ancillary billing collections specialist resume example with 11+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000
Cell:
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Professional Summary
Experienced AML KYC Compliance Officer with over nine years of experience in anti-money laundering compliance industry. Excellent reputation for resolving problems and improving customer satisfaction. Nine years Senior Management experience leading diverse teams in multiple locations.
Accomplishments
Supervised team of 27 staff members.
Used Microsoft Excel to develop denial tracking spreadsheets to identify patterns.
Achieved monthly service level agreement by completing KYC reviews with accuracy and efficiency.
Achieved team development through effectively helping with training and coaching.
Used Microsoft Excel for high volume data analysis with pivot table, macros and graphs.
Skills
Analytical and Critical Thinking
Customer Relationship Management
Problem Investigation
Work Planning and Prioritization
Verbal and written communication
Goal Setting
Assignment Delegation
Quality Assurance
Decision Making
Team Leadership
Work History
Ancillary Billing/Collections Specialist, 06/2019 to Current Guggenheim Partners – Saint Louis, MO,
Successfully managed 30+ denied claims correcting procedural deficiencies within their assigned queues within Task Manager meeting and exceeding production requirement while ensuring maximum revenue is achieved
Provide excellent customer service skills in-bound/out-bound calls with insurance companies and patient inquiries focusing on resolving complaint/concerns/resolution
Demonstrate sound judgement and decision making to execute appropriate actions in case management
Selected for special projects assignments (liaison to Chiropractors)
Taking responsibility to identify and develop proficiencies chiropractic claims management through denial/payment tracking and analysis
Selected to represent Collections Team participant Collections Team on the Ancillary Billings Denial Committee
Assisted with new hire training and facilitate one-on-one shadowing to help ensure maximum new hire success and compliance.
AML KYC Compliance Officer, 11/2016 to 04/2019 Citigroup Inc – City, STATE,
Identified threats, vulnerabilities and suspicious behavior patterns to recommend mitigation measures.
Read fraud and security risk management-related articles and white papers and took part in webinars to keep abreast of changes in fraud and security landscape.
Prepared reports, metrics and research to support fraud initiatives and projects.
Documented research findings to support risk-based decision-making and resolution to escalated fraud incidents.
Investigated activities of institutions to enforce laws and regulations, assessing legality of transactions and operations or financial solvency.
Sourced to support the team by assisting in new hire training and development with on demand knowledge sharing of subject matter and PTR best practices.
Recruited for special assignment to assist the Training Department in speaking to specific aspects of the PTR processes.
Utilizing Excel and analytical skills in the examination of Foreign Correspondent Banks (FCB), Payment Intermediary (PI), Citi Affiliate and Embassy client activity as part of an Enhanced Due Diligence (EDD) process that seeks to improve the complete and accurate client review.
Quality Assurance Subject Matter Expert, 08/2014 to 11/2016 Citigroup Inc – City, STATE,
Promoted to Quality Assurance department wherein AML knowledge was utilized to audit investigation reporting for AML compliance and procedural adherence
Cross-trained in reviewing multiple product lines within the AML spectrum such as Commercial and Retail accounts, Prepaid Cards, Subpoenas and Global Wealth accounts
Participated in new hire coaching, training and development with one-on-one engagement of reporting reviews
Participated in performance review dispute resolutions with Operations Managers and/or Supervisors.
Resolved problems, improved operations and provided exceptional analyst feedback for development.
AML Compliance Analyst , 06/2010 to 08/2014 Citigroup Inc – City, STATE,
Perform risk based analysis to identify patterns and anomalies of unusual transaction activity
Prepare a well written Suspicious Activity Report (SAR) for regulatory filing that was fully compliant with current policies and standardized procedures
Mentored new investigative analysts in the correct implementation of current AML processes and procedures.
Read fraud and security risk management-related articles and white papers and took part in webinars to keep abreast of changes in fraud and security landscape.
Identified threats, vulnerabilities and suspicious behavior patterns to recommend mitigation measures.
Education
AS degree: Computer Science, Expected in to Hillsborough Community College - Tampa, FL, GPA:
Additional Information
CARRER ACCOMPLISMENTS, Pitney Bowes National Pinnacle Award, Pitney Bowes Regional Distinguish Service Award, Pitney Bowes Regional Customer Satisfaction Award, Pitney Bowes National All-Stars Award,
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