A Fraud Agent is responsible for identifying and handling suspicious or problematic insurance claims, and providing consultation and strategic directions through professional reports. Typical work activities are listed on the Fraud Agent Resume as – conducting objectives, fair, thorough and unbiased, and timely investigations into allegations of fraud; reviewing and researching evidence and documents to analyze the overall fact pattern of claim and synthesize data, preparing and coordinating field assignments to obtain relevant evidence and information, managing and prioritizing a large and varied caseload effectively and efficiently, and preparing prosecution packages and restitution proposals.
Apart from proven work experience, the following skills are needed – strong communication skills, ingenuity and persistence to obtain case information not readily, the ability to work independently, good organization skills, the ability to manage a high volume of assigned cases, and hands-on experience with relevant information system, and high level of integrity. A relevant diploma is commonly accepted.
Summary : Fraud Agent is Performing tasks both manually and pushed through a queue including fraud and dispute claims, emails, service requests, fraud investigations, informing law enforcement of suspects through id theft claims, merchant referrals, check kiting reports, payment screenings, confering with internal referrals, assisting with difficult inquiries and correcting mistakes, resolving fraud based complaints in a timely manner and other tasks required to keep customers accounts secure and prevent identity-theft.
Skills : Microsoft Office, Speak Spanish, Certified Nursing Assistant.
Description :
Worked through a number of pre-determined fraud queues, kana email queues, and service requests to identify potentially fraudulent accounts.
Investigated concerns using multiple resources including customer contact, contacting banks and credit card issuers, reviewing PayPal activity, eBay rating, phone matches, IP Search, and various websites.
Made out-bound phone calls to contact account holders in order to verify the authenticity of transactions.
Reviewed credit card statements, bank account statements, and customer response in order to determine the legitimacy of the account and account holder.
Responded to inbound customer service requests via telephone communications in an efficient and effective manner.
Worked directly with Merchants.
Assisted with open buyer complaint cases, open chargebacks, restrictions, and up-sales for new products to assist the seller with future transactions or account activity.
Experience
7-10 Years
Level
Management
Education
BA In Paralegal Studies
Fraud Agent Resume
Summary : Fraud Agent with 9 years of experience in Reviewing transactions flagged as suspicious and take appropriate action(s), Performing due diligence checks on customers whose transactions are being reviewed, Providing assistance to other Wise teams, Communicating with other financial institutions and law enforcement.
Skills : Clerical, Customer Service, Typing, Problem Solving, Data Entry, Creative/Critical Thinking.
Description :
Experienced in digital gaming or gambling an advantage.
Answered email inquiries from customers and merchants regarding the status of accounts and other service issues.
Reviewed customer accounts to determine the legitimacy of the account, the account holder, and the associated risk to not only help the customer, but to mitigate fraud loss.
Continually monitored cases and reports to identify trends and notify management of information gleaned from that activity.
Worked with law enforcement and OFAC/EU Parters to verify legitimacy of purchases and to notify of stolen credentials.
Projected fraud loss metrics through computations to project a fraud loss expectancy.
Personally answered customer inquiries received by telephone, and written correspondence, making adjustments to the amounts owed and paid by customers while resolving questions as completely as possible.
Experience
7-10 Years
Level
Management
Education
Business Administration
Fraud Agent Resume
Objective : Professional Fraud Agent seeking open positions where I can effectively use my current skills and background of success to secure a position, Guided by more experienced analysts while operating with latitude for independent action and decision-making within the framework of established policies and procedures; working under minimal supervision providing assistance on department process analysis or investigations.
Skills : Microsoft Office, Windows Vista, Data Entry, Email, Money Handling, Scheduling, Time Management.
Description :
Investigated cases that could potentially have fraudulent activity.
Contacted card holders after investigation is complete.
Navigated through multiple systems to locate information for the investigation.
Informed card holders of their account information Thrive for first touch resolution for all cases.
Handled all outbound calls with Professionalism.
Met company's goals for 5 cases per hour.
Kept all information safe and secure.
Experience
2-5 Years
Level
Executive
Education
Diploma
Fraud Agent Resume
Objective : Fraud Agent with 7 years of experience in Researching, planning, organizing, and conducting data mining and analyses of enterprise wide Aflac data to identify the possibility of fraudulent or suspicious activities; scoping to include employees, policyholders, accounts, associates, brokers, hierarchy, TPAs, and entities; focusing to include operational objectives, special projects, or ad hoc requests as assigned.
Conferred with customers by telephone or in person in order to provide information about products and services, to take orders or cancel accounts, or to obtain details of complaints.
Kept records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
Resolved customers' service or billing complaints by performing activities such as refunding money, and adjusting bills.
Checked to ensure that appropriate changes were made to resolve customers' problems.
Referred unresolved customer grievances to designated departments for further investigation.
Determined charges for services requested, collect deposits or payments, or arrange for billing.
Completed contract forms, prepare change of address records, and issue service discontinuance orders, using computers.
Experience
2-5 Years
Level
Executive
Education
Associates Degree
Fraud Agent Resume
Summary : Fraud Agent with 6 years of experience in establishing and maintaining effective data in the systems, and chronological and specialized project reference files to meet current reporting needs and future enhancements; performing research and analysis to provide accurate and meaningful information.
Skills : Computer Proficiency, Microsoft Word, Excel, PowerPoint, And Publishe, Design Proficiency - Vectorworks, Autodesk Inventor, Autodesk Revit, And Photoshop.
Description :
Assisted cardholders (victims) of fraudulent act on their accts while providing excellent customer service skills.
Managed accts, out bound calls and received inbound calls from cardholders and potential cardholders.
Processed applications for potential cardholders from many different vendors.
Verified activities on acct with cardholders to prevent possible losses.
Removed and blocked accts pertaining to fraud act.
Attended continuing education on fraud and systems updates.
Communicated with customer service reps, and investigators regarding acct.
Experience
7-10 Years
Level
Management
Education
GED
Fraud Agent Resume
Headline : Fraud Agent is Working autonomously within established procedures and/or is responsible for activities involving multiple steps, systems, and jurisdictions, Requiring working knowledge and skills in a range of products and services, processes, procedures and systems in a set of focus areas, where transactions could be characterized by moderate risk.
Skills : Customer Service, Computer, Call Center, Data Entry.
Description :
Used many different systems, familiar with excel and Microsoft.
Used Professionalism, Organization, Empathy, Compassion, Respect, Integrity, and Time Management.
Reviewed responses from sellers submitted as a result of a buyer's report of fraudulent or unfair practices.
Applied the seller and buyer protection policy for case completion.
Works autonomously within established procedures and/or is responsible for activities involving multiple steps, systems, and jurisdictions.
Required working knowledge and skills in a range of products and services, processes, procedures and systems in a set of focus areas, where transactions could be characterized by moderate risk.
Gathered and analyzed data to identify and solve problems, escalates as appropriate.
Experience
5-7 Years
Level
Executive
Education
GED
Fraud Agent Resume
Headline : Committed and motivated student with exceptional customer relation, decision-making, and product process skills. Strong work ethic, professional demeanor and great initiative. Excellent communication and computer skills; ability to proficiently work independently and as part of a team to meet project deadlines; multicultural awareness with a high level of adaptability. Excellent verbal and writing skills, can communicate effectively in Spanish as well.
Skills : Graphic Design, Excel, Web Design, Outlook, Coding.
Description :
Identified any fraudulent activities related to IP activities, private messaging and payment procedures.
Investigated work within multiple websites that have various and unique tasks and/or processes for their specific guidelines at the same time.
Trained to recognized fraudulent activity on site to prevent losses for the company and to ensure a safe scammer free online experience.
Helped to verify and ensure accuracy and completeness within the data.
Dealed with customer emails and calls to answer any and all questions needed.
Protected from fraudulent activity.
Processed credit applications.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Fraud Agent Resume
Objective : Fraud Agent with 3 years of experience in Gathering and analyzing data to identify and solve problems, escalates as appropriate, Using judgement and understanding of process/policy risk when recommending exceptions outside general practices or guidelines, Generally interacting with internal customers/partners for functions performed and/or external customers.
Skills : Sales & Marketing, Bilingual Spanish.
Description :
Reviewed member accounts and information and analyze their transactions to see patterns and stop fraud from taking place in their accounts.
Assisted the trainer with duties in the classroom.
Used Hard worker, I consume the knowledge and material presented as homework, I love customer service.
Communicated with the customer for additional information and to notify them of decisions.
Used judgement and understanding of process/policy risk when recommending exceptions outside general practices or guidelines.
Generally interacted with internal customers/partners for functions performed and/or external customers.
May provided process/policy guidance to others (e.g. within team, internal partners).
Experience
2-5 Years
Level
Executive
Education
Certification In Construction
Fraud Agent Resume
Summary : To find a new Fraud Agent position that will utilize the skills and abilities that I have already learned and provide new skills and abilities that can be used in my future, May providing process/policy guidance to others (e.g. within team, internal partners)
Focus of work spans from daily, weekly to monthly activities, Requiring working knowledge in a range of technical processes and procedures through job related training and considerable on the job experience to perform a range of work assignments.
Skills : Word, Excel, Powerpoint, Customer Service, Receptionist, Computer Hardware, Data Entry, Administrative, Written Communication, Phones, Scheduling, Retail.
Description :
Proactively identified and provided solutions to a wide range of complex problems in a thorough, innovative and practical manner.
Focused of work spans from daily, weekly to monthly activities.
Required working knowledge in a range of technical processes and procedures through job related training and considerable on the job experience to perform a range of work assignments.
Required solid knowledge of the business unit/operational functions as well as regulatory issues/requirements for jurisdictions supported.
Communicated effectively in both oral and written form.
Worked successfully as a member of a team and independently.
Analyzed, researched, organized and prioritized work while meeting multiple deadlines.
Experience
7-10 Years
Level
Management
Education
Bachelor's In Criminal Justice
Fraud Agent Resume
Headline : Fraud Agent is Performing descriptive analysis by gathering and analyzing data to accurately represent past performance; gathering and synthesizing data; incorporating industry leading data visualization techniques to generate reports and executive summaries pertaining to Aflac Trust and overall department operations; performing independent review of problem situations and reports findings to management as assigned.
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