Danyell Holt
@danyellholt
Results-driven professional specializing in AML investigations and compliance.
What I'm looking for
I am a results-driven professional with extensive experience in customer-focused roles, particularly in anti-money laundering (AML) investigations and insurance claims processing. My expertise lies in dispute resolution, compliance, and data analysis, where I have consistently demonstrated my ability to enhance organizational processes and ensure adherence to regulatory standards.
In my most recent role as an Insurance Claims Specialist at Sun Life Financial, I provided patient support by addressing inquiries and ensuring compliance with HIPAA standards. I collaborated with healthcare providers and insurance companies to resolve billing issues, managed complex claims denials, and worked with internal teams to align with changing business strategies. My previous experience in fraud prevention at Peoples Bank honed my investigative skills, where I conducted thorough assessments of customer profiles and transaction data to identify potential money laundering activities.
Experience
Work history, roles, and key accomplishments
Insurance Claims Specialist
Sun Life Financial
May 2023 - May 2024 (1 year)
Provided patient support by addressing inquiries, ensuring compliance with HIPAA standards for confidentiality and data protection. Managed complex claims denials and appeals, utilizing a thorough understanding of Explanation of Benefits (EOBs) and payer policies.
Administrative Representative
J Skinner
Nov 2020 - Sep 2022 (1 year 10 months)
Coordinated office communications, ensuring efficient handling of calls and correspondence. Generated data reports, entered company findings into the database, and performed backups.
Fraud Prevention
Peoples Bank
Aug 2018 - Oct 2020 (2 years 2 months)
Conducted investigations of suspicious transactions to identify potential money laundering activities. Drafted comprehensive Suspicious Activity Reports (SARs), meticulously documenting suspicious activities and making recommendations for regulatory filing.
Education
Degrees, certifications, and relevant coursework
Paris Junior College
Associate Degree, General Studies
Completed an Associate Degree at Paris Junior College, gaining foundational knowledge and skills relevant to professional roles. Focused on coursework that prepared for careers in various fields.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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