Danny - Credentialing Investigation Analysis Remote in Costa Rica

Experiencia demostrada en Credentialing Investigations.

Experiencia demostrada en Due Diligence.

Experiencia demostrada en Business Verification.

Experiencia demostrada en Financial Information Verification.

Experiencia demostrada en Fraud Detection.

Investigate potential and existing clients to identify fraud risks and determine eligibility for access to sensitive financial and credit-related information. Obtain and review supporting documentation to establish due diligence, permissible purpose, financial stability, legal use, and compliance with applicable requirements. Analyze business information and documentation from multiple sources to identify discrepancies, inconsistencies, and potential risk indicators. Apply the Fair Credit Reporting Act (FCRA) and Gramm-Leach-Bliley Act (GLBA) requirements when evaluating client eligibility and appropriate use of sensitive financial information. Conduct ongoing account reviews and audits to identify compliance concerns and ensure continued adherence to internal policies and regulatory requirements. Access and review appropriate business reports and publicly available information to support investigations and risk-based decisions. Educate prospective and existing clients regarding permissible purpose, appropriate use, and requirements for accessing and reporting credit information. Maintain accurate investigation records and update Salesforce and Mainframe accounts with relevant documentation and account information. Escalate complex or high-risk cases and collaborate with internal teams to resolve documentation, compliance, and account-related issues. Support special projects and process improvement initiatives while maintaining accuracy within high-volume workflows

Conducted high-volume investigations to identify fraud, financial risk, and irregular customer or account activity. Analyzed customer, transaction, and account information from multiple sources to identify discrepancies and determine appropriate risk actions. Reviewed supporting information and documentation to validate account activity and investigate potential policy violations. Applied established investigation procedures and risk controls while maintaining accuracy under strict SLA requirements. Documented investigation findings, decisions, and supporting evidence to maintain accurate and auditable case records. Identified patterns and emerging risk indicators through detailed analysis of large volumes of information. Collaborated with internal stakeholders to resolve complex cases, escalate risk concerns, and support effective risk mitigation. Contributed to process improvements designed to increase investigation accuracy, consistency, and operational efficiency

Monitored financial and account activity and investigated irregular behavior to identify fraud risks and support secure account operations. Maintained accurate documentation and supported compliance-oriented workflows in high-volume environments