Quality Control Project Management

KRYSTAL SOMERVILLE, M.S., CP

Dallas, TX -252-***-****

*************@*******.***

Goal-oriented, flexible and dedicated senior professional who can work with all levels of staff, can comprehend detailed instructions, can identify issues and quickly present solutions. Experience ensuring quality standards are maintained, providing internal/external Compliance guidance and working in a constantly changing environment.

CORE COMPETENCIES

Legal Compliance Practices

AML/Fraud Investigations & Quality Control

Project Management

Process Improvement

Vendor Management

Interpersonal Communication

Training & Leadership

Insurance & Financial Services

Risk Management

Budget Management

EDUCATION

Liberty University, Paralegal Certification: Paralegal Studies, Lynchburg, VA

University of Phoenix, Master of Science: Administration of Justice & Security, Phoenix, AZ

North Carolina A&T State University, Bachelor of Science: Electronics & Computer Technology, Greensboro, NC

PROFESSIONAL LICENSES AND CERTIFICATIONS

Coursera - Security Governance & Compliance Certification – 2024

ACAMS – CAMS Certification – In Progress

Paralegal Certification - 2017

Texas Notary Public (Commission expires February 7, 2026)

AML Training Certificate (June 11, 2020)

PROFESSIONAL EXPERIENCE

FRAUD OPERATIONS INVESTIGATOR (CONTRACT), MBO Partners, Dallas, TX January, 2024 – Present

Working as part of a team of Investigators in the Financial Crimes Unit to help our clients conduct Fraud case investigations for various banking products.

Conducting investigations of Fraud cases, documenting investigative findings to determine whether the case should be escalated/referred for further review or action, and drafting SARs.

Analyzing transactional data and conducting internal and external research on subjects using a variety of research tools.

Identifying various types of fraud scenarios (Account Takeover/ATO; Synthetic ID/Identity Fraud, 1st Party Fraud, and 3rd Party Fraud); and determine which cases merit SARs to be filed.

AML/KYC ASSOCIATE CONSULTANT, Delta Capita, Dallas TX, July, 2023 – September, 2023

Assisted various banking institutions with fulfillment of AML & KYC requirements for new client Onboarding & renewals to ensure high quality and timely completion of all client-level due diligence requirements at the start of the client relationship

Assisted with KYC ad-hoc requests from business and Relationship Managers to remain compliant with legal and regulatory AML/terrorist financial requirements.

Performed required OFAC/Sanctions screenings and due diligence for all domestic entities to verify that all data points such as UBO’s, Ultimate beneficiaries, Trusts, Foundations and various Financial Institutions were correct.

Conducted proper Enhanced and Specialized Due Diligence for high-risk clients/institutions and possible PEP’s, followed the proper chain of command for escalated matters.

SENIOR KYC ANALYST (CONTRACT), Aston Carter, Plano, TX, April, 2023 – July, 2023

WKO Middle Office team supported all aspects of new client Onboarding & renewals to ensure fulfillment of AML & KYC requirements and regulatory standards, validated client information, conducted Enhanced & Specialized Due Diligence, requested supporting evidence for OFAC/Sanctions screenings & negative media cases, completed AML risk ratings for Quality Control review.

Assisted with KYC ad-hoc requests from Bankers, product/international partners

Managed operational risk effectively through diligent awareness of risks in our processes and potential risks that stem from partner participation in the process.

Escalated appropriate risk items across matrixed organizational lines.

GLOBAL FINANCIAL CRIMES COMPLIANCE ASSOCIATE, Goldman Sachs & Co, Richardson, TX, November, 2021- April, 2023

Acted as the Independent Quality Control Know Your Customer and Enhanced Due Diligence Lead and part of Goldman’s 2nd line of defense responsible for function management, vendor oversight, and quality metrics reporting.

Assessed the firm’s Compliance, Regulatory and reputational risks; monitored for compliance with new or amended laws, rules and regulations; Designed and implemented controls, policies, procedures and training; conducted independent testing; investigated, surveilled and monitored for compliance risks and breaches.

Supported the divisional goal to detect and mitigate risk by conducting quality control reviews on KYC alerts and EDD cases to identify trends and patterns consistent with money laundering, fraud, terrorist financing and human/drug trafficking on correspondent banking products; potential missed escalations and Suspicious Activity Report (SAR) filings.

Streamlined the KYC & EDD monitoring review process by highlighting the differences between best practices and required supporting documentation.

Managed large datasets for reporting and prioritized work flows to ensure deadlines were met.

COMPLIANCE & LICENSING MANAGER, National Summit Insurance Company, Dallas, TX, April, 2020- July, 2021

Further developed the insurance regulatory compliance program; managed compliance matters including regulatory Compliance research projects and various departments of insurance or federal filings.

Received/Tracked/Monitored alerts for Bulletins, Data Calls and Consumer Complaints; coordinated receipt of data responses and submitted to the appropriate State Department of Insurance or Federal agency; monitored various Outlook inboxes for the department.

Developed and maintained effective working relationships with individuals in other functions and/or business units responsible for the execution of compliance activities; such as notifying department heads of new regulations adopted by various state departments of insurance.

Managed Licensing coordinators (completed timecard reviews, performance management, training new employees on compliance procedures), planned and managed annual Compliance department budget.

Prepared various daily, weekly and monthly compliance and internal control reports (OFAC, etc.)

Provided guidance and support as a SME to process owners for any implementation or remediation activities and action plans, oversaw and conducted periodic divisional/departmental compliance reviews

Created and maintained detailed records of the Compliance & Licensing findings for auditing and process improvement purposes.

Reviewed and paid Compliance and Licensing Invoices (Registration & Fees, etc.)

Confirmed certificate of authorities were current in each state where the company was licensed, and handled renewals as needed.

Completed Lawsuit Intake, pre-litigation letters, issued legal holds, set-up reserves for legal matters, reviewed/paid legal invoices/settlements/payment reissues, & monitored/maintained Legal Tracker database.

Oversaw the Licensing department to ensure effective management of all producer lifecycle processes.

Drafted and maintained Compliance/Licensing departmental processes and procedures; developed and implemented best practices and quality controls.

SR. COMPLIANCE ANALYST – LEGISLATIVE ANALYSIS & IMPLEMENTATION, Transamerica, Plano, TX, August, 2019 – April, 2020

Analyzed and summarized new or revised complex legislation updates and other regulatory guidance to determine potential impact on Transamerica’s products and processes; Identified recommended courses of action for affected departments, and provided follow-ups to ensure implementation of the regulatory change.

Conducted multiple Compliance research projects. (Including 50 state research projects)

Participated in implementation of new Compliance programs, projects and enterprise-wide initiatives.

Performed moderately difficult assignments with diverse scope and complexity requiring a great deal of initiative, attention to detail, creativity and problem solving.

LEGAL AND COMPLIANCE ANALYST, National Lloyd’s Insurance Company, Dallas, TX, May, 2017 – August, 2019

Monitored, reviewed and responded to state bulletins, complaints, and DOI requests; Acted as liaison with other departments on legal and compliance inquiries, Legal Tracker, outside counsel and NAIC.

Summarized complex issues in language sufficiently clear for applicable audience. Assisted with drafting and maintenance of internal policies and procedures. Conducted OFAC processing for fraud and audit.

Assisted with the contracts process for vendors and agents/agencies.

Coordinated activities relative to the renewal and maintenance of corporate insurance policies

Worked with other departments to maintain proper records relative to outside counsels; Performed in-depth legal research using automated databases. Gained knowledge of insurance services and products.

Provided necessary Compliance training for various departments within the company.

CLIENT SERVING ASSOCIATE, Ernst & Young, Dallas, TX, May, 2015 – February, 2017

Processed and analyzed paperwork sent by governmental agencies to provide practical advice to clients regarding unemployment claims administration and tax advisory services.

Contributed to client service by providing timely and effective follow-up with state employment agencies in relation to unemployment claims filed against our clients’ tax accounts.

Worked with the operations managers and/or corporate personnel of our clients to obtain separation information and supporting documentation to support our client’s claims and send appeals to the state

Communicated up to date state agency processes to the appropriate processing center staff.

SECURITIES & INSURANCE LICENSING ANALYST, 1st Global Research & Consulting, Dallas, TX, August, 2013 – August, 2014

Provided ongoing compliance education and oversight; Processed and maintained state level Securities & Insurance registration licensing requests in residential and non-residential states for Financial Advisors.

Monitored and assisted with yearly renewals and financial statements, and maintained and processed agency financial and tax reporting documents.

Processed U-4 securities regulatory applications for new Financial Advisors, and U-5 securities regulatory terminations; Updated regulatory information and monitor daily queues on FINRA CRD System

Processed carrier contracts and state appointments for advisors and state affiliations for licensing requirements and E&O carrier inquiries and updates.

SUBROGATION CLAIMS ASSISTANT, AmTrust North America, Dallas, TX, September, 2012 – July, 2013

Provided technical assistance to the Cost Containment Manager, Subrogation Unit and Legal Bill Auditing Team

Maintained data within the Legal Bill Auditing software, entered claim payments, paid invoices, processed all incoming checks and memos ranging up to $1M+, prepared installment agreements and subrogation notice letters

Managed deductible recovery, forwarded budgets to claims adjusters for approval.

CUSTOMER SERVICE PROCESSING PROFESSIONAL, Lincoln Financial Group, Greensboro, NC, May, 2008 – June, 2012

Processed Power of Attorneys/Legal Guardianships, Reinstatements, cash surrenders, premium payments, Key 1099’s, ownership, beneficiary and basic changes to insurance policies (Whole Life, Accident/Health policies, etc.).

Maintained close interaction with legal department, prepared letters/correspondence, appropriated insurance forms, interacted with social/human services for eligibility purposes, and completed check approval up to $25,000, superior customer service. Adhered to company policies and procedures.

LEGAL INTAKE REPRESENTATIVE, Crumley & Associates Attorneys at Law, Greensboro, NC, July, 2007 – May, 2008

Assisted Intake Specialists, Case Managers and Attorneys, and served as liaison for clients.

Obtained clients’ legal information for legal cases (auto accidents, Social Security, workers compensation, medical malpractice, and other personal Injury), reviewed personal injury cases for acceptance or rejection.

TECHNICAL SKILLS

Microsoft Office Suite (Word, PowerPoint, Outlook, Excel, Access), Pivotal, (FINRA) CRD, Agency Integrator, Needles 4.65, TaxPort, ANA Claims/Manager, Image Right, Pickles Express, AutoCAD, AutoMed, QS-1, AWD, Accurint, Common View, TPX, Business Objects-NXG, EY Maxx, EY Focus, People Soft, OFSAA (Oracle), Lotus Notes, West Law, Lexis Nexis Bridger, ARIBA, CODE, NILS-OneSumX, HighBond, Monday, Zapproved, Tableau, Confluence, NICE Actimize, SharePoint, BOX, Safire, Portal, ECAMS, FDR Common, Talon/Fraud Portal, RDC Tool, Engage, Grid-space, Experian.

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