Description :

1. Handled credit, debit, and prepaid accounts with potential fraudulent activity on a day to day.
2. Processing credit applications needed undivided attention and judgement was highly important.
3. One of the main goals were to work independently and effectively.
4. Certain things that threw red flags in regards to potential fraudulent activity would be recently opened credit lines with a falsified credit report.
5. About half way through the year, Barclays offered me the position of Facilitator but I respectfully declined.
6. Facilitators are Leads that are trained to be Operations Managers.
7. Collaborate with various levels of loss prevention and law enforcement.

Experience

0-2 Years

Level

Entry Level

Education

Diploma

Description :

1. Responsible for functions related to the identification, prevention, and resolution of fraudulent activity including review of new accounts, unusual client transactions, check and deposit fraud, card fraud, signature verification, loan applications and online fraud.
2. Identify research and analyze possible fraudulent activity on client accounts and process client fraud claims.
3. Monitor reports and systems which identify potential fraudulent activity.
4. Analyze client accounts, applications, and transactions to detect fraud and take appropriate action.
5. Assess levels of possible risk and communicate trends and patterns to management.
6. Develop successful training programs and manuals for growth strategies.
7. Present suggestions for procedural changes to management.

Experience

0-2 Years

Level

Junior

Education

Certificate In Counseling

Description :

1. Responsible for conducting investigations when a fraudulent insurance act is suspected or has been committed, such as billing for a service that was never rendered, the duplicate submission of a claim for the same service and misrepresenting the services provided.
2. Detection and reporting of cases in compliance with the requirements of CMS, State and Federal regulations.
3. Medical record review with clinical team (RN & Medical Director) Implementation of strategies and tools to prevent, detect, investigate and report Fraud and Abuse as it relates to members, providers, vendors, and employees.
4. Evaluate business operations to identify risk areas for fraud.
5. Conduct interviews, compile documentation and evidence, and maintain investigative reports.
6. Perform case analysis and support documentation for farther legal actions or administrative actions.
7. Review Contracts and Notify the Market that an investigation is being conducted.

Experience

7-10 Years

Level

Management

Education

Associates

Description :

1. Conducted mortgage fraud investigations and quality control audits.
2. Performed numerous high profile investigations involving high dollar losses and assisted Recourse Operations unit's efforts to have problem loans repurchased by client lenders.
3. Designed and implemented fraud detection and prevention processes that reduced HSBC's loss exposure by 50% on mortgage portfolios purchased from other lenders.
4. Supervised the implementation of a loan auditing process that reviewed loans for compliance and underwriting issues.
5. Identified $6 million in losses that were recovered from original lender.
6. Coordinated the team's efforts on multiple projects.
7. Planned, prioritized, and assigned caseloads to ensure deadlines were met and a high level of quality maintained.

Experience

2-5 Years

Level

Executive

Education

Masters Of Business Administration

Description :

1. Communicated and worked with Corporate Security and law enforcement to report fraud.
2. Advised corporate and high net-worth individual clients in regard to their account security.
3. Identified, prevented and resolved fraudulent account activities including review of new online accounts.
4. Monitored new accounts and phases for fraudulent transactions.
5. Reviewed reports and systems to identify potential fraud.
6. Assisted with fraud incidents within the network of the bank.
7. Prepared various fraud documents including Suspicious Activity Reports.
8. Limit potential loss exposure by placing holds on accounts and or card status to limit funds availability.

Experience

7-10 Years

Level

Management

Education

Business Administration

Description :

1. Performed investigations specific to the defense of insurance claims related to worker's compensation, motor vehicle accidents, liability cases, and general liability cases.
2. Utilized Internet Mining/Social Media Investigations.
3. Completed Due Diligence, Claimant Profile, and Database Investigations Executed background checks, locate services, medical canvasses, and subject activity checks.
4. Maintained Florida CC Private Investigators license.
5. Command Investigations - Fraud Investigator Provided and maintained covert investigations, case documentation via video upload, and comprehensive written reports of the targeted subject's day to day activities.
6. Performed investigations specific to the defense of insurance claims primarily related to worker's compensation.
7. Utilized online information search, online database research, assists in claims fraud analysis Completed accident scene investigations, collection of evidence, video and picture documentation, as well as evidence analysis.

Experience

0-2 Years

Level

Entry Level

Education

Ultimate Medical

Description :

1. Focused primarily on credit card fraud and convenience check fraud.
2. Served as primary contact for money laundering and check-kiting cases for bank personnel and law enforcement.
3. Interfaced with Visa and MasterCard organizations to process chargebacks on relevant accounts.
4. Directed loss mitigation recovery efforts to guarantee all possible opportunities were accounted for.
5. Maintained positive relations between affected customers and bank by expressing support and appropriate sentiment while concurrently working with them to ascertain circumstances.
6. Maintained monthly recovery rate of over 92%.
7. Managed 400-600 cases per month while personally sustaining recovery-rate above departmental standards.

Experience

0-2 Years

Level

Junior

Education

Associates In Liberal Arts

Description :

1. Conduct background investigation of claimant to obtain data on character, financial status, and personal history.
2. Finding creative methods in locating missing persons, obtain confidential information, and solve crimes from skip tracing software.
3. Performing undercover assignments and surveillance, and authorized wiretaps.
4. Preparing reports that detail investigation findings.
5. Developed relationships with informants in order to obtain information related to cases.
6. Conduct surveillance of suspects using binoculars and cameras.
7. Testified in over 50 fraud cases at federal courts.

Experience

5-7 Years

Level

Executive

Education

Law And Justice

Description :

1. Effectively and efficiently investigated fraud claims made by card members.
2. Coordinated the preparation and filing of federal reports in congruence with legal requirements.
3. Charged with drafting the legal documents that needed to be transmitted to card members in accordance with law.
4. Communicated on a regular basis with other bank and legal institutions in an effort to confirm statements made by card members.
5. Compared signatures on affidavits sent by card members to available documents the bank had on file.
6. Responsible for making the final decision on the fraud investigation and communicated that outcome to card members in response to their initial claim.
7. Worked cooperatively with card holders to establish payment plans and processed monetary repayment.

Experience

0-2 Years

Level

Entry Level

Education

Michigan State Insurance Training

Description :

1. Under direct supervision, conduct timely investigations on suspected and/or known fraudulent accounts.
2. Make or receive calls from customers, Store Associates, and various aw enforcement agencies.
3. Document accurate fraudulent case activity and provide timely updates to management.
4. Correspond with various circuit courts pertaining to restitution.
5. Create and maintain all reporting excel spreadsheets.
6. Serve as a resource to Associates and have the ability to take on additional responsibilities.
7. Meet with law enforcement and circuit court representatives when necessary.

Experience

5-7 Years

Level

Consultant

Education

Bachelor Of Science

Description :

1. Research system issues related to SQL created reports.
2. Investigated first party fraud incidents against HSBC.
3. Researched merchants through the Internet to verify company legitimacy.
4. Communicated with other banks researching ownership of checking accounts being used to pay HSBC.
5. Investigated incidents of identity theft using tools like Lexis Nexis.
6. Processed written, email and telephone inquiries from fraud victims and perpetrators in both English and Spanish.
7. Filed suspicious activity reports (SAR) to appropriate Federal and State agencies.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Monitored and analyzed various information provided through detection systems, tools, reports, or manually to evaluate, investigate, and determine required actions.
2. Documented actions and information found throughout the investigation to develop and maintain account/case files.
3. Developed and maintained an understanding of the financial crime management processes, frameworks, and techniques.
4. Gathered and formatted data into regular and ad-hoc reports and dashboards.
5. Analyzed data and information to provide insights and recommendations.
6. Presented evidence in court, with clarity, and integrity while always displaying professionalism.
7. Managed and monitored investigations to ensure progress towards a variety of judicial/non-judicial outcomes.

Experience

7-10 Years

Level

Management

Education

Bachelor of Finance

Description :

1. Participated in the design and implementation of corrective action plans to resolve problematic compliance issues and to ensure that compliance deficiencies were corrected.
2. Drafted reports on the results of compliance and ethics initiatives of the enterprise.
3. Maintained documentation of compliance activities to provide a record of issues and to ensure easy accessibility and retrieval of documents.
4. Prepared and presented files for court, to the highest standard, while ensuring they were submitted punctually and within deadlines.
5. Investigated and assessed potential suspicious activity transaction monitoring alerts for potential money laundering, terrorist financing, fraud, and other potential illicit activities.
6. Ensured efficient identification and monitoring of suspicious activities and transactions.
7. Ensured escalation of alerts was properly handled and documented according to procedures.

Experience

7-10 Years

Level

Consultant

Education

Bachelor of Finance

Description :

1. Participated in undercover operations designed to infiltrate criminal networks, gather intelligence on illegal financial schemes, and identify perpetrators.
2. Developed a large body of contextual knowledge on wholesale banking sectors and the specific financial crime risks associated with them.
3. Constructed accurate, succinct, and persuasive summaries of the financial crime risks.
4. Identified and drove enhancements to the systems and business processes to drive greater operational effectiveness and increase the return on investment.
5. Developed and maintained strong and productive relationships with a diverse set of team members.
6. Managed sensitive and therefore risky information and ensured sound judgment in protecting it while adhering to all relevant rules and regulations.
7. Worked collectively with all areas within the Financial Crimes unit and business units across the board.

Experience

7-10 Years

Level

Consultant

Education

Bachelor of Accounting