Fraud & Customer Support Specialist Resume Title

D i amond Foster

**** * ****** ** ***** Tx ***** • 469-***-**** • *************@*****.***

Experienced Work-From-Home Agent with a proven track record of delivering exceptional customer service and support in remote environments. Skilled in effectively managing inquiries, resolving issues, and exceeding performance metrics. Proficient in utilizing various communication channels to ensure seamless interactions with clients. Possessing strong adaptability, self-motivation, and time-management abilities to thrive in emote work settings. Dedicated to maintaining high-quality standards while contributing to team success. E x p e r i ence

2024 – PRESENT

Fraud Analyst Gen Digital Plano, Tx

· The Primary responsibility of the Fraud Analyst is to analyze alerts generated by the fraud detection system and to conduct thorough investigations into suspicious activities.

· The Analyst will escalate suspicious activities for further investigation and will be responsible for documenting findings and preparing correspondence related to these investigations.

· In addition to analysis and investigations, the Faud Analyst will engage in business partnerships with other financial institutions, law enforcement agencies, and protective services to coordinate efforts in combating organized crime and financial fraud.

· Analyze alerts received from the fraud system and daily, weekly, and monthly reports to detect suspicious activity · Handle documentation and required research related to investigations. JUNE 2021 – AUGUST 2024

Patient Care Advocate Chime Solutions Dallas, Tx

· Provided compassionate and personalized assistance to patients, caregivers, and healthcare providers regarding healthcare services, insurance coverage, and medical billing inquiries.

· Handled inbound and outbound calls with professionalism and empathy, actively listening to patients’ concerns and addressing their needs effectively.

· Educated patients on their healthcare benefits, including coverage limitations, co-pays, deductibles, and authorization requirements, to help them navigate the healthcare system.

· Acted as a primary point of contact for patients seeking assistance with healthcare-related inquiries, including insurance coverage, claims processing, and provider referrals Reviewed policy coverage, BILLING SPECIALIST ACT AUGUST 2018– MARCH 2021

· Resolved billing discrepancies and inquiries from patients, insurance companies, and internal departments, investigating and correcting errors promptly.

· Posted payment, adjustments, and refunds to patient's accounts, reconciling accounts receivable and ensuring timely and accurate financial reporting.

· Reviewed patient medical records and encounter forms to accurately assign appropriate diagnosis and procedure codes for billing purposes.

· Conducted regular audits of billing processes and documentation to ensure compliance with coding guidelines, billing regulations, and payer requirements.

S k i l l s

· K n o w l e d g e R e t e n t i o n · T e c h n i c a l T r o u b l e s h o o t i n g · E x c e l l e n t i n t e r p e r s o n a l S k i l l s · O r a c l e · Z o h o C R M · S t r e s s M a n a g e m e n t · C o n f l i c t R e s o l u t i o n · T y p e 4 5 W P M · M u l t i t a s k i n g · C a l e n d l y · I n t e r c o m · F r e s h c h a t · S e l f - M o t i v a t i o n

E ducation

JUNE 2013

High School Diploma Career Changers HS Dallas, Tx

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