
Results-oriented Claims Analyst with expertise in fraud investigation and claim resolution. Strong analytical skills and compliance knowledge enhance decision-making in complex cases. Specializes in managing online banking fraud claims while ensuring timely, accurate resolutions. Proven ability to identify fraud indicators and drive effective outcomes in high-stakes situations, contributing to operational efficiency and risk management.
• Investigated and resolved online banking fraud claims involving unauthorized transactions, account takeovers, ACH transfers, debit card fraud, and Zelle payment disputes.
• Conducted comprehensive reviews of account activity, transaction records, customer statements, and supporting documentation to determine claim validity and identify fraud indicators.
• Exercised independent decision-making authority to approve or deny customer claims in accordance with bank policies, regulatory requirements, and fraud investigation findings.
• Authorized claim reimbursements of up to $25,000 without management approval while maintaining compliance with established risk and loss-prevention standards.
• Managed end-to-end ownership of fraud investigations from initial claim intake through final resolution and customer notification.
• Prepared and issued regulatory and customer correspondence, including claim determination letters, requests for information, and final investigation outcomes.
• Communicated complex claim decisions and investigation findings to customers with professionalism and accuracy.
• Maintained detailed case documentation, met productivity and quality goals, and collaborated with fraud prevention, operations, and risk management teams to mitigate losses and protect customer accounts.