Rob R. Email & Phone Number

Manage, develop, communicate, and implement optimal fraud strategies (including rules, cutoffs, policies, operational flows, etc.) to protect the bank from fraud-related losses and improve the customer experience.Interpret large quantities of complex data to formulate problem statements, concise conclusions regarding underlying fraud trends and opportunities.Identify business opportunities by performing well thought analysis – data mining, ensuring data integrity, synthesizing and communicating findings to senior management.Identify and develop key risk indicators and metrics within payment channel assigned.Identify new areas of analytic focus to better anticipate or capture fraud through enhanced reporting and research.Assist team effort in the critical development of new fraud and spending pattern detection tools.Provide subject matter expertise on strategic implementations and testing initiatives related to improving the risk mitigation processes and infrastructure.Provide clear and concise oral and written communication across various functions and levels, inclusive of fraud operations, information security, technology, and risk.Work collaboratively with cross-functional partners to understand and address key business challenges.Understand and comply with bank policy, laws, regulations, and the bank's BSA/AML Program, as applicable to your job duties. This includes but is not limited to; complete compliance training and adhere to internal procedures and controls; report any known violations of compliance policy, laws, or regulations and report any suspicious customer and/or account activity.

Strategic assistant to Area Sales ManagerAgency DevelopmentExplore with agents where they are now, where they want to be and discuss game plans for achieving those goals. Find the gaps in agent performance to facilitate increased success. Encourage agents to use the tools available to them to maximize their efficiency and fuel their success.

Review referrals from any of numerous sources to champion agent compliance, coach agents who are not adhering to best practices and identify instances of theft and fraud for additional investigation. Meet with agents proactively to coach them on matters regarding money handling, data and systems security, physical security, as well as marketing and quoting compliance. Meet with agents proactively to coach them on matters related to Farmers Financial Services Compliance.

Northeast Ohio, Western Pennsylvania, And Western New York

Investigation of suspicious claims to ensure we pay every claim we owe and not pay every claim we don’t. Working in concert with claims personnel ensures minimal impact to cycle time for claims. Coordinate and partner with other industry professionals to identify and work against organized efforts to defraud insurance carriers and thus honest insurance consumers.

Cleveland, Ohio

Identify early bodily injury settlement opportunities and negotiate resolution utilizing full and final and open ended releases. Evaluate bodily injury packages submitted by rep'd and non-rep'd parties. Analyze treatment plans, billing codes, and identify pre-existing conditions through thorough investigations to ensure the claimants are indemnified for losses on their claims paying no less nor more than owed. Negotiate fair settlements with injured parties, providers, and their attorneys.Evaluate and investigate policy coverage, liability and damages in a timely manner following a set of general claim and statutory guidelines.Assist internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.Establish initial reserves for all potential exposures and adjust as appropriateEstablish and maintain appropriate diary of open claims following company guidelines.Conduct thorough investigations which can include obtaining necessary documents and forms from claimants and insureds; conduct recorded statements. Ensure timely completion of appraisals and determine accident related damages. Negotiate timely and appropriate settlements with claimants, insureds and attorneys; issue proper payments.Recognize recovery opportunities regarding subrogation and salvage

Cleveland, Ohio

Territory - NE OhioMeet with injured parties to resolve property damage and bodily injury claims. Focus on early intervention and settlement to limit exposure and protect insureds from excess suits. Evaluate and investigate policy coverage, liability and damages in a timely manner following a set of general claim and statutory guidelines.Assist internal and external customers with problems or questions regarding claims by phone or through written correspondence while providing a high level of customer service.Establish initial reserves for all potential exposures and adjust as appropriate .Establish and maintain appropriate diary of open claims following company guidelines.Conduct thorough investigations which can include obtaining necessary documents and forms from claimants and insureds; conduct recorded statements. Ensure timely completion of appraisals and determine accident related damages. Negotiate timely and appropriate settlements with claimants, insureds and attorneys; issue proper payments.Recognize recovery opportunities regarding subrogation and salvage.

Tampa, Florida

Supported the general claims process by handling first contact on all new notification of claims via mail or phone. Constant interaction with inbound callers inclusive of policyholders, claimants, attorneys, insurance companies, repair shops and all other parties to the loss. Gathered information and input data as well as identification of early tow, salvage and appraisal assignments.Responsible for reviewing policies, claim forms and managing all external communications with the customer, attorneys and medical staff to determine damage and injuries.Responsible for the planning and management of claim investigations including interviewing all parties involved, collecting and evaluating documentation and securing evidence to analyze coverage, determine liability, compensation and the extent of damages.Responsible for maintaining accurate claims and investigative reports.Handling of all administrative responsibilities associated with the processing and payment of claims. Records and updates status notes, documents results of external information gathering and relevant medical reports and opinions.Responsible for staying current on claim settlement process and procedures ensuring strict adherence of all company policies and practices and state regulations and statutes.Review Auto policies, Auto claim forms and other records to verify and determine insurance coverage eligibility under Florida State Laws.Conduct and manage the investigative process, ongoing communication with customer and relevant external parties and maintain appropriate and timely recordkeeping files on all claims.Keep work and investigative files current and manage the accurate recording of all information required for the successfully resolution of claims investigations.Manage the appraisal process and work with Appraisers, secondary insurance coverage as required to determine and communicate damages and establish repair/damage estimates in the resolving of property damage claims.

Tampa/St. Petersburg, Florida Area

Fraud Detection and Analysis for International Telecommunications Service Provider – monitor several databases while conducting investigations into fraudulent use of telecommunication devices (business and residential phone lines, mobile phone lines, tablets, etc...). Investigations are focused on protecting end users/customers as well as service provider(s) from significant financial losses as a result of voice mail hacking and other types of fraud.Fraud Detection and Analysis for Chicago-based Telecommunications Service Provider – monitor several databases while conducting investigations into fraudulent use of telecommunication devices (cell phones, tablets, etc...). Investigations are focused on protecting end users/customers as well as service provider from significant financial losses as a result of abuse and fraud.

Metro Atlanta, Ga

Criminal Investigations - Electronic and Financial Crimes, Organized Retail Theft, Bank Fraud, Forgery, Identity Theft, Internet Crimes Against Children, and Residential Mortgage Fraud Background Investigations - Police and Civilian Applicants for positions within the police department. Criminal and Intelligence Analysis - Pattern Recognition, Crime Trend Analysis, Intelligence Analysis, Link Association, and Intelligence Led Policing

Bachelor'S, Criminal Justice

Certified Crime And Intelligence Analysis, Intelligence

Associate'S, Criminal Justice