PRINCE ASHELEY C

Conducted investigations into suspected fraudulent activities, identifying fraud patterns to enhance detection strategies.

Analyzed and monitored transactional data to detect signs of fraud.

Reviewed and assessed claims and transactions for fraud potential, ensuring compliance with regulatory standards.

Investigated chargeback root causes, recommending corrective actions for resolution.

Identified system weaknesses and reported them, facilitating implementation of improved fraud prevention measures.

Kept abreast of industry trends and emerging fraud schemes.

Compiled detailed fraud prevention reports and maintained accurate documentation.

Maintained comprehensive chargeback records and documentation for reference.

Handling customer queries, chargebacks, and disputes for ATM withdrawals and POS transactions.

• ATM mis-dispense investigations involve analyzing the transaction records to determine whether any errors occurred during the withdrawal process.
• Monitored and investigated real-time transaction anomalies, ensuring timely issue resolution.
• Investigated ATM withdrawal errors using transaction logs, customer reports, and surveillance systems.
• Investigated cash not dispensed, partial dispense, and double debit issues, maintaining an accuracy rate of 99.5%, and ensuring a chargeback resolution accuracy of 98%.
• Maintained compliance with regulatory and internal fraud prevention standards.
• Utilized fraud detection tools and software to monitor and analyze high-risk activities.

Identified issues related to unauthorized POS transactions.

• POS transaction disputes: Reviewing unauthorized transactions that customers have not initiated, or transactions that are not accepted by the merchant, but money has been debited from the customer's account.
• Monitored and resolved live transaction errors, including declined payments, duplicate charges, and pricing discrepancies.
• Processed refunds, chargebacks, and adjustments accurately while maintaining compliance with company policies.
• Addressed customer disputes over incorrect or unauthorized transactions, ensuring resolution with professionalism and efficiency.
• Analyzed payment logs and system records to investigate transaction discrepancies, identifying and rectifying errors effectively.
• Communicated with customers to gather information and provide clear explanations of dispute resolution outcomes.

Monitored high-risk transactions in real time to identify suspicious activity, ensuring compliance with regulations and reducing potential risk.

• Monitored and identified suspicious transactions in real time, preventing potential fraud before it affected customers.
• Utilized transaction monitoring systems and tools to flag potential fraudulent or illegal activities for further investigation.
• Prepared detailed reports on flagged transactions and escalated findings to compliance and risk management teams, facilitating timely risk mitigation.
• Investigated alerts generated by monitoring systems, applying critical thinking, and data analysis to determine their legitimacy.
• Conducted in-depth KYC checks for onboarding new clients, verifying identities, and assessing potential risk factors.
• Transaction Monitoring and Conducted thorough KYC checks to verify client identities and assess risk.
• Monitoring credit, debit, prepaid, and forex card transactions through bank applications.

Handling Clients Medical Claims and Policies

Outlined key duties for efficient client claims processing.

• Checked patient information and verified medical treatments for accuracy.
• We will verify the medical insurance of the patients to claim the payments for the treatment
• Approve claims that meet all policy requirements, and notify the client.
• For rejected claims, clearly explain the reasons, and guide the client on next steps (e.g., appeal process).
• Handled claim appeals and escalations by thoroughly reviewing denied claims, and presenting solutions.
• Once the claim gets corrected, I will appeal the claim to the prospective insurance.