Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Keiling Zúñiga Mora

Alajuela,A

Summary

Dedicated and detail-oriented Customer Support and Senior Fraud Specialist with over 3 years of experience in payment processing, discrepancy resolution, and customer service within the financial and healthcare sectors. Skilled in handling sensitive data, resolving disputes, and maintaining compliance with standards such as HIPAA. Known for strong decision-making, analytical skills, and the ability to deliver exceptional service while improving operational efficiency.

Overview

5
5
years of professional experience

Work History

Senior Retirement Specialist

Cognizant Technologies
08.2024 - Current
  • Processed sensitive financial transactions and retirement inquiries across multiple platforms.
  • Delivered high-quality customer support by resolving issues promptly and ensuring regulatory compliance.
  • Applied investment and tax regulation knowledge to guide clients through service options.
  • Documented all interactions and maintained accurate payment and customer service records.

Healthcare Discrepancy Analyst

Auxis
01.2023 - 10.2023
  • Reviewed insurance documents (EOBs, patient ID cards) and verified eligibility and contract details.
  • Contacted insurers directly via email, chat, and phone to resolve payment discrepancies.
  • Ensured compliance with payment protocols and reconciled amounts based on service expectations.
  • Generated reports and tracked payment issues to improve workflow and accuracy.

Senior Fraud Specialist

SYKES
12.2020 - 01.2023
  • Investigated fraudulent financial activity using analytics tools and databases like LexisNexis.
  • Resolved customer issues while ensuring anti-fraud and AML compliance standards.
  • Managed alert queues and escalated high-risk cases under strict timelines.
  • Provided support in both English and Spanish, balancing security and customer satisfaction.

Education

Bachelor's Degree in English Translation - English

Universidad Internacional De Las Américas
San José, Costa Rica
09-2026

Skills

  • Payment Processing (Credit Cards, Bank Transfers)
  • Dispute Resolution & Customer Inquiries
  • Financial Reporting & Documentation
  • HIPAA Compliance / AML Procedures
  • Fraud Detection & Prevention
  • Microsoft Excel, CRM Systems, Salesforce, SAP
  • Interpersonal & Communication Skills
  • Time Management & Organizational Skills
  • Inventory and Payment Management Systems
  • LexisNexis, Fraud Analysis Tools
  • AR / AP Analysis

Languages

English
Bilingual or Proficient (C2)
Portuguese
Intermediate (B1)
Spanish
Bilingual or Proficient (C2)

Timeline

Senior Retirement Specialist

Cognizant Technologies
08.2024 - Current

Healthcare Discrepancy Analyst

Auxis
01.2023 - 10.2023

Senior Fraud Specialist

SYKES
12.2020 - 01.2023

Bachelor's Degree in English Translation - English

Universidad Internacional De Las Américas

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Keiling Zúñiga Mora