), Computer Linked Application Information Service (CLAIMS).
- Performed research Daily duties consist of processing monitoring all H1B, H2A H2B non-immigrant visa applications.
- Monitored, research possible fraudulent documentation submission.
- Researched on petitioners and beneficiaries for possible Department of Labor wage violations.
- Implemented countermeasures to fraud.
- Reviewed transfers for fraudulent activity.
- Opened and closed profiles or alerts.
Experience
2-5 Years
Level
Junior
Education
Licenced Vocational Nurse In Nursing
Sr.Fraud Prevention Specialist Resume
Objective : Have 8 years of experience, including Fraud Prevention Specialist, Sales Associate ,Sales Representative industries including Business Services, Printing, Publishing, Allied Industries Engineering, Accounting, Research, Management, Related Services. Most recently, have been working Fraud Prevention Specialist at Office Team.
Skills : 60 WPM, Multi-Tasking, Customer Service.
Description :
- Detected and investigated potential fraud.
- Collected data related to fraudulent activity.
- Coordinated notifications and alerts.
- Followed up with written inquiries.
- Derived trends from investigations and reports.
- Documented and reported all activities related to fraud.
- Identified causes of fraud.
Experience
2-5 Years
Level
Junior
Education
High School Or Equivalent
Jr. Fraud Prevention Specialist Resume
Summary : Have been customer service last 16 years. would like continue same field. have also worked hospital environment directly with patients. Patient Services Rep. IN the ER acquire a patient information including insurance provider make chart for Doctor. This would field choice available.
Skills : Microsoft, As400, Outlook, Account Management, Windows Xp, Word, Excel, Faxing, Customer Service, Computer, Communication.
Description :
- Made sure fraudulent transaction.
- Made sure customers was completely satisfied at end conversation.
- Able accomplish great level customer service.
- Processed decision transfers placing on hold, denying pending.
- Opened and closed profiles or alerts.
- Replenished merchandise to standard by ensuring that all skews are represented on the sales floor and knowing merchandise availability of all categories in the back rooms.
- Worked directly with the Department of State through contract with Servo.
Experience
7-10 Years
Level
Management
Education
Medical Assisting In Medical Assisting
Asst. Fraud Prevention Specialist Resume
Headline : Love learn new techniques find ways with them help another better understand job. Working with different types people make more professional enthused work more. very ambit certain place life. an very detailed, organized, reliable ,trustworthy person.
Skills : Microsoft Office, Excel, PowerPoint, Bilingual.
Description :
- Answered inbound calls for customers with fraudulent activity on their account international calls, cloning, and device changes.
- Put notes different systems.
- Made outbound calls to customers to verify activity on account.
- Able to get contact with customer leave voice mails customer give Verizon Wireless call back without stating why call being placed.
- Resolved service, pricing and technical problems for customers by asking clear and specific questions.
- Developed and maintained professional relationships with other financial institutions and law enforcement agencies.
- Received cross education for credit underwriter.
Experience
5-7 Years
Level
Executive
Education
HS Diploma In Construction
Associate.Fraud Prevention Specialist Resume
Summary : Dedicated Customer Service Representative who provides exceptional customer service through active listening problem solving. Call Center Representative with expertise providing customer support high call volume environments. Exceptional computer aptitude telephone etiquette.
Skills : Microsoft Office, Medical Coding, Customer Service, Servers, Receptionist, Accounts Payable, Accounts Receivable, Dispatch, Security, Internet, Management.
Description :
- Addressed and resolved customer product complaints em pathetically and professionally.
- Gathered and verified required customer information for tracking purposes.
- Defused volatile customer situations calmly courteously.
- Accurately documented, researched resolved customer service issues.
- Managed customer calls effectively efficiently complex, fast-paced and challenging call center environment.
- Identified chronic customer issues creating maintaining customer complaint log.
- Referred unresolved customer grievances to designated departments for further investigation.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Fraud Prevention Specialist III Resume
Objective : Seasoned professional with Bachelor's degree Criminal Justice, diverse background Fraud Investigations, Securities Fraud Analysis, Bank Secrecy Act(BSA) regulations, Risk Management, and Cyber Security. Familiar with software technology that effectively detects fraud organizations and extensive experience investigating processing fraud cases.
Skills : Sales, Problem Solving, Report Preparation, Risk Management, LexisNexis Advanced, MS Office, Blue Sheet Analysis.
Description :
- Responsible for three Chevy Chase Bank Districts totaling 70 branches.
- Analyzed output from account based fraud systems that identify potentially fraudulent or high risk new accounts.
- Analyzed output from transaction based fraud systems that identify potentially fraudulent high risk customer transactions.
- Determined risk level, prioritized assignments, made account status decisions based analysis risk factors.
- Utilized available resources verify information provided new member for accounts suspected high risk potentially fraudulent.
- Analyzed reports of high risk or fraudulent accounts generated other financial institutions.
- Maintained electronic records documenting actions taken for each new account suspicious transaction assigned for review.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Science
Fraud Prevention Specialist II Resume
Objective : Highly qualified Fraud Prevention Specialist with experience industry. Enjoy creative problem solving getting exposure on multiple projects, would excel collaborative environment on which your company prides itself.
Skills : Multi-Tasking, Customer Service.
Description :
- Provided supportive measures through fraud investigations business loan pre-application post loan process.
- Investigated account fraud through voice recordings, application interview procedures directly with victims and suspects.
- Executed affidavits respons subpoenas.
- Created account file documentation retention provided for prosecution.
- Maintained daily communication with local state police detective crime divisions, US Postal Inspectors including financial fraud investigations units throughout the U.S.
- Engaged collecting business loan overdue payments from five day through charge-off accounts.
- Supported customer service for inbound customer payments, maintenance updates for address and phone change, sales and promotion of products including auto pay.
Experience
2-5 Years
Level
Junior
Education
- (Christian High School Newark - Newark, DE)
Fraud Prevention Specialist I Resume
Summary : Position providing technical general support customers needing assistance with products or services offered manner that builds strong sense confidence company commitment with current potential customers.
Skills : Fraud Investigator, System Engineer, Customer Service Specialist.
Description :
- Observed, reviewed detected irregular transactional activity through client interviews investigating online alerts.
- Processed money transfers for bill payments, credit cards and ACH transactions.
- Reviewed transfers for fraudulent activity.
- Educated customers with set up of online money transfer profile.
- Documented fraudulent activity support tracking reporting efforts.
- Investigated alerts or hits on fraud detection.
- Interviewed customers to prevent detect scams or fraud.
Experience
7-10 Years
Level
Management
Education
Diploma
Lead Fraud Prevention Specialist Resume
Objective : Have 3 years experience, including Customer Service Representative (CSR), Sales Associate Customer Service Associate industries including Insurance Agents, Brokers, Service, Apparel Accessory Stores.
Skills : Management, Microsoft Office, Customer Service.
Description :
- Received inbound calls from customers responding voicemail or email.
- Responded to customer information requests; collaborated with cross-functional departments ensure timely accurate response.
- Partnered with other departments needed confirm certain information communication, including Sears's retail stores.
- Communicated requests, request information support related communication and update resolutions appropriate.
- Reviewed analyzing potentially fraudulent credit card transactions.
- Researched customer accounts that demonstrated potentially suspicious activity from a variety of reporting generated transactional alerts.
- Produced outbound calls to advise customers of blocked fraud transactions.
Experience
0-2 Years
Level
Junior
Education
Diploma In History
Fraud Prevention Specialist Resume
Summary : Dedicated, driven achiever with ability skillfully complete multiple concurrent assignments at once. Exceptional organization, writing communication skills. When graduated high school i2014 entered Le Cordon Culinary Institute that fall.
Skills : Excel, Microsoft, Faxing.
Description :
- Utilized effective time-management by completing client.
- Required abide by all applicable regulatory department practices procedures Collections / Customer Service Agent Functional Area Risk Management Discover Card Financial Services Columbus,
- Developed trust with card members during the verification of vital information phase of card member services.
- Collected payments , negotiated payment arrangements.
- Awarded performance review reward for high achievement field of risk management collections senior management.
- Processed merchandise to be on floor to maximize on-clock hours of staff.
- Maintained back room under stock, including both merchandise and non-merchandise, to brand standard to enable efficient replenishment.
Experience
7-10 Years
Level
Management
Education
Associates In Court Reporting
