Fraud Resumes

Milton, ON, Canada
... Possess cross-functional expertise in trade finance, Capital Market, fraud management, ERP, analytics and reporting, cloud integration, business analysis and agile, waterfall and hybrid project management. Highly analytical, experienced problem ... - Mar 14

Seattle, WA
... Executive Escalations Investigator Seattle, WA (remote) November 2019 - March 2026 ● Risk Mitigation & Policy Development: Partnered with Risk Management to identify root causes of fraud, informing global policy updates to proactively fix security ... - Mar 14

Fort Worth, TX
... -Inbound/Outbound Calling -Interpersonal communication -Written & Verbal Communication -ICD-10 -Livechat -Task Prioritization -Fraud Detection -Schedule Management -Medicare/Medicaid -Payment Processing -EHR -Office 365 -Auto Dialers -Virtual ... - Mar 14

Orange Park, FL
... Proven expertise in collections, fraud prevention, financial reconciliation, and customer relationship management. Adept at minimizing institutional risk, resolving complex account issues, and mentoring teams to achieve operational excellence. ... - Mar 14

Newmarket, ON, Canada
... • Strengthened compliance through precise KYC, CDD, and EDD onboarding practices • Assessed client risk profiles to support regulatory adherence and fraud-prevention controls • Consistently exceeded OLBB referral and sales targets, surpassed ... - Mar 13

Lexington, MA
... Proven track record delivering production-grade ML systems in finance including pricing optimization, equity automated execution engines, anomaly detection, fraud detection, propensity modeling, pricing elasticity modeling, CECL modeling, risk ... - Mar 13

Dallas, TX
... • Electronic medical records (EMR) • Prior authorization processing • Medicaid and Medicare • Account maintenance • Fraud prevention • Appointment scheduling • Regulatory compliance • Payment processing • Registration management • Complaint ... - Mar 13

La L'Aceate, TX, 75208
... ● Assisted with investigations of time fraud and processed employee terminations. ● Data entry Educator Advantage Academy Dallas, Texas May 2017- May 2019 ● Create weekly lesson plans. ● Confidentiality expert. ● Data entry ● Manage the classroom ... - Mar 13

St. Louis, MO
... • Lean Six Sigma • Project Planning • ISO 9001 • Internal Audits • Project Leadership • Quality control (10+ years) • Fraud prevention (10+ years) • Fraud • QA/QC • Sales • English • Computer Networking • SAP • ERP Systems • Technical Support • ... - Mar 13

Kansas City, MO
... Built machine learning models with XGBoost and ensemble techniques to detect clinical anomalies, identify healthcare fraud, and predict patient risk. Ensured high system reliability with automated model retraining and maintained 99.9% platform ... - Mar 13