Transaction Monitoring & Investigation: Led high-priority investigations into suspicious transaction patterns by utilizing Python and SQL to analyze data, enabling proactive risk identification and root cause determination.
Fraud Risk Management: Developed and implemented effective fraud risk assessment strategies to identify potential risks and opportunities for improvement across transactional workflows.
Risk Investigation & Analysis: Conducted in-depth investigations into high-risk accounts and anomalous activities to safeguard business operations and ensure adherence to AML regulations.
Data Analytics & Monitoring: Leveraged advanced data analysis and risk assessment frameworks to detect emerging fraud trends and enhance decision-making accuracy through automated reporting.
Compliance & Governance: Ensured continuous compliance with internal policies and regulatory standards while providing guidance on fraud prevention best practices to internal stakeholders.
Cross-Functional Stakeholder Management: Collaborated with cross-functional teams to implement scalable fraud mitigation measures and ensure compliance with regulatory requirements.
Operational Excellence & Process Improvement: Drove continuous process enhancement by using Python for automation of risk review workflows, improving investigation efficiency and fraud detection mechanisms.
Developer Senior, Business Info Developer, Business Analyst II, Business Analyst I, Project Coordinator, Senior Claims Associate, Risk Management, Fraud and Abuse, Audit/Recovery Specialist, Customer Service at AnthemDeveloper Senior, Business Info Developer, Business Analyst II, Business Analyst I, Project Coordinator, Senior Claims Associate, Risk Management, Fraud and Abuse, Audit/Recovery Specialist, Customer Service at Anthem