John Naccarato
King City ,ON
Summary
Results-driven Senior Accident Benefits Adjuster with expertise in claims assessment and negotiation strategies. Proven ability to enhance customer relationships while ensuring compliance with insurance regulations.
Overview
27
27
years of professional experience
Work History
Senior Accident Benefits Adjuster
Desjardins Ins.
Aurora , On
03.2015 - Current
- Assessed accident benefit claims for accuracy and compliance with regulatory standards.
- Evaluated accident benefit claims for accuracy and compliance with regulations.
- Reviewed legal documents related to claims and provided recommendations.
- Collaborated with medical professionals to assess treatment plans and costs.
- Communicated with clients to gather necessary documentation and information.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Reviewed medical documents to determine eligibility for benefits and services.
- Provided guidance to junior adjusters on best practices and procedural updates.
- Investigated claims by interviewing involved parties and gathering supporting evidence.
- Reviewed and evaluated accident benefits claims to determine coverage eligibility and extent of benefits due.
- Negotiated settlements with claimants or legal representatives on behalf of insurers.
- Drafted correspondence to claimants regarding decisions made on their claims.
Accidnet Benefits Claims Project Team
Desjardins
Aurora, Ontario
01.2017 - 01.2019
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Accident Benfits Adjuster Level II
Intact Ins- Bleair Direct ins
12.2007 - 03.2015
- Analyzed claims to determine validity and appropriate compensation.
- Provided training to junior adjusters on best practices and procedures.
- Investigated incidents by collecting evidence and interviewing witnesses.
- Resolved disputes between claimants and insurance providers through negotiation.
- Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
- Participated in training sessions related to new policies or procedures.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
Personal Insurance Sales Agent
Belair Direct Ins
01.2005 - 12.2007
- Assisted customers with product selection and inquiries.
- Assisted clients in selecting appropriate personal insurance products.
- Increased sales through consultative sales approach and focused relationship building with new and existing policy holders.
- Strengthened client relationships by actively listening to needs and providing tailored insurance solutions.
- Explained coverage options to potential policyholders, answering questions or concerns.
- Evaluated client needs to provide tailored insurance solutions.
- Delivered exceptional customer service during policy inquiries and claims processing.
- Collaborated with underwriters to facilitate timely policy approvals.
- Coached junior staff members on techniques for selling personal insurance products effectively.
Sales Team Manager
ING Ins-Belair Direct Ins
01.2003 - 01.2005
- Led sales team to implement effective strategies for client engagement.
- Led sales team to achieve strategic business goals and improve customer satisfaction.
- Monitored team performance and provided feedback to encourage continuous improvement.
- Established ambitious goals for employees to promote achievement and surpass business targets.
- Facilitated regular meetings to align goals and share best practices among team members.
- Trained and mentored new sales representatives on company policies.
- Conducted regular team meetings to discuss goals and progress updates.
- Participated in trade shows and other events as an ambassador of the company's brand.
- Managed a team of 10+ sales representatives, providing feedback on performance and coaching when needed.
Insurance Sales Agent
Zurich- People Plus Ins
01.1999 - 01.2003
- Exceeded company sales goals for new policies.
- Assisted clients in selecting appropriate insurance policies for their needs.
- Educated clients on coverage options and policy details effectively.
- Managed client inquiries and provided timely responses to policy questions.
- Collaborated with underwriters to assess risks and determine policy terms.
- Built relationships with existing clients by providing exceptional service.
- Processed applications and paperwork related to policy issuance or renewal.
- Assisted clients in selecting appropriate coverage options for their needs.
- Identified cross-selling opportunities among existing customers.
Education
Some College (No Degree) -
Humber College/ Sheridan College
TorontoSkills
- Claims assessment
- Legal document review
- Medical collaboration
- Insurance regulations
- Customer relationship management
- Negotiation strategies
- Effective communication
- Active listening
- Problem solving
- Policy interpretation
- Benefits analysis
- Claims investigation
- Time management
- Risk management
- Claims file management processes
- Professionalism
Languages
English
Native/ Bilingual
Italian
Professional
Timeline
Accidnet Benefits Claims Project Team
Desjardins
01.2017 - 01.2019
Senior Accident Benefits Adjuster
Desjardins Ins.
03.2015 - Current
Accident Benfits Adjuster Level II
Intact Ins- Bleair Direct ins
12.2007 - 03.2015
Personal Insurance Sales Agent
Belair Direct Ins
01.2005 - 12.2007
Sales Team Manager
ING Ins-Belair Direct Ins
01.2003 - 01.2005
Insurance Sales Agent
Zurich- People Plus Ins
01.1999 - 01.2003
Some College (No Degree) -
Humber College/ Sheridan College