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@abdulmajidabbasi
Experienced Fraud & Risk Analyst with a focus on operational efficiency.
I am a seasoned professional with 7 years of experience in managing intricate technical and customer-facing responsibilities within the offshore medical billing and financial technology industries. My expertise lies in troubleshooting and resolving complex technical issues while delivering high-quality customer service to ensure seamless operations of products and services.
Throughout my career, I have demonstrated a strong ability in technical analysis, process optimization, and driving continuous improvements to enhance user experience and platform reliability. I am now seeking an opportunity in a dynamic organization where I can leverage my skills in communication, technical analysis, and operational efficiency to contribute to long-term success and operational excellence.
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Work history, roles, and key accomplishments
Ibex
Jan 2024 - Present (1 year 10 months)
Responsible for reviewing and conducting KYC for new businesses, escalating high-risk cases to management. Analyzed daily, weekly, and hourly fraud reports to identify and address potential risks, while monitoring real-time alerts in Salesforce to manage security incidents. Collaborated with cross-functional teams and engineering to implement effective solutions and enhance fraud prevention strate
Payactiv
Jan 2022 - Jan 2024 (2 years)
Validated user information for new card applications, ensuring compliance with identity verification protocols. Conducted outbound calls for account validation and issue resolution, while monitoring real-time alerts in Salesforce to address technical or security concerns. Managed escalated cases and collaborated with cross-functional teams to provide effective solutions, enhancing fraud prevention
MTBC
Nov 2020 - Aug 2022 (1 year 9 months)
Managed the uploading and downloading of EDI formats, ensuring accurate integration and extracting data from MSSQL server to generate EDI files. Collaborated with insurance providers and clients to implement required system changes and supported ERA and practice setup. Performed encryption and decryption of sensitive PHI data, adhering to security and compliance standards, and investigated escalat
MTBC
May 2018 - Nov 2020 (2 years 6 months)
Managed the entire medical billing process, including verifying patient information, accurate coding, and submitting claims to insurance providers. Followed up on denied or rejected claims, resolved discrepancies with insurance companies, and ensured timely payments. Collaborated with healthcare providers for proper documentation and coding compliance, addressing patient inquiries and ensuring HIP
Degrees, certifications, and relevant coursework
Masters of Computer Science, Computer Science
Completed a Master's degree focusing on advanced topics in computer science. Gained expertise in various areas of computing.
Bachelors of Computer Science, Computer Science
Obtained a Bachelor's degree in Computer Science. Developed foundational knowledge in programming, algorithms, and data structures.
Software and tools used professionally
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