Doris Anyetei-Anum

**** ****** ***** ***, ***** Chesterfield VA 23234

Email ad05e1@r.postjobfree.com ~ Phone 804-***-****

OBJECTIVE: Dedicated professional with 12+ years of experience in office human resource and management settings. Consistently achieve record-high customer satisfaction rankings, improvements to the bottom line and turnaround of underperforming operations.

Education. J. Sargeant Reynolds Community College

High School. Thomas Dale

EXPERIENCE

Work Experience:

Bank of America

AML Analyst Sr/ ILQA Analyst 11/202*-**-****

•Provide necessary support in resolving applicable AML alerts, including the escalation of such alerts into cases, when appropriate.

•Assist in the completion of case investigations, including the filing of Suspicious Activity Reports (SARs) and Continuing Activity Reports (CARs), when applicable.

•Assist with the Risk Based Due Diligence (RBDD) module of the AML monitoring system for the manual assignment of risk points.

•Assist in high level investigations as directed by senior management.

•Work with confidential data and investigations through to a successful resolution.

•Collect and examine financial statements and documents to assist in identifying unusual transaction patterns.

•Document and report the investigation findings and prepare case files for review (e.g., media search results, copies of statements/checks, results from internal system searches).

•Proactively assist in the development of metrics, including reporting information on trends, regulatory developments and specific AML and compliance related events.

•Creatively conduct research over available company systems, the internet and related databases consistent with the resolution of investigations.

•Work with management to develop short- and long-term AML compliance goals and track business unit adherence to goals and monitor outcomes. Ensure compliance AML and any related specific jurisdictional requirements, Performed daily electronic audits, report fillings, and assist in other AML functions, Maintain knowledge of all applicable rules and regulations, Retained AML records (e.g., reports, logs, audit and supporting records in accordance with jurisdictional regulations Reviewed all pertinent documentation (i.e., reports, logs, forms, and supporting documents) for completeness and accuracy, Investigated and resolve any missing or inaccurate documentation found in daily audits., Ensure timely and efficient reporting of transactions considered suspicious.Maintained records evidencing the performance of audit procedures, Verified identification submitted for new account registration. Assisted in Know Your Customer (KYC) and Customer Due Diligence (CDD). And more

AgreeYa solutions. 11/2021-07/2022-07/2023 to current

Eligibility Trainer & Support Specialist

•Evaluated data from various electronic and other sources to enter information into a computer-based eligibility system.

•Compute benefits based on eligibility determination.

•Used fact-finding techniques to obtain, relate and evaluate information provided by applicants.

•Review appeal requests, case documents, and other appropriate evidence to prepare for and conduct client eligibility appeal hearings.

•Ensure Medicaid and state program claims are processed and paid within mandated 38-day timelines.

•Conduct data entry and internet searches associated with various process streams

•Perform variance testing of invoice data and research test failures

•Perform analysis of script level data to resolve a dispute or potential dispute

•Work with client and states to file or resolve disputed rebate units

•Ensure the accuracy of results based on the analysis associated with the invoice data

•Prepare payment packages and quarterly client deliverables

•Assist in managing ongoing client relationships and interface with clients to resolve specific issues

•Support ongoing software product testing

•Continually strive to improve our business services processes and programs

•Conducted investigation on potential fraudulent cases like healthy insurance benefit TANF, SNAP, Child Care,Medicaid, and More. independently conducting the initial review, evaluation and timely processing of a variety of complaints of alleged violations against health care practitioners licensed.

•Apply and explain detailed regulations and policies.

•Perform basic arithmetic functions.

•Manage time efficiently by establishing priorities in accordance with importance of deadlines.

•Training New hires on the job.

Virginia Department Child Support Enforcement May 2018 – Nov 2021

Program support Specialist III

•Open new cases, organize, and manage multiple priorities.

•Obtain and assess information/data through interviewing independently.

•Research cases to resolve difficult problems; interpret and apply policies and procedures.

•Analyzed and utilize legal and financial data & automated reports.

•Entering Court Orders, Requesting more information when needed.

•Communicate effectively both orally and in writing with the general public and a diverse audience; and perform mathematical computations.

•Skilled in the use of a personal computer, Microsoft Office applications and automated information systems.

•Enforcing court orders establishing paternity establishing child support orders, locating None custodian parent

Public Consulting Group Nov 2016 – May 2018

HR Coordinator

•Execute background investigation process with the Virginia State Police and the FBI, tracking missing dispositions with courts and/or law enforcement agencies, and to analyze results in order to determine whether individuals affiliated with children and adult residential facilities and placing agencies to meet the responsibility for the safety and well-being of children and adult and to meet federal and state requirements regarding background investigations for adult, kids, and people with disability.

•Facilitate the process of hiring new employees.

•Verifies and validate all information for the Client is consistent with requested information.

•Grade background check results to determine applicant’s eligibility for employment.

•Update the result in the systems to reflect a pass, fail, or partial fail based on background checks.

•Updates prospective employers with background check results.

•Communicates results of background checks with clients.

•Utilizes MMIS, PORTAL, BPM, NCJI, and OIG among other U.S Dept. of Human Services systems.

•Apply their knowledge of the criminal justice system to determine if a criminal record is legal to be considered for employment purposes.

•Gather independent information from public records sources, and employment applications to determine if applicants meet the established screening standards for new hires and contingent

•Review applications and resumes daily, matching candidates with open or pipeline positions

•Assist with employee onboarding by collecting all new hire paperwork and entering employee data in necessary systems

•Maintain accurate human resource information system records and compile reports from HR databases while maintaining full compliance with legal requirements at all times

•Utilize email templates to contact candidates and schedule phone/virtual screenings and interviews

•Conduct phone interviews to screen candidates and properly assess their qualifications

•Document candidate qualifications, salary expectations and other details to fill current open positions and develop a pipeline of potential future hires

•Maintain open line of communication with candidates to keep them updated on the status of the hiring process.

Virginia Department of Social Services (DSS), Richmond VA Apr 2014 – Nov 2016

Program Admin Specialist

•Process Snap, TANF, Medicaid overdue applications and renewals.

•Verifies and validate enrollment of insurance and Medicaid.

•Makes outbound calls to verify information needed for Determining Eligibility.

•Utilize MMIS, VACMS, Spider, and other proprietary programs to validate information.

•Upload relevant information about client for eligibility determination.

•Follow up with agencies to ensure submitted applications are processed in a timely manner

•Assist in appealing denied applications

•Update all hospital and company systems with current activity and notes.

•Submit verified billing numbers to facilities

•Provide hospital with all requested information in a timely manner

Xerox Corporation, Richmond, VA Aug 2013 – 2015

Eligibility Processing Technician

•Determines eligibility for health insurance for the Cover VA Program according Virginia regulations/guidelines

•Review documentation to accurately enter data into a web-based computer system.

•Prepare correspondence for missing information as appropriate; make outbound calls to obtain, clarify, or validate information

•Reviews application information on the web-based system and associated imaged.

•Verifies and validate enrollment of insurance and Medicaid.

•Makes outbound calls to verify information needed for Determining Eligibility.

•Utilize MMIS, VACMS, Spider, and other proprietary programs to validate information.

•Upload relevant information about client for eligibility determination.

Contact this candidate