Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Raam Murugathas

Toronto,ON

Summary

Accomplished Senior Claims Analyst & Fraud Analyst with a proven track record at Scotiabank and Rogers Communications, enhancing policy effectiveness and customer satisfaction through advanced data analysis and fraud detection skills. Expert in streamlining claims processes and implementing fraud prevention strategies, resulting in significant cost savings for the company. Demonstrates strong negotiation abilities and team leadership, ensuring regulatory compliance and operational excellence. Strong passion to not just get work done, but to get it done as effectively as possible as well as provide insight on ways to improve efficiency

Overview

5
5
years of professional experience

Work History

Senior Claims Analyst

Scotiabank
01.2024 - Current
  • Contributed to policy improvements by identifying areas of potential risk exposure based on historical claim data analysis.
  • Improved customer satisfaction by consistently resolving complex claims in a timely and professional manner.
  • Reduced claim processing time by streamlining workflow and implementing efficient case management strategies.
  • Implemented effective fraud detection measures, resulting in the identification and prevention of fraudulent claims activities.
  • Supported team efficiency efforts by developing standardized templates for common claim types, expediting document preparation timeframes.
  • Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
  • Maintained up-to-date knowledge of industry trends and regulatory changes, applying insights to enhance claim/dispute processing effectiveness.
  • Identified opportunities for cost savings through careful review of vendor contracts and invoice discrepancies related to claims services engagements.

Fraud Analyst

Rogers Communications
01.2020 - 12.2023
  • Evaluated customer data to identify,combat, and prevent fraudulent activities.
  • Analyzed large amounts of data to find patterns of fraud and anomalies.
  • Tracked fraud cases and monitored trends to develop strategies for prevention.
  • Performed risk assessments to determine level of fraud risk and prioritize investigations for cases end-to-end.
  • Reduced fraud losses by implementing effective fraud prevention strategies and monitoring systems.
  • Identified emerging fraud trends by conducting regular market research and staying updated on industry best practices.
  • Provided training to new team members on fraud detection techniques, enhancing their ability to identify potential threats quickly and accurately.
  • Evaluated customer data to identify and prevent fraudulent activities.
  • Performed risk assessments to determine level of fraud risk and prioritize investigations.
  • Increased accuracy in identifying fraudulent transactions by utilizing advanced data analytics techniques and software tools.
  • Produced detailed reports of fraud investigations and presented findings to senior management.

Education

Bachelor of Science - Computer Science

Durham College
Oshawa, Ontario
05-2020

Skills

  • Claims processing efficiency
  • Data analysis
  • AML compliance
  • Strong negotiation skills
  • Fraud Detection & Prevention
  • Microsoft Office
  • Coding Languages (SQL, Python, C, VB, etc)
  • Critical thinking
  • Trend analysis
  • Financial risk assessment
  • Activity monitoring
  • Case management
  • Team leadership experience

Languages

English
Native or Bilingual
Tamil
Native or Bilingual

Timeline

Senior Claims Analyst

Scotiabank
01.2024 - Current

Fraud Analyst

Rogers Communications
01.2020 - 12.2023

Bachelor of Science - Computer Science

Durham College

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Raam Murugathas