Franklin Chukwu

Insurance Claims Specialist

Coronation Insurance

01.2020 - 09.2024

Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
Performs a combination of duties in accordance with departmental guidelines.
Manages complex investigations of claims, including coverage, liability, and damages evaluations.
Implements appropriate resolution strategies on claims.
Effectively manages indemnity and claim expenses on intermediate to complex claims.
Directs all types of investigative activity or litigation on intermediate to complex claims and ensures adequate and timely reserves are set. Consults and collaborates with panel counsel with respect to litigation strategy.
Directs and engages in the negotiation of complex settlement packages to drive cost effective and timely settlements.
Utilizes oral presentation and writing skills to escalate or efficiently communicate appropriate exposures to senior claims management and other internal business partners, as needed.
Keeps current on provincial/ federal regulations and industry issues and trends. May represent company in industry trade groups or other important events involving external business partners and clients.
Provides guidance and assistance to less experienced claims staff and other functional areas.
Responsible for special claims projects and presentations.
Assist with the development of Specialty policy language.
Attend regular underwriting account meetings with internal team, brokers, and insureds.
Identifies trends in complex claims and settlement strategies and communicates to senior management.
May perform additional duties as assigned
Analyse liability and damages issues in connection with primary and excess claims including maintaining appropriate documentation
Analyse insurance coverage issues, draft coverage letters and communicate positions to insureds and brokers
Manage external adjusters and counsel, and collaborate with Insureds in the defence and resolution of claims
Settlement negotiation
Evaluate full pending of claims in connection with the posting and maintaining of accurate reserves
Maintain and develop relationships with brokers, risk managers, general counsels, and a variety of vendors
Provide data and analytic based-informational support to underwriters
Provide support to underwriters with respect to marketing efforts, policy wording, and trending discussions.
Provide oversight, supervision and guidance to TPA adjusters on behalf of AXIS
Ensure prompt payment of losses and vendor invoices
Prepare, plan and conduct file audits Nationally including: review adjudicated files (internally), review vendor files (externally) for content and quality of claims resolution, assess and report on training needs and prepare audit reports.
Consolidate and analyze results or trends and make recommendations to leadership on audit findings to support risk mitigation and expense control.
Provide Claims SME support on projects as required and support the execution of the claims roadmap.
Manage adjuster and/or litigation programs to ensure timely progress
Develop solutions for complex claims problems and staff training
Monitor regions’ bodily injury and property damage , major loss/reinsurance reporting and identify second look claims.
Proactively direct handle a pending of predominately commercial large loss and complex claims nationally, while providing brilliant customer service.
Represent our customers and Aviva at mediations, arbitrations, trials and other litigation processes.
Coach and mentor team members to success through sharing and development of technical and strategic skills and knowledge.
Mitigate risk by collaborating with team mates to identify and effectively manage loss costs & expenses while improving system conditions, which affect customer service, team environment, and financial performance.
Strive to continuously improve by challenging yourself, team mates and the casualty operation to improve performance, reduce inefficiency, and ensure that claims policies and procedures are consistently applied to the highest standard.
Role model of our Aviva values of care, commitment, community & confidence.
Ensure key risks are identified, measured, monitored and effectively managed.
Effectively collaborate and communicate with internal and external stakeholders to identify trends and forecast large loss development while acting as a technical resource for senior management, underwriting, finance & actuary.
Have fun, grow and be truly appreciated for your contributions to our success!

Summary

Overview

Work History

Insurance Claims Specialist

Education

Master of Laws - Law

Bachelor of Laws - Law

Skills

Accomplishments

Languages

Certification

Timeline

Insurance Claims Specialist

Master of Laws - Law

Bachelor of Laws - Law

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