SWETHA KOUSIN

• Conducting 360-degree fraud reviews on customer profiles and alerts triggered by threshold

violations.

• Investigate fraud cases involving ATO, PTO, TOA, ID Theft, and First Party Frauds.

• Detect and mitigate fraud risks across payments, core banking, and account opening.

• Implement strategies on ATO scams, P2P payments, ACH kiting, and check frauds.

• Collaborate with internal and external stakeholders for end-to-end fraud alert reviews and SAR

• Worked on UK region for the process John Lewis financial service dealing with partnership card and currently working in premier detection and mitigation where we deal with premium customer across the globe.
• Led real-time queues and high-risk transactions within the business portfolio.
• Investigating fraud which can cause improper payments due to account takeover, impersonations and other forms of identify fraud losses.
• Monitoring transactions in real time on card level & account level.
• Interacting with customer's transactional records to identify unauthorised usage of the card.
• Experienced in handling commercial and corporate credit card level investigations for fraud detection and providing our clients with risk free service.
• Detected and prevented fraudulent activities to safeguard customer accounts and the organization's reputation.
• Synchronized customer transaction records to promptly identify and flag unauthorized transactions.
• Employed into transactions associated with fraud merchants and taking appropriate measures.
• Engaged with customers to validate information, authorize legitimate transactions, and cancel suspicious transactions.
• Employed proactive measures to identify and take necessary actions on accounts to prevent fraud.

• Interacting with client management and achieving the required goals with the stipulated time line besides maintaining good quality.
• Played a prominent role in handling this project by undertaking responsibilities.
• Worked as an self auditor of benefits discrepancy for the entities -US projects.
• Preparing Job Aids and shared amongst the team to avoid further escalations. Pulling reports, rolling out the daily task report to the team in the absence of the leader.
• Maintained process tracker & prepared knowledge documents on process.

• Accounts Receivable Process (semi-voice) which deals with payments & denials. On a clear cut, process includes filling bills to patients and Insurance companies and follow up on claims submitted, working denied claims, checking status on unpaid claims by call or through website, Submitting corrected claims and appeals if necessary.
• Primary aspect is to get payments from insurance companies on claims. Worked with client systems & Tools like Invision, Huron, Navinet.