Priyanshu Kashyap Jha

* Conducted thorough investigations of fraud in business and retail accounts, resolving escalated cases.

* Analyzed unusual activity reports to produce risk-based investigation notes and suspicious activity reports.

* Interpreted evidence from multiple systems to identify red flags in atypical customer accounts.

* Assessed scams and account takeover scenarios to strengthen fraud detection measures.

* Adapted investigation strategies to address modern fraud trends, enhancing detection capabilities.

* Monitored account authenticity through verification of documents, geographical data, and transaction patterns.

* Resolved escalated cases from multiple teams including Research & Exit Management, AML, and Transaction Monitoring.

* Conducted evaluations of unusual activity reports, producing Risk-Based Investigation notes and Suspicious Activity Reports as necessary.

* Utilized evidence from diverse systems to investigate fraud cases, generating alerts for atypical customer accounts.

* Monitored account activities by assessing document legitimacy, geographic factors, device links, and transaction behavior.

• Utilized the 'Nautilus' software to analyze seller and buyer profiles, particularly for US entities.
• The primary responsibility was to verify the legitimacy of transactions and identify potential risks.
• This included investigating refunds and chargebacks, employing mechanisms like 'retro charge' and 'splat' to manage refunds effectively.
• Ensured that products reached buyers safely and that all payments were properly authenticated, safeguarding both customers and Amazon's financial interests.

• Provided comprehensive support to Texas Health Care patients by resolving denied insurance claims.
• This involved researching and verifying claim details using the 'Athena' software system.
• Ensured claims were accurate and aligned with the patient's insurance coverage, advocating for proper payment from insurance companies.
• Initiated claim reprocessing for any incorrectly denied claims, helping patients receive the healthcare benefits they deserve.