Project Management Fraud Investigator

HAYLEY RAE

**** ****** **** ****, ****** Harbor FL, 34695 804-***-**** *********.***@*****.*** LinkedIn

CAREER SUMMARY

Fraud Recovery Coordinator • Identity Specialist • Fraud Claim Manager • Fraud Investigator

Motivated Fraud Analyst touting over 11 years of expertise investigating suspicious activity in the financial industry. Knowledgeable resource committed to finding answers and working with clients and interdepartmental personnel. Promoting exemplary skills in project management, analytics, and fraud pattern detection.

SKILLS

Fraud Trends

Microsoft Excel

AML

Case Management

Suspicious Activity Reports

FINCEN

Vulnerable Persons

Risk Management

Fraud Investigations

Commercial Banking

Identity Theft

Data Collection

PROFESSIONAL EXPERIENCE

MBO PARTNERS, Remote 06/2022-Current

Client Manager- Client USAA

Fraud Investigator II

Conducts complex investigations including multiple customers working together across multiple fraud types. Works with AML pertaining to specific finds and filing of SAR. Previews monetary and non-monetary fraud transactions, conducts interviews, and analyzes transactional data to detect fraudulent or unusual patterns and trends in support of the investigational process. Performs through analysis of evidence, accesses veracity of information complied to include documentary details, materials and results of interviews. Utilizes knowledge of Bank Secrecy Act, USA Patriot Act, FINCEN filings, applicable laws and federal regulations, company policies and best practices in the investigative field to organize results.

Prepares cases for criminal prosecution by obtaining and preserving all relevant evidence.

File regulatory reports (SAR) while working across departments to ensure timely and accurate filings.

Exceptional time management and written communication conveyed to meet high level overview while also managing critical details for prosecution.

Utilizes ECAMS, Lexis Nexis, Business Objects and Microsoft Office along with other industry standards to execute accurate fraud reports.

Utilizes knowledge of FINCEN requirements and filing standards.

CAPITAL ONE, Richmond, VA, Tampa, FL 04/2012 – 12/2021

Financial Intuition

Fraud Case Manager: Identity Specialty Group (2015-2021)

Started workgroup in 2015 located in Tampa responsible for Identity Fraud Claim Investigations ranging from Account Takeovers to Fraudulent and Synthetic Applications starting at intake through resolution. Worked to identify the True Name Persons, Suspects, and Responsible Parties regarding financial transactions identified as fraud. Using tools such as Credit Browser, LexisNexis, and Early Warning System to determine Identity and financial responsibility. Utilized LexisNexis for KYC procedures post-booking. Worked with Credit Reporting Agencies to address inaccuracies for regulatory compliance and fair/ accurate reporting.

•Awarded ROAR for top 5% outstanding performance. Ranked Very Strong for year-end evaluations.

•Increased recovery rate at 20% average over 2 years and exceeded department goals and expectations.

•Led multiple pilot programs during tenure, including Identity Care and Victim assistance programs.

•Facilitated the training of new hires to share knowledge and best practices.

•Ensured consistency across case management and teams and facilitated process improvement and policies. Trained branch staff to recognize BSA issues and how to respond.

•Investigated fraudulent and potentially-fraudulent transactions involving identity theft, credit cards, ACH, and AML.

Fraud Recovery Coordinator: Transaction Fraud (2013-2015)

Summarized all key information regarding the investigation into a detailed report for delivery to the client.

Interviewed witnesses thoroughly, asking appropriate questions to ascertain necessary details about each case. Contacted customers directly to notify them of fraudulent activity and minimize impacts. Performed daily review of fraud claims to determine financial responsibility as issuer or acquirer. Reduced fraud losses by identifying trends and communicating with merchants to address billing errors and avoid unnecessary arbitration.

•Gathered evidence, which included recorded and written statements, financial documentation, and audio materials for examination.

•Analyzed large amounts of data to find patterns of fraud and anomalies.

•Conducted AML transaction monitoring on Retail Bank accounts for AML concerns involving structuring, excessive cash, and wire activity. Exceeded liquidation and productivity goals consistently.

•Processed chargebacks following Visa and MasterCard Guidelines/ Regulations.

•Recognized for continued process improvement group and changes implemented to drive better customer experiences.

•Worked on Lend according to business needs to assist in areas of knowledge during the pandemic.

Fraud Typing Agent: Richmond Knolls Campus (2012-2013)

Performed review of inbound fraud claims to identify claims' circumstances, what type of fraud occurred, update claim status, and department coding. Verify Regulatory requirements have been met at the time of reporting. Assisted with credit reporting through disputes process requiring a full review of account payment history for regulatory compliance for reporting accuracy and removing or updating inaccuracies.

•Conducted complex investigations of health care insurance fraud using detailed document reviews, evidence analysis, and personal interviews.

•Determined intent and origin of fraudulent activities based on the background checks conducted and availability of information and data.

•Drove accuracy from 98% to 99%, though consistent accuracy ensures less financial loss and potential customer impact.

•Prepared supporting documentation during investigations of case alerts recommending for closure or SAR filing.

•Worked to bring specialty group best practices to use within the FTA workgroup

EDUCATION

Bachelor of Arts

Virginia Commonwealth University

CERTIFICATIONS

ACAMS and CFE certified summer 2023

VOLUNTEERING

Parent Teacher's Association, Seasonal 01/2022 – 06/2022

Assistant to Treasury Director Assistant to Treasury Director

•Executed financial due diligence tasks daily to maintain optimal association finances.

•Drafted treasury reports to support PTA's decision-making needs.

•Prepared corporate finance and business plans to help strategically direct association operations and strengthen controls.

Feed Tampa Bay 01/2016 - 01/2018

Oversight

•Managed the validation activities associated with expanding manufacturing and laboratory facilities while maintaining oversight of calibration activities.

•Monitored and provided Protective Oversight to individuals with developmental disabilities and facilitated and followed up on clinical needs of the same individuals.

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