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Claims Processor & Administrator Officer Resume Sample

This resume is a sample for the post of Claim Processor and Administrator Officer. This is a highly responsible job as buying the cases is not the only requisite but your employer would want to see your capabilities in managing and running things smoothly, For the company reputation and goodwill companies mostly hire intelligent, comprehensive and skillful person for this post(Claim Operation Officer Resume). For wining this job in full stream of competition firstly am fore mostly you should build your resume like Medical Claim Secretary Resume. It should be developed in such a manner that your employer considers your the most suitable person for the job. We given below a sample resume for this purpose which should guide you in constructing a job wining resume. Finally adding references (verified) to your resume will add to the value of it.

Name xyz

UK.

E-mail: xxxxxx

MOB: 000000

PROFESSIONAL SYNOPSIS

Substantial experience and outstanding skills in Healthcare Insurance, Process management and risk management with 2 years of experience in Aetna International, Dubai(International Health Insurance) backed by Master in Business Administration from European University Barcelona, Spain; to working in a fast paced environment with the ability to think quickly and excellent interpersonal skills and solid decision making, hard-working and results-driven attitude.

CORE COMPETENCIES

  • Profound Knowledge of Healthcare Insurance, Medical Coding, Process Management and Risk Management.
  • Able work in a pressurized environment with continuous deadline and capable of making quick decisions in time constraint situations.
  • Energetic personality consistently praised for my passion for work and upbeat, positive attitude.
  • Proficiency in Microsoft Office programs (Word, Excel, PowerPoint, and Outlook).
  • Ability to work with several operating systems, including Windows, Mac OSX and Linux.
  • Experience with Actisure, OPERA, GDS, Travel Studio.

ORGANIZATIONAL EXPERIENCE                                                              

Claims processor & Administrator

xyz International, Dubai.

Claims processor &  Administrator

Responsibilities:

  • Validate the information on all medical claims received and follow on lapsed claims.
  • Assisting members with account issues, and providing knowledge about the accounts.
  • Coordinating with Hospitals, AP companies, Medical and claims team.Re-confirming & assuring smooth flow of documents for all
    transactions processed and registered.Resolving the queries of the clients related to payable.
  • Handling all incoming & outgoing Emails Re-confirming & assuring smooth flow of documents for all transactions processed and registered.
  • Resolving the queries of the clients related to payable.
  • Re-confirming & assuring smooth flow of documents for all transactions processed and registered.
  • Provide Pre-Authorization, G.O.P, Approvals according to the Insurance policy.
  • Resolving the queries of the clients related to payable.
  • Handling all incoming & outgoing Emails Re-confirming & assuring smooth flow of documents for all
    transactions processed and registered.
  • Translation of claims and medical reports (Arabic, French, Spanish).
  • Contact customers in order to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
  • Review insurance policy terms in order to determine whether a particular loss is covered.

XYZ & CO.

Assistant Contracting Manager                                                                  

Responsibilities:

  • Overall review and total familiarity of the account/agent that is assigned to each Tour Operator. This includes a full understanding of the market, the nature of the client movement, the pricing strategy and the expectations of the agent/clients.
  • Planning itineraries and products to meet with the agent/clients’ requirements within the allocated time frame, budget and seasonality.
  • Coordinating with Quality Control and Representatives to ensure that everything is running as planned for each operating guest file.
  • Interaction with the suppliers, and arranging meetings with new partners.
  • Conducting market research on hotels and new products.
  • Ensure competitiveness of the products contracted by conducting price & product bench marking on daily basis.

EDUCATION

  • Chartered Insurance Institute – CII (Certificate In Insurance)
  • Insurance and Risk Certification – 2013 – 2014 – American Academy of Project Management (AAPM USA).
  • Master in Business Administration- 2010 – 2012 European University Barcelona, Spain.
  • Bachelor Degree in Economics – 2006 – 2009 University Proserpina, France
  • Selectivity (Spanish High School Degree) – 2005 – 2006
  • High School Degree – Casablanca Morocco – 2004 – 2005.

PERSONAL DETAILS

Age & Marital Status            : 28 Years, Single.

Nationality                             : Moroccan.

Languages Known                : English, Arabic (native), French and Spanish.

Visa Status                            : UAE.

Insurance Executive Resume Sample

This resume is a sample for the post of Insurance Executive. An Insurance Executive’s prime job is that of an administrative. He monitors, advises and inquires after his co workers. Below we have given an easy but convincing sample of resume. Start it with your basic information followed by your education, expertise and then experiences. Do mention your past credits/awards(if any) to impress upon the versatility of your character on the employer. An Insurance Executive needs to be a resourceful person so do mention your references.

XYZ

Address: Sharjah, xyz  road

Mobile: 00000000

E-mail: xxxxxx

__________________________________________________________________________

CAREER OBJECTIVE:

To be associated with an organization that can provide me with an opportunity to grow and pursue a career, also to give an opportunity to learn and contribute to its goals.

PERSONAL DETAILS:

Date of Birth:              JAN. 26th 1990

Nationality:                 Sudanese

Visa Status:                  Residence visa

Marital Status:            Single

EDUCATION:

  • High Secondary School Scientific Certificate from Al Ghubaiba School in 2010.
  • Holding a Diploma in Business Management and completing to Bachelor from Anglia Ruskin University in UK through their study Centre in Dubai – BTEC – .

WORKING EXPERIENCE:

XYZ insurance Gulf

From March2014 – present

Position: Recovery Executive (recovery from individual)

  • Acknowledge receipt of rejected recovery claims from third party insurance.
  • Follow up the recovery claims with concerned Individual parties.
  • Ensure that Cheques received & debit notes are issued on time.
  • Develop and maintain excellent relations with all parties in order to be able to handle and negotiate with on litigious recovery files.
  • Assist the claims manager/recovery manager in their regular reporting.

XYZ insurance Gulf

From Nov2012 – March 2014

Position: Customer service assistant ( Call Centre/Direct walk-in-customers)

  • Assess Insurance claims in Motor, Travel and Home Insurance for Gulf countries.
  • Process claims within agreed Service Level Agreements.
  • Prepare, maintain and send all recovery files to the concerned third party insurance.
  • Deal with customer’s queries and providing necessary information.
  • Trained for (Complaint Handling) and having a dedicated task.
  • Build strong knowledge of policies and products as per Emirates insurance association laws.
  • Supporting Team Leader in daily tasks and reports.

EmiratesNBD Bank

From March2012 – Sep2012

Position : Customer service assistant ( Call Centre)

  • Guides customers through the various banking products and services that EmiratesNBD offers, helping them to identify which option is right for them
  • Takes calls from both business and personal banking customers, listening to their requests and queries
  • Promoting and selling financial products and services to customers.
  • Using a computerized system to update account details
  • general administration tasks such as maintaining records and sending letters to customers
  • Helping customers with loan and mortgage applications.

Cupola Teleservices Limited

From May2011 – March2012

Position : Call Centre Agent ( EMS warranty support)

  • Interact with customers to provide and process information in response to inquiries, concerns, and requests about products and services.
  • Gather customer’s information and determine the issue by evaluating and analyzing the symptoms.
  • Redirect problems to appropriate resources , technicians.
  • Offer alternative solutions where appropriate with the objective of retaining customers.

SKILLS:
Computer Skills:

  • IBM Operating System: Windows XP, Vista, and Seven
  • Software: Microsoft Office & Internet Usage

Language Skills:

  • Arabic : mother Tong
  • English

Business Skills:

  • Highly organized and dedicated with a positive attitude
  • Able to handle multiple assignments under high pressure
  • Punctual, well organized and accept challenges
  • Ability to deal with people diplomatically, quick learner

Personal Skills:

  • People-oriented enjoy working/being with people.
  • Ability to work on my own without being constantly supervised.
  • Hardworking, diligent.

Claim Operation Officer Resume Sample

This resume is a sample for the post of Claim Operation Officer. The Insurance Claim Operation Officer is a job of an analyst, he prepares the basic report after the Client’s application. He inquires after all the existing things, facts and all the requirements that he considers to be important for the further action. And forwards to his officer or senior officer at their satisfaction level. For the company reputation and goodwill companies mostly hire intelligent, comprehensive and skillful person for this post. For wining this job in full stream of competition firstly am foremostly you should build your resume. It should be developed in such a manner that your employer considers your the most suitable person for the job. We given below a sample resume for this purpose which should guide you in constructing a job wining resume. Finally adding references(verified) to your resume will add to the value of it.

Name:XYZ

E-Mail: xxx 

Mobile: 000000

Career Objective (Claim Operation Officer)

Seeking full time career with an organization, which will permit to use my abilities and also to put my skills and practice efficiently in the best interest of the company.

Career Summary (Claim Operation Officer)

Over 5 years of extensive, executive operations management role in organizations; contributed to firm growth by executing business strategies using strong decision making abilities.

  • Strong background in back end operations.
  • Knowledge of Quality assurance, audits, bugs fixing and production management.

Core Competencies:

  • Excellent people manager – Persuader, influence, leader, negotiator and delegate.
  • Team work – Effectively communicates to delegate responsibilities using interpersonal skills.
  • Accuracy and punctuality – Precise with details and facts.

EDUCATION QUALIFICATION:

  • Master of Computer Applications from Osmania University.
  • Bachelors of Sciences (computers) from Kakatiya University.

EXPERIENCE:

Company: United Health Group, Hyderabad

Worked as a Sr Claims Associate in United Health Group, Hyderabad

  Responsibilities:

  • Coordinate with customers and staff and provide support to all data analysis.
  • Perform data analysis on all results and prepare presentations for clients.
  • Perform audit on data and resolve business related issues for customer base.
  • Coordinate with engineering and product management team and ensure accuracy on all deliverable and prepare summaries.
  • Perform data analysis and facilitate in delivery to all end users.
  • Supervise all client issues and coordinate with managers and supervisors and facilitate in deliverable.
  • Monitor and organize all client invoices and perform all timely assessment for all payment issues.
  • Administer all data for customer invoices and provide company metrics.
  • Monitor and resolve all customer invoice data issues and coordinate with various vendors and manage all previous balance.
  • Organize all consumption anomalies and determine defects for data and prepare appropriate resolutions.
  • Supervise process management tools and ensure compliance to all cycle guidelines.
  • Maintain and document library of invoices and resolve all issues in same.
  • Perform internal audit and prepare all invoices and determine quality improvement processes.
  • Maintain and escalate issues to lead analyst if required.

 Company: Sutherland Healthcare Solutions, Hyderabad.

Worked as a Process Associate in Sutherland Global Services, Hyderabad.

  • Assists in implementing production procedures to optimize new and existing manufacturing processes.
  • Gathers research on new and existing technologies and procedures
  • Monitor all transactions and ensure compliance to quality regulations and maintain effective relationships with clients.
  • Manage everyday work activities and informed supervisor appropriately
  • Administer and collect all metrics on processes and identify data points to improve all processes.
  • Documents all transactions on an everyday basis and collate metrics from various associates and prepare appropriate reports.
  • Monitor all data entry operations and ensure compliance to time frame.
  • Ensure and maintain effective professional relationships with staff.
  • Perform quality check assessment on all processes of various associates.
  • Coordinate with team members and ensure achievement of all team objectives and goals.
  • Analyze all issues of internal and external clients and provide effective resolutions for same.

PERSONAL PROFILE:

Name                                       :           XYZ

Father’s Name                           :         XYZ

Marital Status                            :          Married

Nationality                                 :            Indian

Passport No                               :            00000

Visa Type                                  :           Visit Visa

Hobbies                                     :            Playing cricket.

Date of Birth                              :          000

 

Call Center Resume Sample

This resume is a sample for the post of Receptionist for Call Centre. This post requires consistency and patience, as a receptionist has to perform his/her duty regardless of any excuse. He/She has to communicate with people with a smiling face. Style and body language is another feature that can favor you in the job win. Your resume is your first meeting with the employer, pay considerable attention to it. Entail all the necessary information with your previous experiences. Highlight your expertise in eloquent talking as a call center has to greet and communicate with the people (from every walk of life) all the time. Your resume (Call Center Resume) must describe that you are able to work under pressure and a multiple task manager. Below we have given you an example of such a resume (Call Center Resume) that should help you to create an impressive resume. Finally adding (verified) references to your resume is definitely going to add to the worth of your resume.

Name:XYZ

Mobile No.: 000

Email Id: xxxxx

Applied For:Online Work/Online Marketing/Online Sales/Online Solutions/Online Banking

PROFESSIONAL OVERVIEW:

An energetic, multi-lingual and versatile with good academic background and experience in working in sales, customer services and administrative roles.

Career orientated, seeking to further develop working experience with progressive organization using qualifications and varied skill set.(Call Center)

CAREER OBJECTIVE:

Looking for a challenging Sales position with a dynamic, equal opportunities organization; capitalizing on my current experience and skills to deliver targets and goals thus ensuring professional and personal growth.

CAREER HISTORY & PROFESSIONAL EXPERIENCE:

COMPANY: ABC International

Period: 2012 -2014

Job Outline:(Call Center)

* Responsible for designing, developing & implementing systems, policies & procedures in each Sales division

* Receiving and sending emails

*receiving calls

*Manage and maintain executives’ schedules.

*Prepare invoices, reports, memos, letters, financial statements and other documents, using word processing, spreadsheet, database, and/or presentation software.

*Set up and oversee administrative policies and procedures for offices and/or organizations.

*Supervise and train other clerical staff.

*Review operating practices and procedures in order to determine whether improvements can be made in areas such as workflow, reporting procedures, or expenditures.

Interpret administrative and operating policies and procedures for employees

COMPANY:  Nissan- Infinity

Personnel assistant

Job Outline:-

  • Handled miscellaneous departmental Sales tasks.
  • Direct, Manage & coordinate activities of subordinates in sales division.
  • Defined Sales goals & objectives & ensured communication to employees.
  • Developed a working environment that supported organizational values.
  • Responsible for designing, developing & implementing systems, policies & procedures in each Sales division.

Qatar Insurance Company Executive secretary:

Online Sales & Customer Online Solutions

Job Outline:-

  • calculate insurance premiums or awards.
  • collect payment.
  • compute financial data.
  • examine documents for completeness, accuracy, or conformance to standards.
  • examine financial documents to verify issue.
  • fill out business or government forms.
  • follow contract, property, or insurance laws.
  • maintain insurance records.
  • maintain inventory of office forms.
  • maintain records, reports, or files.
  • obtain information from individuals.
  • review data on insurance applications or policies.
  • transcribe spoken or written information.
  • use computers to enter, access or retrieve data.
  • use oral or written communication techniques.                                                                            

SKILLS & ABILITIES:

  • Problem solving: an analytically, logical and determined approach to problem solving demanded by research work at study years.
  • Ability to work independently: worked unsupervised for much of time during final year graduation project.
  • Teamwork: made effective contribution as both team member or team leader.
  • Computer skills: worked with much software like MS office, and other IT skills.
  • Communication skills: demonstrated oral and written communication skills in dealing with work requirements.
  • Outdoor activities: ability to work on site with highly demands.
EDUCATIONAL QUALIFICATION:

In addition to high proficiency in languages including English, both written and oral, learning has always been important and continues to be key to development.

Certificates of qualifications are available and include:

Diploma in Navigation for air hostess (2008). *

Lawyer (Legal Technical) (2005).*

*    Diploma in Baccalaureate (2001).

PERSONAL DETAILS:

Nationality                         : Tunisian

Marital Status                    : Single

Holding U.A.E. Driving License & car.

Interests:

People and family are important to me, outside work; I also enjoy time for the cinema and films as well as having an interest in fashion.

Languages:
  • Arabic mother tongue.
  • English & French written and spoken very good
References:

Available Based upon the request

Receptionist Resume Sample

This resume is a sample for the post of Receptionist. This post requires consistency and patience, as a receptionist has to perform his/her duty regardless of any excuse. He/She has to confront people with a smiling face, and monitor and handle the flow of people coming for various purposes in the office or the organisation. Style and body language is another feature that can favor you in the job win. Your resume is your first meeting with the employer, pay considerable attention to it. Entail all the necessary information with your previous experiences. Highlight your expertise in eloquent talking as a receptionist has to greet and communicate with the people(from every walk of life) all the time. Your resume must describe that you are able to work under pressure and a multiple task manager. Below we have given you an example of such a resume that should help you to create an impressive resume. Finally adding (verified) references to your resume is definitely going to add to the worth of your resume.

Name : XYZ

Al Rigga, Dubai U.A.E.

Cell No.000000

E-mail :xxxxxx

========================================================================

CAREER OBJECTIVE

To render the full value of my services for the growth of the company.

EMPLOYMENT HISTORY

SPEEDFIT VEHICLE TESTING CENTER

A member of Al Habtoor Group

5th Street Umm Ramool, Dubai

October 1, 2013 – December 23, 2014

RTA Receptionist

  • Answer the phone promptly.
  • Take the customer details and vehicle details
  • Confirm customer’s appointment.
  • Attend all customers’ inquiry in a friendly and professional manner.
  • Perform administrative job related to Vehicle Testing Center (vehicle registrations, renewals, cancellation & fine verification).
  • Supply of Passing Certification & Invoicing.

GARGASH INSURANCE SERVICES L.L.C.

Pyramid Centre, Umm Hurair Road, Bur Dubai

February 20, 2011 – March 20, 2013

Customer Service Officer

  • Handling billing, cancellations, endorsements, reconciliations, follow up of documents, advising endorsement/correction of placing slip, dispatching, filing and pull out.
  • Ensure superior service at all levels to internal and external customers.
  • Actively resolve issues of customer dissatisfaction/complaints to the utmost satisfaction of customers.
  • Processing the cheques for cancellation refund and excess payments.
  • Actively explore and develop opportunities to cross sell other classes of insurance.
  • Ensure that all calls to self are returned the same day.
  • Create a culture of innovative development within the team and come up with product /service innovation recommendations.
  • Doing the reports and checking unbilled transactions of motor team.
  • Take active role in understanding competitor (both broker and insurer) and report challenges, opportunities to Department Head in timely manner.
  • Accountability for quality of information in Premia
  • Build strong relationship with insurers, marketing staff and develop loyalty of clients.

AL BURAQ INSURANCE BROKERS L.L.C.

Al Owais Bldg., Al Ittihad Road, Deira Dubai

June 09, 2008 – December 30, 2010

Junior Insurance Underwriter cum Secretary

  • Deals and reports directly to the manager.
  • Negotiate and obtain best terms for customers for new business through direct and data base calls.
  • Ensure maximum retention of renewal.
  • Provide clients with alternative quotes available in the event the policy can’t be renewed within the same criteria or if rates quoted are highly unsatisfactory.
  • Files records and documents of insurance transactions and keeps calendar of premiums due and expiration dates of policies.
  • Ensure all premiums are collected and premium collection procedures are followed prior to releasing of certificates.
  • Fills in data on new/renewal policy applications and forward applications to insurance company.
  • Serves as support/backup of clerical, receptionist, secretarial, and general administrative works in answering the phones, receiving the files, providing customer assistance, filling and copying and data entry.
  • Assists co-workers with various duties as assigned.

VMB PHARMA

San Francisco, Agusan Del Sur Philippines

November 03, 2005 – January 31, 2008

Medical Sales Representative

  • Arranges appointments with doctors, pharmacist and hospital medical teams.
  • Builds and maintains positive working relationships with medical staff.
  • Regularly attending company meetings, technical data presentations and briefings.
  • Keeps detailed records of all contact.
  • Monitors competitor activity and competitors’ product.
  • Work with area supervisor to plan how to approach contacts.
  • Creates effective business plan for making sales in a particular area.

THE PHILIPPINE NATIONAL RED CROSS

Agusan Del Sur Chapter Philippines

October 03, 2003 – September 30, 2005

Funded by: Agencia Espanola de Cooperacion International and Spanish Red Cross

Project Under: Community Health and Nursing Services

Community Organizer

  • Facilitate the identification of priority health problems and participatory planning to meet those problems in target communities.
  • Initiates and facilitates community meetings to discuss health concerns and plan for community activities and projects.
  • Facilitates the development of community project proposals such as safe water systems, sanitary toilet construction, barangay health stations and others.
  • Monitors the implementation of community health projects in the communities assigned and institute measures to ensure their timely completion.
  • Prepare and submit reports to the project coordinator on activities undertaken and results of activities and projects in relation to change in knowledge skills, and attitudes including the health status of the community.
  • Establish linkages with the barangay officials, local government units, health authorities, NGO’s and PO’s in the area to promote partnership and collaboration for community health development.
  • Reports to the Chapter Administrator for the administrative matter and the Project Coordinator for technical matters related to project implementation.

EDUCATIONAL BACKGROUND

  • BACHELOR OF SECONDARY EDUCATION

Inclusive Dates of Attendance: June 1999 – March 2003

Father Saturnino Urios University

Mindanao, Philippines

TRAINING/SEMINAR ATTENDED

April 19-20, 2014              Customer Interface Training

Conducted/Sponsored by: Skill Maker Training Services in collaboration with Al Habtoor Motors and SpeedFit Vehicle Parts & Fast Service L.L.C.

April 26-27, 2014              Telephone Etiquettes Training

Conducted/Sponsored by: Skill Maker Training Services in collaboration with Al Habtoor Motors and SpeedFit Vehicle Parts & Fast Service L.L.C.      July 5-9, 2004

Community – Managed Water Supply Systems and Budgeting for Operation and Maintenance

Conducted/Sponsored by: The Philippine National Red Cross – Community Health and Nursing Services in collaboration with Department of the Interior and Local Government (DILG) through The Water Supply and Sanitation Project Management Office/Office of Project Development Services (WSSPMO/OPDS)

ORGANIZATION

Phil. Professional Regulation Commission – Professional Teacher since August 2003.

SKILLS

  • Good communication and interpersonal skills
  • Proficient in Microsoft Office functions
  • Able to work under pressure to meet deadlines
  • Can work with minimum supervision

PERSONAL DATA

Age                        :         30 years old

Date of Birth            :         Jan 20, 1984

Civil Status              :         Single

Risk & Fraud Control Officer Resume Sample

This resume is a sample for the post of Risk and Fraud Control Officer. A very important but highly underestimated post. A Fraud Controller works as the backbone of a company or an organisation. He predicts, plans and secures a company’s future. He works to minimize the chances of loss for a company. His expertise lies in making plans and predicting such strategies that should help an organisation from unseen or long-term disasters, securing their time, budget and money being an excruciating waste. He plays a vital role for the sustenance and progress of a company. Below we have given you an example for the post of Risk manager. Enlist your initial information following by your education and then describe your key skills and experiences. Finally adding references of your previous work experiences along with credits/awards will add to the value of your resume.

Name          : XYZ

Contact No : 00000

Email Id     : xxxxxx

OBJECTIVE

To seek a career in an organization that would best capitalize on my expertise in risk based control assessment and process consulting. Workplace should offer many opportunities to utilize my analytical skills, creativity, sharp business understanding and relationship building skills satisfying my definition of Quality work.  Outstanding interpersonal, relationship and team building skills; Analytically, articulate and diligent; resourceful in the completion of projects and effective at multitasking with strong ability to plan, prioritize and deliver in complex projects under aggressive time frame

AREAS OF EXPERTISE

  • Result Oriented, Proactive and innovative professionals with 3 + years of Self & Leadership with extensive hands on experience in the areas of Risk Based Internal Audit, Fraud Investigations, Strategic & governance Process Review & control, Credit underwriting, AML, KYC and Compliance among Banking and Non Banking Financial Services sector
  • Strong analytical & organizational abilities with adeptness in implementing, formulating and streamlining operational policies & procedures. Keen understanding & significant experience of risk identification, analyze and mitigation
  • Ability to provide insight and strategic input into, manage and facilitate the effective development and delivery of outstanding internal audit & review and compliance related services. Prevention and detection of possible fraud and other risks, such as potential going out of business, excessive credit etc.

PRESENT EMPLOYMENT AND PROFESSIONAL EXPERIENCE

Company Name                                              :      xyz

Designation                                                      :       Risk & Fraud Control

  • Thorough understanding of banks fraud control system for all retail assets & liability products and services, cards and e-channels payments and scam mail, lottery fraud thru’ cost effective digital sampling activity
  • Investigate fraud cases of retail loan & advances, anti-money laundering (AML), suspicious transaction report (STR), Hunter match, money mules and conclude with logical modus operandi & root cause & proposing corrective measures
  • Conducted risk based process review / audit in retail branches and finalizing the audit reports basis observations
  • Analyzing risk profiling of the branches and developed risk dashboards and combined all enterprise information such as key risk indicators and facilitated in identification of risk across cross functional business line
  • Carry out Fraud Risk Assessments to identify areas specifically vulnerable to fraud, and actively engage with other stake holders to implement fraud monitoring and fraud preventive controls
  • Identify the prone areas of corruption, fraud, operational policies and practices with a view to timely recommend modification in policies & ensure authenticity of policies vis a vis compliance and conduct the Regional Compliance Committee (RCC) for reviewing fraud investigation cases with senior management and probe to fix accountability and taking disciplinary action as per matrix

Company Name                                     :    xyz

Designation                                             :    Deputy Manager

  • Responsible for ensuring Internal Control at the Branch by proper checks and balances with routine banking transactions and ensuring customer satisfaction and first level of scrutiny and authenticating of KYC and signing AOF for ensuring KYC Compliance of every opened account & Deposits
  • Support central Anti Money laundering Monitoring Unit with prompt response after completing required due diligence at branch level of the suspected accounts within proper time frame
  • Ensure Audit rating to be satisfactory and closure of audit report within proper time lines
  • Reconciliation of any differences with Banks and Clearing related suspense accounts and ensuring entries are not outstanding for more than three days
  • Special emphasis given to verify all Cash Related Registers and Branch other registers on monthly basis and report to BM / Manager for remedial action.
  • Surprise visit to customers end for verification of communication on loan details, follow-up, pre and post appraisal and visit by field executive & Branch Manager, checking appraisal quality, end utilization monitoring
  • Implement all regulatory compliance & ethics and compliance programs at branches in the region and suggests the management when solicited on matters related to internal control, new policy and processes

Company Name                              :               xyz

Designation                                      :               Financial Analyst

  • Worked in the “Earning Estimate” project and analyzed financial report of different companies given by Bloomberg
  • Captured all date’s in system after analyzing historical & current financial reports
  • Predicted future estimation of the company basis past financial reports

EXTERNAL & INTERNAL PROFESSIONAL CERTIFICATIONS

  • Pursuing “Cyber Crimes and Fraud Management” from Indian Institute of Banking and Finance
  • Certification of “Internal Control over Financial Reporting – SOX Compliance” from ICICI Bank Ltd
  • Certificate of “Audit & Compliance” from ICICI Bank Ltd
  • Certificate of “Fraud Prevention and Control” and Financial Crime Prevention” from ICICI Bank Ltd

PROFESSIONAL TRAINING

Training Institutions Training Arena
Micro Save(Market – led solutions for financial services) Risk Management / Delinquency Management
Loan Port Folio Audit Training
Training of Trainers (TOT)

PROFESSIONAL QUALIFICATIONS

  • Master Degree in Business Administration (Finance) with 1st class on 2012
  • Master Degree in Social Work with 55% from Rabindra Bharati University
  • Completed Post Graduate Diploma in Social Work obtaining marks 58%
  • Bachelor Degree of Commerce from Calcutta University (3 Yrs) on 2005
  • Higher Secondary Examination from B.C.H.S.E on 2002 in 1st division
  • Matriculation from B.B.S.E on 2000 in 1st division   

COMPUTER PROFICIENCY – BANKING OPERATING SYSTEM AND SOFTWARE

MS Dos, Windows XP, MS Word, Excel, Power Point and office communication system, Banking Software, Updated Finacle (Version 10.2.9), Finone, APS, FCRM, 1.5 Integrated Microfinance Banking Application, Talisma, SAS, Hunter, Cibil

PERSONAL DOSSIER

Fathers Name                                                    :               xxxx

Date of Birth                                                       :               1978

Sex / Marital Status                                          :               Male / Single

Nationality                                                          :               Pakistani

Passport Details                                                 :              00000

Address                                                                :               xxxxxx

Area Risk Manager Resume

This resume is a sample for the post of Area Risk Manager. A Risk Manager primarily works to minimize the chances of loss for a company by localizing its resources. His expertise lies in making plans and predicting such strategies that should help an organisation from unseen or long-term disasters, securing their time, budget and efforts being an excruciating waste. He plays a vital role for the sustenance and progress of a company. Below we have given you an example for the post of Risk manager. Enlist your initial information following by your education and then describe your key skills and experiences. Highlight that you are able to work in any type of situations and a strong candidate handling tumultuous situations. Do add verified references of your previous work experience along with your credits/awards.

Name: XYZ

 Contact No – +00000                                 Email Id – xxxxxx

OBJECTIVE

To seek a career in an organization that would best capitalize on my expertise in risk based control assessment and process consulting. Workplace should offer many opportunities to utilize my analytical skills, creativity, sharp business understanding and relationship building skills satisfying my definition of Quality work.  Outstanding interpersonal, relationship and team building skills; Analytically, articulate and diligent; resourceful in the completion of projects and effective at multitasking with strong ability to plan, prioritize and deliver in complex projects under aggressive time frame

AREAS OF EXPERTISE

  • Result Oriented, Proactive and innovative professionals with 3 + years of Self & Leadership with extensive hands on experience in the areas of Risk Based Internal Audit, Fraud Investigations, Strategic & governance Process Review & control, Credit underwriting, AML, KYC and Compliance among Banking and Non Banking Financial Services sector
  • Strong analytical & organizational abilities with adeptness in implementing, formulating and streamlining operational policies & procedures. Keen understanding & significant experience of risk identification, analyze and mitigation
  • Ability to provide insight and strategic input into, manage and facilitate the effective development and delivery of outstanding internal audit & review and compliance related services. Prevention and detection of possible fraud and other risks, such as potential going out of business, excessive credit etc.

PRESENT EMPLOYMENT AND PROFESSIONAL EXPERIENCE

Company Name                              :               xyz

Designation                                      :               State Risk Manager

  • Pertinent understanding of banks & NBFCs fraud control system for all retail assets products and services, cards and other channels fraud & fraud investigations
  • Investigate fraud cases of retail loan & advances, carry out the investigations of internal & external frauds, theft and losses of company assets and prepare investigation report, identify root cause leading to instances of impropriety use the result of investigations, matter to identify risk related issues and recommend policy to mitigate the risk
  • Analyzing fraud trends, establishing & monitoring key fraud indicators, performing a fraud risk assessment, identifying operational deficiencies and human factors that enable/influence activity and conducting fraud training
  • Formulate quarterly audit / process review plan & design review scope, risk parameters and implement risk based internal audits to ensure regulatory (RBI) compliance & ethics
  • Oversee the conduct of risk based process reviews/audits to determine and detect vulnerabilities in systems and/ or policies/ procedures that may potentially lead to fraudulent activity and/or abuse
  • Finalizing review / audit report post discussing with stake holders and taking compliance report & maintain action taken report (ATR) and analyzed negative trends, highlights non compliant issues & suggested policy enhancements
  • Random effective digital sampling of new retail loan proposals and check authenticity of documents attached as KYC, Financial statements & others to filter financial crime & credit risk management & ensure no fraud creeps into system
  • Initiating mystery shopping for Bank/NBFC employees / external agencies about the procedures of dealing with various policies & process and report to central compliance team and concern management head
  • Develop and present meaningful MIS to facilitate decisions, with quick turnarounds related to fraud & risk trend and circulate fraud related MIS/red flags to all stakeholders for proper corrective actions within regulatory framework
  • Conduct regular surprise audits of external vendors (vendor process management) and also train & develop external risk agencies in fraud detection, appropriate referrals, fraud prevention & investigation
  • New initiatives are taken to develop fraud rules in deduce mechanism followed in the loans origination systems to prevent frauds more effectively and formulated new policies of AML & KYC and implemented across the region
  • Conduct training workshop for external & internal stakeholders within organization as well as with law enforcement authority to create fraud risk awareness related to KYC, AML

Company Name                                              :      xyz

Designation                                                      :       Risk ManagerRisk & Fraud Control

  • Thorough understanding of banks fraud control system for all retail assets & liability products and services, cards and e-channels payments and scam mail, lottery fraud thru’ cost effective digital sampling activity
  • Investigate fraud cases of retail loan & advances, anti-money laundering (AML), suspicious transaction report (STR), Hunter match, money mules and conclude with logical modus operandi & root cause & proposing corrective measures
  • Conducted risk based process review / audit in retail branches and finalizing the audit reports basis observations
  • Analyzing risk profiling of the branches and developed risk dashboards and combined all enterprise information such as key risk indicators and facilitated in identification of risk across cross functional business line
  • Carry out Fraud Risk Assessments to identify areas specifically vulnerable to fraud, and actively engage with other stake holders to implement fraud monitoring and fraud preventive controls
  • Identify the prone areas of corruption, fraud, operational policies and practices with a view to timely recommend modification in policies & ensure authenticity of policies vis a vis compliance and conduct the Regional Compliance Committee (RCC) for reviewing fraud investigation cases with senior management and probe to fix accountability and taking disciplinary action as per matrix

Company Name                                     :    xyz

Designation                                             :    Deputy Manager 

  • Responsible for ensuring Internal Control at the Branch by proper checks and balances with routine banking transactions and ensuring customer satisfaction and first level of scrutiny and authenticating of KYC and signing AOF for ensuring KYC Compliance of every opened account & Deposits
  • Support central Anti Money laundering Monitoring Unit with prompt response after completing required due diligence at branch level of the suspected accounts within proper time frame
  • Ensure Audit rating to be satisfactory and closure of audit report within proper time lines
  • Reconciliation of any differences with Banks and Clearing related suspense accounts and ensuring entries are not outstanding for more than three days
  • Special emphasis given to verify all Cash Related Registers and Branch other registers on monthly basis and report to BM / Manager for remedial action.
  • Surprise visit to customers end for verification of communication on loan details, follow-up, pre and post appraisal and visit by field executive & Branch Manager, checking appraisal quality, end utilization monitoring
  • Implement all regulatory compliance & ethics and compliance programs at branches in the region and suggests the management when solicited on matters related to internal control, new policy and processes

Company Name                              :               xyz

Designation                                      :               Financial Analyst

  • Worked in the “Earning Estimate” project and analyzed financial report of different companies given by Bloomberg
  • Captured all date’s in system after analyzing historical & current financial reports
  • Predicted future estimation of the company basis past financial reports

EXTERNAL & INTERNAL PROFESSIONAL CERTIFICATIONS

  • Pursuing “Cyber Crimes and Fraud Management” from Indian Institute of Banking and Finance
  • Certification of “Internal Control over Financial Reporting – SOX Compliance” from ICICI Bank Ltd
  • Certificate of “Audit & Compliance” from ICICI Bank Ltd
  • Certificate of “Fraud Prevention and Control” and Financial Crime Prevention” from ICICI Bank Ltd

PROFESSIONAL TRAINING

Training Institutions Training Arena
Micro Save(Marketled solutions for financial services) Risk Management / Delinquency Management
Loan Port Folio Audit Training
Training of Trainers (TOT)

PROFESSIONAL QUALIFICATIONS

  • Master Degree in Business Administration (Finance) with 1st class on 2012
  • Master Degree in Social Work with 55% from Rabindra Bharati University
  • Completed Post Graduate Diploma in Social Work obtaining marks 58%
  • Bachelor Degree of Commerce from Calcutta University (3 Yrs) on 2005
  • Higher Secondary Examination from B.C.H.S.E on 2002 in 1st division
  • Matriculation from B.B.S.E on 2000 in 1st division   

COMPUTER PROFICIENCY – BANKING OPERATING SYSTEM AND SOFTWARE

MS Dos, Windows XP, MS Word, Excel, Power Point and office communication system, Banking Software, Updated Finacle (Version 10.2.9), Finone, APS, FCRM, 1.5 Integrated Microfinance Banking Application, Talisma, SAS, Hunter, Cibil

PERSONAL DOSSIER

Fathers Name                                                    :               xxxx

Date of Birth                                                      :               1982

Sex / Marital Status                                        :               Male / Married

Nationality                                                          :               Indian

Passport Details                                                :              00000

Address                                                               :               xxxxxx

Risk Manager Resume Sample

This resume is a sample for the post of Risk Manager. A Risk Manager primarily works to minimize the chances of loss for a company. His expertise lies in making plans and predicting such strategies that should help an organisation from unseen or long-term disasters, securing their time, budget and efforts being excruciating waste. He plays a vital role for the sustenance and progress of a company. Below we have given you an example for the post of Risk manager. Enlist your initial information following by your education and then describe your key skills and experiences. Highlight that you are able to work in any type of situations and a strong candidate handling tumultuous situations. Do add verified references of your previous work experience along with your credits/awards.

Name           :XYZ

Contact No.:00000

Email Id      : xxxxxx

OBJECTIVE:

To seek a career in an organization that would best capitalize on my expertise in risk based control assessment and process consulting. Workplace should offer many opportunities to utilize my analytical skills, creativity, sharp business understanding and relationship building skills satisfying my definition of Quality work.  Outstanding interpersonal, relationship and team building skills; Analytically, articulate and diligent; resourceful in the completion of projects and effective at multitasking with strong ability to plan, prioritize and deliver in complex projects under aggressive time frame.

AREAS OF EXPERTISE:

  • Result Oriented, Proactive and innovative professionals with 3 + years of Self & Leadership with extensive hands on experience in the areas of Risk Based Internal Audit, Fraud Investigations, Strategic & governance.
  • Process Review & control, Credit underwriting, AML, KYC and Compliance among Banking and Non Banking Financial Services sector.
  • Strong analytical & organizational abilities with adeptness in implementing, formulating and streamlining operational policies & procedures. Keen understanding & significant experience of risk identification, analyze and mitigation.
  • Ability to provide insight and strategic input into, manage and facilitate the effective development and delivery of outstanding internal audit & review and compliance related services. Prevention and detection of possible fraud and other risks, such as potential going out of business, excessive credit etc.

PRESENT EMPLOYMENT AND PROFESSIONAL EXPERIENCE

Company Name                              :               xyz

Designation                                      :               State Risk Manager

  • Pertinent understanding of banks & NBFCs fraud control system for all retail assets products and services, cards and other channels fraud & fraud investigations.
  • Investigate fraud cases of retail loan & advances, carry out the investigations of internal & external frauds, theft and losses of company assets and prepare investigation report, identify root cause leading to instances of impropriety use the result of investigations, matter to identify risk related issues and recommend policy to mitigate the risk.
  • Analyzing fraud trends, establishing & monitoring key fraud indicators, performing a fraud risk assessment, identifying operational deficiencies and human factors that enable/influence activity and conducting fraud training.
  • Formulate quarterly audit / process review plan & design review scope, risk parameters and implement risk based internal audits to ensure regulatory (RBI) compliance & ethics.
  • Oversee the conduct of risk based process reviews/audits to determine and detect vulnerabilities in systems and/ or policies/ procedures that may potentially lead to fraudulent activity and/or abuse.
  • Finalizing review / audit report post discussing with stake holders and taking compliance report & maintain action taken report (ATR) and analyzed negative trends, highlights non compliant issues & suggested policy enhancements.
  • Random effective digital sampling of new retail loan proposals and check authenticity of documents attached as KYC, Financial statements & others to filter financial crime & credit risk management & ensure no fraud creeps into system.
  • Initiating mystery shopping for Bank/NBFC employees / external agencies about the procedures of dealing with various policies & process and report to central compliance team and concern management head.
  • Develop and present meaningful MIS to facilitate decisions, with quick turnarounds related to fraud & risk trend and circulate fraud related MIS/red flags to all stakeholders for proper corrective actions within regulatory framework.
  • Conduct regular surprise audits of external vendors (vendor process management) and also train & develop external risk agencies in fraud detection, appropriate referrals, fraud prevention & investigation.
  • New initiatives are taken to develop fraud rules in deduce mechanism followed in the loans origination systems to prevent frauds more effectively and formulated new policies of AML & KYC and implemented across the region.
  • Conduct training workshop for external & internal stakeholders within organization as well as with law enforcement authority to create fraud risk awareness related to KYC, AML.

Company Name                                              :      xyz

Designation                                                      :       Risk Manager – Risk & Fraud Control

  • Thorough understanding of banks fraud control system for all retail assets & liability products and services, cards and e-channels payments and scam mail, lottery fraud thru’ cost effective digital sampling activity.
  • Investigate fraud cases of retail loan & advances, anti-money laundering (AML), suspicious transaction report (STR), Hunter match, money mules and conclude with logical modus operandi & root cause & proposing corrective measures.
  • Conducted risk based process review / audit in retail branches and finalizing the audit reports basis observations.
  • Analyzing risk profiling of the branches and developed risk dashboards and combined all enterprise information such as key risk indicators and facilitated in identification of risk across cross functional business line.
  • Carry out Fraud Risk Assessments to identify areas specifically vulnerable to fraud, and actively engage with other stake holders to implement fraud monitoring and fraud preventive controls.
  • Identify the prone areas of corruption, fraud, operational policies and practices with a view to timely recommend modification in policies & ensure authenticity of policies vis a vis compliance and conduct the Regional Compliance Committee (RCC) for reviewing fraud investigation cases with senior management and probe to fix accountability and taking disciplinary action as per matrix.

Company Name                                     :    xyz

Designation                                            :    Deputy Manager

  • Responsible for ensuring Internal Control at the Branch by proper checks and balances with routine banking transactions and ensuring customer satisfaction and first level of scrutiny and authenticating of KYC and signing AOF for ensuring KYC Compliance of every opened account & Deposits
  • Support central Anti Money laundering Monitoring Unit with prompt response after completing required due diligence at branch level of the suspected accounts within proper time frame
  • Ensure Audit rating to be satisfactory and closure of audit report within proper time lines
  • Reconciliation of any differences with Banks and Clearing related suspense accounts and ensuring entries are not outstanding for more than three days
  • Special emphasis given to verify all Cash Related Registers and Branch other registers on monthly basis and report to BM / Manager for remedial action

Company Name                              :              xyx

Designation                                      :               “Internal Auditor” (Team Leader Grade)

  • Develop audit budget on regional basis as well as audit plan in consultation with Regional Audit Manager for obtaining approval of Head of Audit and managing the audit manpower with a team of 6 members (Audit Officer Grade).
  • Implement the audit plan including any special tasks or projects requested by senior management and preparing the audit Scope & parameter and carry out various audit and submission of reports with critical observations, root cause analyze and suggested recommendations.
  • Review the systems established to ensure compliance with those policies & procedures, books of Accounts with system, bills & voucher and different internal accounts.
  • To detect any fraud or misappropriation irrespective of its size, magnitude other staff involved in it and analysis of PAR & NPA status of the branches and also to identify any malpractice, collusion or action on part of employees that is against the organizational policies or can bring disrepute to the institution.
  • Handled the Branch audit compliance’s and subsequently maintain the “Action Taken Report”
  • Surprise visit to customers end for verification of communication on loan details, follow-up, pre and post appraisal and visit by field executive & Branch Manager, checking appraisal quality, end utilization monitoring.
  • Implement all regulatory compliance & ethics and compliance programs at branches in the region and suggests the management when solicited on matters related to internal control, new policy and processes

Company Name                              :               xyz

Designation                                      :               Financial Analyst

  • Worked in the “Earning Estimate” project and analyzed financial report of different companies given by Bloomberg.
  • Captured all date’s in system after analyzing historical & current financial reports.
  • Predicted future estimation of the company basis past financial reports.

EXTERNAL & INTERNAL PROFESSIONAL CERTIFICATIONS:

  • Pursuing “Cyber Crimes and Fraud Management” from Indian Institute of Banking and Finance.
  • Certification of “Internal Control over Financial Reporting – SOX Compliance” from ICICI Bank Ltd.
  • Certificate of “Audit & Compliance” from ICICI Bank Ltd.
  • Certificate of “Fraud Prevention and Control” and Financial Crime Prevention” from ICICI Bank Ltd.

PROFESSIONAL TRAINING:

Training Institutions Training Arena
Micro Save(Market – led solutions for financial services) Risk Management / Delinquency Management
Loan Port Folio Audit Training
Training of Trainers (TOT)

PROFESSIONAL QUALIFICATIONS:

  • Master Degree in Business Administration (Finance) with 1st class on 2012
  • Master Degree in Social Work with 55% from Rabindra Bharati University
  • Completed Post Graduate Diploma in Social Work obtaining marks 58%
  • Bachelor Degree of Commerce from Calcutta University (3 Yrs) on 2005
  • Higher Secondary Examination from B.C.H.S.E on 2002 in 1st division
  • Matriculation from B.B.S.E on 2000 in 1st division   

COMPUTER PROFICIENCY – BANKING OPERATING SYSTEM AND SOFTWARE:

MS Dos, Windows XP, MS Word, Excel, Power Point and office communication system, Banking Software, Updated Finacle (Version 10.2.9), Finone, APS, FCRM, 1.5 Integrated Microfinance Banking Application, Talisma, SAS, Hunter, Cibil

PERSONAL DOSSIER

Fathers Name                                                    :               xxxx

Date of Birth                                                      :               1982

Sex / Marital Status                                          :               Male / Married

Nationality                                                         :               Indian

Passport Details                                                :              00000

Address                                                               :               xxxxxx

Risk Management Executive Resume Sample

This resume is sample for the post of Risk Management Executive. The Risk Management executive required following skills,

  • Processing Daily Limits for Clients on various markets which include Equities, Currencies, Commodities, FNO.
  • Liaise between client, Brokers and HO to resolve client queries.
  • Investigating & calculating cash and asset of clients and providing them with sufficient limits also making them aware of risks.
  • Data analyzing, Data entries, Calculating Margin funding, coordinating with clients, Report making on daily as well as weekly basis, Solving CTCL queries)

Here is given below a resume sample which give you idea how you build a perfect resume for the post of risk management executive.

Name: XYZ

Contact No. 00000

Email ID:     xxxxx

Job Objective:(Risk Management Executive Resume)

Seeking middle level assignments in insurance, audit or accounts with a reputed organization to utilize my education and experience to the company’s best interest.

Summary

  • Quantitative and Analytical Skills –Investigating cash and matching them with received signings and reconciling them while working with JLT. Investigating differences in any of the fund Limits and rectifying them in real time while working with Arctic Finance & Insurance as Risk Management Executive.
  • Domain knowledge – Have fair knowledge of Insurance Market and Stock market.
  • Research capabilities – Demonstrated good research capabilities in resolving complicated queries in relation with Insurance Portal and various others products of Insurance.
  • Communication skills – Developed good relationship with various teams which includes IT team, Policies team, Product management team, client services team in the process of handling queries related to Claims. Have always maintained the quality of service while working with Underwriters like Axa Corporate, Axis, Seaspan, Swiss Re and numerous Lloyds underwriters

Academic Qualifications

  • Graduation in Bachelor of Management Studies with specialization in Finance from Mumbai University in the year 2010.
  • Have pursued DFM (Diploma in Finance Management) from Welingker Institute of Management.

Professional Experience:(Risk Management Executive Resume)

Senior Associate in Jardine Lloyd Thompson India/ Lloyd and Partners Claims team (From August – 2011 till date)

  • Been to London for 6 weeks to get trained for the role of an Insurance Administrator.
  • Working for delegated clients for Lloyd & Partners Limited (Jardine Lloyds Thompson). Lloyd & Partners Limited being London’s 1st ranking insurance broking company.
  • Produce accurate client documentation associated with the respective processes.
  • To produce work within specified turnaround times.
  • Have working knowledge of the core product principles and regulations that govern the products.
  • Ensure that all statutory and company regulations are followed while processing work to protect clients, colleagues and the business interests of the company.
  • Understand and contribute to the achievement of individual and departmental Key Performance Indicators and Service Levels Agreements.
  • Displaying professional communication skills at all levels within organization and with external customers.

Technical Skills:

  • Knowledge of Insurance Business
  • Good presentation skills
  • Fair knowledge of using Operating Systems Windows 98/2000, XP, Vista, Windows 7 etc.
  • MS-Office – MS Word, Excel, Power Point.

General Skills:

  • Knowledge of resource management and people management
  • Knowledge of training and coaching
  • Good written and oral communication skills
  • Ability to grasp processes and understanding the implications of changes in processes
  • Identify process improvement opportunities
  • Eye for detail.

Risk Management Executive in Aretic Group of Companies Franchisee of Religare Securities Pvt. Ltd

  • Processing Daily Limits for Clients on various markets which include Equities, Currencies, Commodities, FNO.
  • Liaise between client, Brokers and HO to resolve client queries.
  • Investigating & calculating cash and asset of clients and providing them with sufficient limits also making them aware of risks.
  • Data analyzing, Data entries, Calculating Margin funding, coordinating with clients, Report making on daily as well as weekly basis, Solving CTCL queries)

Other Activities / Achievements

  • Was a member of the Risk team in Aretic Finance & Insurance and managed the Funds & asset reports for the clients of entire agency.
  • Received LPL Spot Award & Quarterly R n R more than 8 times in the category of “Best performer of the month” for outstanding performance in supporting & setting up various helpful guidelines and performances.
  • Have been member of process transition from Lloyd and Partners London to Lloyd and Partner India and stabilizing the process (Claims Operations – Pilot batch).
  • Been highest scoring representative in product knowledge tests in JLT.
  • Employee with lowest absenteeism & highest productivity.

Personal details

Date of birth: JAN 16, 1989

Marital Status:         Married

Languages Known: English, Hindi, Gujarati and Marathi