This is my profileContact via CazVidJeffrey
Fraud Prevention Specialist with 2+ years in Banking & Customer Support
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Competencies
Expertise in identifying, investigating, and resolving fraud cases in banking and credit card sectors.
Proven ability to deliver high-quality support in banking, healthcare, and insurance environments.
Strong understanding of HIPAA and industry regulations ensuring accurate and compliant case handling.
Skilled in using Salesforce and other CRM tools for efficient case documentation and management.
Effective in educating customers on security practices and resolving complex issues through clear communication.
Education
Languages
Summary
Dedicated professional with over 2 years of experience in fraud prevention, customer service, and compliance. Adept at resolving complex issues, promoting security, and ensuring client satisfaction across banking and healthcare industries.
Key Achievements
- Supported Capital One customers in resolving fraudulent credit card activities, ensuring account security and compliance.
- Promoted to Tier 2 fraud specialist at Concentrix due to outstanding performance in resolving complex fraud and billing disputes.
- Maintained high accuracy and compliance in healthcare claims processing, supporting HIPAA and internal standards.
- Provided efficient support for major clients like MetLife, HP, and Tos with high-volume insurance policy management.
Experience
Fraud Prevention Specialist
Supported Capital One customers regarding fraudulent credit card activity and account security.. Performed detailed account maintenance and documentation to ensure accuracy and compliance.. Educated customers on security tools and fraud prevention best practices.
Fraud Prevention Specialist
Provided phone and chat support for Goldman Sachs Bank USA (Apple Card accounts).. Resolved Tier 1 and Tier 2 fraud cases and billing disputes; promoted to Tier 2 for strong performance.. Ensured strict adherence to banking regulations, data privacy, and security standards.
Customer Service Representative
Assisted members and providers with medical claims, benefits, and inquiries.. Maintained high accuracy in alignment with HIPAA and internal compliance requirements.
Customer Service Representative
Supported Cigna Healthcare customers with coverage questions and provider assistance.
Customer Service Representative
Provided insurance policy support for MetLife, handling updates and maintenance in a high-volume environment.. Managed technical issues, service orders, and billing for major clients including HP, Toshiba, and Micro Focus.. Utilized Salesforce CRM for vendor onboarding and account management.
General Laborer / Security Officer
Roles included Security Officer (RDU Airport) and Warehouse Laborer, demonstrating reliability and adaptability.