Claims Operations Processor
Resume:
Kate Contreras
Beaverton, OR 97005
***********@*****.***
EXPERIENCE
Wells Fargo Bank, Portland OR — Lead Fraud & Claims Operations Representative
AUG 2006 - PRESENT
Oversee Fraud & Claims operations within the Business Assurance department, focusing on Secondary Review and Approval processes.
Collaborate closely with the Detection Operations team on account level hold decisions.
Review cases submitted by Detection Ops for exit assessments, ensuring accurate account analyses.
Evaluate recommendations from Fraud & Claims Ops Specialists to determine if initiating account level holds (types 20, 21) or monetary block (type 22) is the best loss mitigation action.
Facilitate case referrals to the Secondary Review and Approval group for in-depth analysis and conclusive decision-making.
Act as a final decision-maker for account closures and ending relationships with customers based on comprehensive fraud assessments.
Previous roles included Fraud and Claims Operations Specialist 2 and 3 – Remote Channel Deposit Verification RCDV; Operations Processor 2- International Operations; Operations Processor 2- Bank by Mail; Operations Processor 2- Foreign Exchange Cash Vault; and Bank Teller.
Maintain rigorous compliance with bank policies, ensuring all secondary review actions align with organizational standards and regulatory guidelines.
Offer training and mentorship to junior team members, promoting best practices in fraud detection and claims operations.
Collaborate with cross-functional teams to improve and streamline the review and approval process.
Stay updated with the latest industry trends, tools, and technologies in fraud detection to ensure the bank's practices remain state-of-the-art.
Report on case outcomes and decision patterns to senior management, ensuring transparency and continuous improvement.
Participate in regular team meetings, contributing insights and feedback to drive departmental goals and initiatives forward.
Recommend updates to existing tools or systems based on evolving fraud trends and operational needs.
VOLUNTEER WORK
Wells Fargo Ambassador Program, Portland OR — Participant
JAN 2020 - JAN 2021
Engaged actively in a comprehensive program designed to impart leadership skills and enhance personal and professional growth.
Participated in a series of workshops, seminars, and hands-on activities focused on understanding the core principles of leadership.
Collaborated with fellow participants to discuss and apply leadership theories, share experiences, and brainstorm solutions to potential leadership challenges.
Received mentorship from experienced Wells Fargo leaders, gaining insights into effective leadership within the banking industry.
Westlake Village Condominium H.O.A., Portland OR — Treasurer
JAN 2017 - DEC 2017
Oversaw and managed the financial operations and health of the homeowners association (HOA).
Maintained comprehensive financial records to ensure transparency and adherence to accounting standards.
Administered the billing and collections processes, ensuring timely payments and follow-ups.
Managed the disbursement of funds in line with the association’s financial policies.
Led financial planning and budgeting efforts, aligning with the association's long-term goals and objectives.
Prepared and presented regular financial reports to the board, detailing income, expenditures, and overall financial health.
Oversaw banking relationships and transactions, ensuring safe custody and accurate tracking of association funds.
Implemented robust bookkeeping practices to maintain an organized record of all financial transactions.
Maintained control of fixed assets and stock, ensuring their safeguarding and proper accounting.
Developed and implemented fundraising initiatives and sales strategies to bolster the association’s financial resources.
SKILLS
Comprehensive background in evaluating financial risks, ensuring accurate account analyses, and acting as a decision-maker for account-related concerns.
Rigorous adherence to bank policies and regulatory guidelines, ensuring all operations align with organizational standards.
Demonstrated proficiency in mentoring and training team members, ensuring adherence to best practices in banking operations.
Skilled in cross-functional collaboration to streamline and enhance review processes.
Stayed abreast with industry trends in fraud detection, ensuring Wells Fargo's practices remain advanced.
Experienced in reporting on operational outcomes and suggesting improvements to senior management.
Proven track record of recommending system or tool enhancements based on fraud trends and operational requirements.
Held a Treasurer role for a homeowners association, overseeing financial operations, budgeting, and financial reporting.
Maintained banking relationships, ensuring proper tracking and safety of funds, demonstrating skills in financial management.
Established robust bookkeeping practices and oversaw fixed assets, showing attention to detail and organizational acumen.
Developed fundraising strategies to enhance financial resources, showcasing strategic thinking and initiative.
AREAS OF EXPERTISE:
-Fraud Detection and Prevention
-Claims Investigation
-Risk Assessment and Mitigation
-Regulatory Compliance
-Data Insight and Analysis
-Stakeholders Engagement
-Fraudulent Transaction Analysis
-Fraud Prevention Measures
-Team Building and Leadership
EDUCATION
Almaty Academy of Economics and Statistics, Almaty KAZ— M.A. Economics
GRADUATED JUN 2003
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