Summary
Overview
Work History
Education
Skills
Languages
Timeline
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KAYODE KAMAL MOUSTAPHA

Toronto,Canada

Summary

Claims Administrator with 8+ years of experience in meticulous claims processing and policy administration. Skilled in document management and fraud detection, leveraging bilingual capabilities to enhance customer service and training. Adept at employing technical support and troubleshooting skills to ensure compliance and streamline operations, aspiring to foster team growth and operational excellence.

Overview

9
9
years of professional experience

Work History

CLAIMS ADMINISTRATOR

EPIQ Global
Ottawa, Canada
04.2023 - Current
  • Utilize proprietary software to review claims, make decisions, and escalate issues, ensuring accuracy and compliance with legal standards
  • Process and review claims content meticulously, handling class action administrative tasks and analyzing court orders and settlement agreements
  • Draft and distribute legal notices and claim decisions, leveraging SharePoint to maintain departmental standards and streamline processes
  • Employ diverse software tools including Microsoft Office, PDF editors, and transcription software to create, revise, and convert documents efficiently
  • Contribute to team effectiveness by adhering to documented processes, ensuring quality control, and supporting litigation procedures

BILINGUAL SENIOR ANALYST TECH SUPPORT

Global Payments Inc.
Toronto, Canada
12.2019 - 02.2023
  • Resolved complex customer inquiries on accounts and global transactions, enhancing POS system operations and detecting errors for improved service quality
  • Facilitated seamless interactions among customers, contractors, banks, and vendors, while maintaining expertise in payment policies and equipment setup
  • Contributed to fraud detection efforts by documenting suspicious activities and flagging transactions, bolstering financial security measures
  • Mentored new hires during orientation and training, fostering a knowledgeable and efficient team environment in tech support operations

BILINGUAL POINT OF SALES ANALYST

Global Payments Inc.
Toronto, Canada
02.2017 - 12.2019
  • Meticulously process claims using proprietary tools, ensuring strict compliance with legal standards and efficiently managing litigation tasks
  • Optimized POS system performance through meticulous error detection and resolution, enhancing transaction accuracy and customer satisfaction
  • Resolved complex POS issues for retailers, ensuring minimal downtime and maintaining operational efficiency through systematic troubleshooting and error detection
  • Provided comprehensive customer support, addressing inquiries, explaining policies, and resolving complaints while maintaining detailed records of all interactions

BILINGUAL EMERGENCY ASSISTANT SPECIALIST

Zurich North America
Toronto, Canada
06.2016 - 12.2016
  • Processed complex loss reports, enhancing claim accuracy and efficiency
  • Meticulously reviewed police reports, medical records, and property damage assessments to determine liability extent and ensure accurate claim processing
  • Optimized information gathering from claimants, doctors, and employers, significantly reducing processing time and improving claim resolution rates
  • Implemented bilingual assistance strategies, breaking language barriers and expanding service accessibility for diverse policyholders

Education

DIPLOMA - BUSINESS ADMINISTRATION

Boreal College
Toronto, ON, Canada
06.2016

MASTER DEGREE - FINANCE AND RISK MANAGEMENT

University of Cergy Pontoise
Cergy-Pontoise, France
06.2013

Skills

  • Claims Processing and Auditing
  • Credit and Collections
  • Teamwork and Collaboration
  • Multitasking and Organization
  • Customer Service and Engagement
  • Document Management
  • Technical Support and Troubleshooting
  • Financial Transactions and Fraud Detection
  • Policy Administration
  • Analytical Thinking and Research Skills

Languages

  • English, Highly proficient
  • French, Native

Timeline

CLAIMS ADMINISTRATOR

EPIQ Global
04.2023 - Current

BILINGUAL SENIOR ANALYST TECH SUPPORT

Global Payments Inc.
12.2019 - 02.2023

BILINGUAL POINT OF SALES ANALYST

Global Payments Inc.
02.2017 - 12.2019

BILINGUAL EMERGENCY ASSISTANT SPECIALIST

Zurich North America
06.2016 - 12.2016

DIPLOMA - BUSINESS ADMINISTRATION

Boreal College

MASTER DEGREE - FINANCE AND RISK MANAGEMENT

University of Cergy Pontoise
KAYODE KAMAL MOUSTAPHA