Remote Customer Solutions Associate Insurance & Compliance Expert

Sonya M. Veale

Licensed Insurance Agent Fraud Detection & Compliance Specialist

Remote -- USA VA & CA Licensed 757-***-**** ***********@*****.***

PROFESSIONAL SUMMARY

Top-performing fraud detection and insurance specialist with 12 years of experience in compliance monitoring, risk assessment, and policy servicing across 500+ client accounts. Consistently ranked top 5% for performance in fraud identification and regulatory adherence. Active Life & Health insurance licenses with Medicare expertise and multi-state regulatory knowledge (34 states). Proven track record in high-volume client management, pattern recognition, and compliance enforcement in remote environments.

CORE COMPETENCIES

Fraud Detection & Investigation • Risk Assessment • Compliance Monitoring • Policy Servicing • Client Retention

Life, Health & Annuity Support • Medicare Expertise • Multi-State Regulations • Pattern Recognition

CRM & Case Management • High-Volume Account Management • Remote Operations • Data Analysis

TECHNICAL PROFICIENCIES

Salesforce • Zendesk • Microsoft Office Suite • Insurance Compliance Software • Claims Management Systems

Data Analysis Tools • Documentation & Reporting • Regulatory Database Management

PROFESSIONAL EXPERIENCE

Financial Compliance Advisor Independent Remote

Jun 2021 -- Present

Provide policy service and compliance support for life, health, and annuity clients

Review applications, disclosures, and beneficiary updates for regulatory accuracy

Support underwriting follow-ups, client documentation, and issue resolution

Maintain detailed CRM records and ensure adherence to state insurance regulations

Conduct needs analysis and retention strategies for existing policyholders

Fraud Detection & Compliance Specialist Sutherland Global Services Remote

Jul 2013 -- Jan 2022

Managed portfolio of 500+ client accounts across 34 states with focus on fraud detection, compliance monitoring, and risk mitigation

Consistently ranked top 5% for performance in fraud identification, regulatory adherence, and customer satisfaction

Conducted detailed investigations of suspicious activity, policy violations, and compliance breaches resulting in prevention of fraudulent claims

Processed high-volume client interactions (50+ daily) while maintaining 99%+ accuracy in documentation and case management

Applied expert knowledge of Medicare, insurance regulations, and multi-state compliance requirements

Identified patterns and anomalies in client behavior through data analysis and risk assessment protocols

Collaborated with underwriting, legal, and compliance teams on complex cases requiring escalation

Benefits Enrollment Representative Xerox

2012 -- 2013

Assisted employees with benefit selections and insurance plan explanations

Verified eligibility, processed enrollments, and ensured compliance with plan rules

Banking Operations Associate Bank of America

2008 -- 2011

Supported customer account servicing and regulated financial transactions

Maintained accuracy and compliance in documentation and customer records

EDUCATION

Bachelor of Science -- Finance (Real Estate Concentration)

Old Dominion University

LICENSES & CERTIFICATIONS

• Active Life & Health Insurance License (Virginia & California)

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