Work Preference
Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic
Open To Work

Alena Demchuk

Oakville,ON

Work Preference

Job Search Status

Open to work

Desired Job Title

Senior Claims SpecialistProperty Claims ExaminerClaims AssociateSenior Claims Examiner

Work Type

Full Time

Salary Range

$100000/yr - $200000/yr

Summary

Dynamic Senior Claims Specialist with extensive experience in claims investigation and regulatory compliance. Proven track record in managing high-exposure claims, negotiating settlements, and mentoring teams. Skilled in data analysis and committed to delivering exceptional customer service while ensuring accurate coverage analysis and policy interpretation.

Overview

20
20
years of professional experience

Work History

Senior Claims Specialist

Chubb Insurance
04.2022 - Current

-Manage portfolio of complex and high exposure claims including losses exceeding $6M

- handle pending volume of 190 open claims

- Handle diverse clams including multinational accounts, commercial PD, Personal Property Claims, Aviation claims, Equipment Breakdown, Course of construction, Energy losses, Cargo/ Marine claims, Entertainment industry losses, Mortgage Impairment and Foreclosed Property claims, CAT claims.

-Lead investigation involving adjusters, brokers, legal counsels, appraisers, third party vendors and forensic experts.

- Confirm coverage and determine liability in accordance with policy terms and regulations.

- Validate claims, insuring information is property collected, analyzed and maintained.

- Negotiate settlement for high exposure claims.

- Collaborate with underwriting teams to resolve discrepancies and enhance process efficiency.

- Facilitated training sessions on new systems and tools to improve team performance and accuracy.

Property Claims Examiner

Chubb Insurance
09.2016 - 04.2022

- Analyzed file reports to determine the nature of loss, coverage provided and scope of damages.

- Conducted investigation and secured all supporting documentation to verify same for accuracy, relationship and completeness.

- establish accurate and timely reserves

- maintained active diary and monitor same to achieve active developments

- promptly documented all developments in claim file

- effectively communicated with claims, underwriting, commercial and personal lines, brokers and business partners.

- maintained accurate payment processing and adjustment

- recognized subtraction / salvage where applicable

- adhere to all statutory regulations

Claims Associate

Prime Health Care Inc
Mississauga, ON
04.2006 - 08.2016
  • Mentored junior claims specialists on best practices for efficient claims processing and customer service.
  • Developed training materials to enhance team understanding of underwriting guidelines and claim evaluations.
  • Posted payments to accounts and maintained records.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Worked well in a team setting, providing support and guidance.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Strengthened communication skills through regular interactions with others.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Developed and maintained courteous and effective working relationships.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Gained extensive knowledge in data entry, analysis and reporting.

Education

Insurance Designation - CIP

Insurance Institute of Canada

Skills

Claims investigation

Coverage analysis and policy interpretations

Regulatory compliance

Customer service

Data analysis and reporting

Languages

English
Full Professional

Timeline

Senior Claims Specialist

Chubb Insurance
04.2022 - Current

Property Claims Examiner

Chubb Insurance
09.2016 - 04.2022

Claims Associate

Prime Health Care Inc
04.2006 - 08.2016

Insurance Designation - CIP

Insurance Institute of Canada
Alena Demchuk