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Claims Adjuster or Quality Control

Location:
Arlington, TX
Posted:
November 09, 2023

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Resume:

Olugbenga B. Ajayi

+1-817-***-**** ● ad0ysx@r.postjobfree.com ● Arlington, TX 76002

CLAIMS ADJUSTER / AML-FRAUD-KYC ANALYST

PROFESSIONAL SUMMARY

Olugbenga is indeed a dynamic professional, driven, conceptual, focused, organized, analytical, and well-experienced in business management and development, insurance, etc. His skillsets seemingly cross-function through Tax, Banking, Finance, Insurance Claims, Reinsurance, AML, KYC, OFAC, Fraud Detection and Analysis, Negotiations, Landman Project Reviews, Real Estate Management, Private Placement Fund Settlements, Research, etc. He has special interest in Claims Adjuster roles, and confident that the ideal company will find great value-add in his “can-do” attitude to assessing, analyzing claims, reviewing, processing tax and insurance files with an insatiable appetite for creating solutions. It will be exciting for Olugbenga to see his skills optimally utilized in the areas of Insurance Claims, Reinsurance, Fraud Analysis and Prevention, AML, KYC (Know Your Customers), Report Writing, Quality Control, as well as Presentations while using Microsoft Office Suite applications. FUNCTIONAL SKILLS

● Knowledge of Risk and Regulatory requirements as they apply to financial crimes.

● Status Updates, Progress Reports, and timely SAR Drafting when risks cannot be mitigated.

● Catastrophe Claims, Compliance Operations, AML, Fraud, Sanctions, KYC/CDD & EDD. TECHNICAL & PROFESSIONAL SKILLS

● MS Office Suites & Office 365 ● Claims Process & Status ● Due Diligence

● MCP/MCITP, MS Dynamics GP ● Insurance/Reinsurance ● Executive Presentations

● Team Player & Client Services ● Compliance Reviews ● Information Verification

● Fraud Detection & Investigation ● Contract Management ● Risk Management

● KYC Reports & Analysis ● Fund Settlement ● Quality Control

● Banking Regulations ● SAR Drafting ● Project Management PROFESSIONAL EXPERIENCE

Wells Fargo Bank, Bakersfield, CA 07/2021 – Current AML/OFAC/FRAUD Analyst

● Investigate complex fraud cases involving account take-over, dispute fraud, and synthetic identity.

● Handle OFAC alerts for international ACH Transactions to comply with regulations.

● Conduct fraud investigations related to wire transfers, P2P, scams, and business email compromise.

● Monitor high-risk account activity and take actions to prevent fraud in the organization.

● Review alerts from Case Tracker System and conduct daily OFAC review of in-process transactions.

● Resolve disputes, complaints, and inquiries by making necessary corrections to accounts.

● Gather information and documents from various sources to draft SAR reports.

● File SAR when suspicious activity is detected in customer accounts across multiple channels

(ACH, Cards, Checks, Wires, Zelle, Online Banking, etc.)

● Perform reconciliation of cases and follow up every 90 days.

● Identify risk factors and trends in potentially fraudulent activities, then build/create trend reports and key indicators.

● Prioritize and meet regulatory deadlines for completing tasks.

● Monitor and review institutional transactions to identify fraud and reconcile customer accounts. PNC Bank, Baltimore, MD 07/2018 – 06/2021

AML/KYC Analyst

● Performed background checks, customer research, transactional analysis using software/databases.

● Reviewed documentation to prevent fraud and money laundering.

● Participated in new client onboarding and contract renewal processes.

● Monitored and maintained compliance with internal controls and government regulations.

● Performed adverse news screening on customers and verified PEP match.

● Documented research findings to support risk-based decision-making and resolution to escalated fraud incidents.

● Conducted EDD on contract performance and recommended adjustments to meet client needs.

● Acquired a working knowledge of Anti-Money Laundering Laws.

● Ensured client data, business activity, alerts, documents, and other case determinations are appropriate, fully supported and clearly documented.

● Conducted Enhanced due diligence searches on high-risk customers and escalate appropriately when suspicious activity is detected.

● Analyzed results of complex investigations to deliver concise written conclusions to management. Afortus Financial, 10/2018 – Date & EMCOL Group, Arlington, TX 01/2018 – 07/2018 Insurance Agent, Financial Advisor

● Maintained great customer service to drive business growth and promote sales opportunities.

● Created client presentation materials and communications for product and service introductions.

● Managed client relationships, addressing tax and insurance product inquiries, securing contracts, and handling payments for services in Small Business, P&C, Life & Health Insurance, REIs, etc.

● Managed KPIs and system tools to ensure regulatory compliance while managing basic transactional processes.

FEMA, WSP-USA, Field/Remote -USA 06/2017 – 12/2017 Contract Management Field Inspector

● Provided field support, site visits to disaster victims, assessed damages, and reviewed claims.

● Multi-tasked to negotiate claim settlements and delivered timely reports on catastrophe claims. EDUCATION

University of Texas, Arlington, TX

● MBA – Business Management Nov 2002

Federal Polytechnic Ilaro, Ogun state, Nigeria

● Higher National Diploma – Accounting May 1998

CERTIFICATIONS & LICENSES

● MCP/MCITP, Microsoft® Certified Professional (ERP) Microsoft® Certified IT Professional.

● Resilient Leadership (HBS – Harvard Business School Online).

● Insurance Licenses: Property and Casualty Life and Health Adjuster, All-Lines (TX). Willing to add multi-state reciprocity Adjuster Licenses and endorsements upon request.



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