Alessandro Mallus
Claim Coordinator
Prague,10
Summary
I am a dedicated professional who prides myself on being a collaborative team player, while simultaneously maintaining a strong sense of independence in managing my responsibilities. My recent roles has improved my analytical skills, enabling me to effectively dissect and address complex challenges. I have consistently achieved high levels of customer satisfaction through my approachable demeanor and commitment to engaging in friendly, open conversations.
Overview
17
17
years of professional experience
5
5
years of post-secondary education
3
3
Languages
Work History
Claim Specialist
Euro-Center
Prague, Hlavni Mesto Praha
07.2024 - Current
- Act as the bridge between hospitals and insurance companies.
- Courtesy calls to policy holders to assure their satisfaction and future needs.
- Manage and process medical claims, including emergency treatments, hospital stays, and medical evacuations.
- Verify claims and ensure alignment with insurance policy terms.
- Review medical invoices and ensure accuracy in billing.
- Facilitate reimbursement processes in line with insurance coverage.
- Communicate with hospitals and insurance companies to resolve discrepancies or issues.
- Keep all parties informed with regular updates on claim status.
- Maintain detailed documentation of claims for accurate record-keeping.
- Ensure claims are processed efficiently and in compliance with policy guidelines.
Fraud Investigator, Account Takeover Specialist
EXPEDIA GROUP
Prague, Hlavni Mesto Praha
11.2021 - 05.2023
- Expertly identified emerging Account Takeover (ATO) trends through meticulous analysis and tracking of key indicators
- Executed comprehensive ATO monitoring strategies to minimize risk exposure and pinpoint prevailing patterns
- Conducted investigations utilizing SQL queries, Redshift, ThreatMetrix, and Splunk to extract actionable insights from data trends
- Leveraged multiple internal database systems to proactively analyze account activities and transactions, successfully reducing fraud-related losses by 4% through trend detection
Fraud Support Analyst
EXPEDIA GROUP
Prague, Hlavni Mesto Praha
11.2019 - 11.2021
- Spearheaded transaction and booking data analysis to discern fraudulent activities, ensuring robust security measures
- Employed trend analysis and tracking to monitor fraud rings, contributing valuable insights to members of the Senior Investigation Team
- Conducted thorough investigations of previous Fraud Analysts' decisions to reduce the risk of wrongful reinstatements or misclassified fraud
- Proficient in utilizing Amadeus and Sabre systems for accurate flight information verification
- Consistently maintained optimal Service Level Agreements (SLAs) for a period of at least three months
Fraud Analyst
EXPEDIA GROUP
Prague, Hlavni Mesto Praha
06.2019 - 11.2019
- Responsible for analyzing data from transactions and bookings, to judge if they are fraudulent or not
- Facilitated cross-regional communication with Fraud teams in Bellevue (USA), Springfield (USA), and Amsterdam (NDL), sharing insights on emerging trends and patterns
- Conducted in-depth investigations into unflagged transactions using SQL queries to prevent potential revenue loss
- Proficient in utilizing Global Distribution Systems (GDS) including Amadeus, Sabre, and Worldspan for flight information verification
Customer Service Representative
HERMES MKT
03.2015 - 11.2018
- Managed efficient handling of incoming calls, ensuring prompt customer service and issue resolution
- Coordinated comprehensive onboarding and training programs for new staff, alongside meticulous scheduling of meetings
- Liaised with product suppliers to maintain clear communication channels and streamline operations
- Oversaw pilot projects, optimizing product placement, coordinating promoter activities, and tracking promotion timelines for maximum impact
Project Supervisor Assistant
11.2011 - 03.2012
- Acted as Intermediator between the Groceries Manager and our Company
- Enhanced inventory efficiency through strategic product placement and optimal space utilization
- Delivered comprehensive support to grocery store personnel, addressing product-related concerns and advising on merchandising tactics
- Implemented swift modifications to product displays to capitalize on seasonal and festive opportunities, ensuring optimal visibility and sales
Immigration Federal Agent
Instituto Nacional De Migración
10.2007 - 05.2011
- Responsible for analyzing Verification of travel documentation, such as passports and visas
- Delivered essential information to visitors on embassy locations, consular services, and immigration procedures
- Regulated the flow of tourists at the airport, maintaining orderly and efficient operations
- Conducted residency checks for immigrants undergoing legal residence processes
- Oversaw meal provision for refugees, demonstrating strong humanitarian and organizational skills
- Leading staff operations at the immigration station, enhancing team productivity and service quality
- Liaised with Federal Police and airport authorities, sharing critical information for state-level decision-making
- Collaborated with customs, human rights, and federal agencies to support data management and process optimization
- Managed Immigration Data within the Inventory Control Department, ensuring accurate documentation and access control
Education
Partial - Architecture studies
Veracruz
Veracruz, MexBachelor -
UNIVERSIDAD TERCER MILENIO (U3M)
Veracruz, Mex 08.2008 - 06.2013
Some College - Architecture
UNIVERSIDAD VILLA RICA
Veracruz, MexSkills
- DATA ANALYSIS
- PREVENTIVE ACTIONS
- CUSTOMER CARE
- TIME MANAGEMENT
- CLAIM INVESTIGATION
- POLICY INTERPRETATION
Personal Information
- Date of Birth: 12/12/83
- Nationality: Mexican-Italian
- Marital Status: Single
- Visa Status: EU Citizen
Timeline
Claim Specialist
Euro-Center
07.2024 - Current
Fraud Investigator, Account Takeover Specialist
EXPEDIA GROUP
11.2021 - 05.2023
Fraud Support Analyst
EXPEDIA GROUP
11.2019 - 11.2021
Fraud Analyst
EXPEDIA GROUP
06.2019 - 11.2019
Customer Service Representative
HERMES MKT
03.2015 - 11.2018
Project Supervisor Assistant
11.2011 - 03.2012
Bachelor -
UNIVERSIDAD TERCER MILENIO (U3M)
08.2008 - 06.2013
Immigration Federal Agent
Instituto Nacional De Migración
10.2007 - 05.2011
Partial - Architecture studies
Veracruz
Some College - Architecture
UNIVERSIDAD VILLA RICA
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