Kemo Montique
Toronto
Summary
Analytical professional equipped with in-depth understanding of operational and financial risks associated with a range of organizational actions. Focused on helping with the limitation or balancing of risk against reward for optimal decision-making.
Overview
3
3
years of professional experience
Work History
Property Claims Adjuster
Cumis Insurance
10.2024 - Current
- Investigated property claims by reviewing policy wordings to determine claim coverage based on cause and facts of loss.
- Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
- Assigned and conferred with legal counsel on subrogation claims requiring litigation, and attended mediations as needed.
- Negotiated favorable settlement terms for complex property loss situations involving multiple parties or competing interests.
Claims Representative I, Property
Co-operators General Insurance
11.2022 - 04.2024
- Investigated, interpreted coverage, negotiated and made decisions autonomously to resolve property claims ranging in complexity
- Provided mentorship and support to newer claims representative.
- Provided timely initial contact and ongoing updates to clients, fostering strong relationships via email and telephone communication
- Identified subrogation opportunities on each claim by compiling facts needed to evaluate recovery potential, responsible party and developing theories of liability through prompt and strategically-appropriate contact with said parties.
Clinic Administrator
Physio-Logic Neurological Rehabilitation
01.2022 - 03.2023
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Effectively resolved medical claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Negotiated payment plans for patients facing financial hardships, minimizing revenue loss while maintaining empathetic customer service.
Education
CIP (Chartered Insurance Professional) -
Insurance Institute of Canada
Certificate - Business Analytics
University of Pennsylvania
High School Diploma -
Judith Nyman Secondary School
06.2016
Skills
- Time management
- Problem-solving
- Attention to detail
- Effective communication
- Strong negotiation skills
- Adaptable
- Risk Analysis
Timeline
Property Claims Adjuster
Cumis Insurance
10.2024 - Current
Claims Representative I, Property
Co-operators General Insurance
11.2022 - 04.2024
Clinic Administrator
Physio-Logic Neurological Rehabilitation
01.2022 - 03.2023
CIP (Chartered Insurance Professional) -
Insurance Institute of Canada
Certificate - Business Analytics
University of Pennsylvania
High School Diploma -
Judith Nyman Secondary School
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