Anastasija Janeva
Summary
Experienced Insurance Adjuster skilled in investigating losses and liability concerning personal, casualty and property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 5+ years of experience collaborating with industry specialists to achieve excellent customer service results. Highly motivated with the capacity to handle complex files country-wide while implementing jurisdiction specific requirements. Actively pursuing a CIP designation.
Overview
4
4
years of professional experience
Work History
Multiline Prestige Adjuster II
Intact Insurance
11.2023 - Current
- Maintaining 100% customer satisfaction during the on-going of auto and property claims in high net-worth accounts.
- Developed comprehensive reports outlining investigation findings, settlement recommendations, and supporting evidence for use in both internal reviews and external negotiations.
- Mitigated risks and increased profitability with well-developed strategies for reducing fraudulent claims
- Collaborating with departments to construct a case-by-case tailored approach to claims' handling for high-risk policies to provide substantiation for losses
- Maintained strong relationships with policyholders, brokers, and industry professionals by consistently demonstrating professionalism and a high level of collaboration
Telephone Adjuster I & II
Intact Insurance
06.2022 - 12.2023
- Managing claims of varying complexity; total loss, fire and theft from opening to closing with the intent of achieving a lifecycle that meets the goals of the team and also mitigating leakage
- Participating in pilot programs to test the success and longevity of new protocols before implementing through the Claims Department
- Exceeding Key Performance Indicators and Net Promoter Score goals to promote overall success of the off-queue digital team, while assisting as back-up for adjusters as necessary
- Reduced backlogs of pending claims using effective time-management strategies such as prioritizing tasks based on urgency or complexity levels.
Customer Service Representative/ Hybrid Representative
Intact Insurance
02.2021 - 06.2022
- First point of contact for insured’s; opening claims, explaining coverage, providing rentals, setting up appraisals for damaged vehicles
- Digital campion within team; monthly reporting on trends, areas of opportunity and upcoming goals related to team goals
- Participating in the CSC shadow buddy program; providing coaching and leadership to on-boarding customer representatives, remaining available for support outside of training
- Assessing the needs of clients with reported injuries through completion of ICQ (Initial Contact Questionnaire) to assign adjusters based on severity and recommend RELY clinics specializing in motor vehicle injuries
Chiropractic Assistant
King West Chiropractic
01.2020 - 03.2021
- Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs to optimize client experience and safety.
- Compiling & organizing full patient files encompassing health history, contact information & consent forms.
- Assisted chiropractor during patient exams to implement treatment plans quickly through recording and digitizing MyoScans for doctors and patients.
- Maintained strict adherence to HIPAA regulations, protecting sensitive patient information and upholding confidentiality standards.
Education
Bachelor - Kinesiology
University of Toronto
04.2019
Skills
- Claims Investigation and handling
- Property Damage Assessment
- Report Writing
- Payment Processing
- Customer service and support
- Risk Assessment
- Inter-department Collaboration
Timeline
Multiline Prestige Adjuster II
Intact Insurance
11.2023 - Current
Telephone Adjuster I & II
Intact Insurance
06.2022 - 12.2023
Customer Service Representative/ Hybrid Representative
Intact Insurance
02.2021 - 06.2022
Chiropractic Assistant
King West Chiropractic
01.2020 - 03.2021
Bachelor - Kinesiology
University of Toronto
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