KEVIN PANDYA
Toronto
Summary
Professional claims specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness.
Overview
3
3
years of professional experience
Work History
Senior Auto Claims Specialist (L4)
Aviva Canada
12.2024 - Current
- Volume Optimization & Shop Support: Spearheaded initiatives to drive volume and assist with shop inquiries and escalations, ensuring seamless operations and customer satisfaction.
- Performance Analysis & Strategic Recommendations: Conducted monthly performance reviews of partner shops with senior stakeholders, providing actionable insights and tips to enhance shop volume and efficiency.
- In-Person FNOL Handling: Represented Aviva at the Collision Reporting Centre in North York, managing first notice of loss (FNOL) processes in-person and ensuring accurate and timely reporting.
- Team Coaching & Efficiency Enhancement: Provided peer-to-peer coaching and support, leveraging data analysis through Qlik and In-points reviews to enhance team efficiency and performance.
- Completed Monthly Recon Shit for the Team to analyze claims are closed in a timely manner.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
Senior Auto Claims Adjuster (Level 3)
Aviva Canada
04.2024 - 12.2024
- Claims Streamlining & Optimization: Efficiently streamlined over 2500 auto insurance claims using Guidewire, significantly enhancing documentation accuracy and communication processes.
- Detailed Audits & Compliance: Conducted comprehensive audits of claims to ensure accuracy and adherence to policy compliance, mitigating risks and improving overall claim quality.
- Training & Mentorship: Led the training and mentorship program for new hires, facilitating smooth onboarding and equipping them with essential skills and knowledge for their roles.
- Cross-Functional Collaboration: Collaborated closely with the Theft & Specialty team to gain in-depth understanding of their business areas, successfully integrating best practices into BAU claims to boost performance and efficiency.
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Established an effective system for tracking and monitoring claims from initial report to final resolution, ensuring timely updates were provided to all relevant parties.
Intermediate Auto Claims Adjuster
Aviva Canada
10.2023 - 04.2024
- Customer Guidance & Satisfaction: Expertly guided customers through the auto collision claims process, ensuring complete satisfaction and providing exceptional support during stressful situations.
- Best Practices Implementation: Successfully implemented industry best practices, achieving a remarkable 98% positive outcome rate by the end of the year, significantly improving claim resolution efficiency.
- Performance Metrics Achievement: Consistently achieved nearly 85% in overall performance metrics, leading to increased efficacy and smoother claims procedures, enhancing both customer experience and operational efficiency.
Auto Claims Adjuster
Aviva Canada
03.2023 - 10.2023
- Guide customers through the claims process by investigating their auto collision claim and looking after their needs
- Comply to company and industry regulatory practices, delivering best practice methods and taking responsibility for your customers and claims outcomes.
- Work autonomously in a digital environment
- Actively participate in ongoing training to keep up to date with best practices in claims handling
- Negotiated settlements with insured parties and third-party claimants.
- Maintained a 96% customer satisfaction rate through effective communication.
Financial Services Representative
GoEasy Ltd.
09.2022 - 03.2023
- Communicate the terms and Conditions of company's financial Products.
- Manage collections activities for all past due financial products.
- Underwrote 4100+ loans, ensuring adherence to company policies.
- Collaborated with team members to achieve sales targets and improve overall branch performance.
Education
Bachelor of Business Administration - Project Management
Yorkville University
01.2022
Skills
- Financial Knowledge
- Claims investigation
- Claims processing
- Compliance management
- Claims analysis
- Documentation review
- Claims trend analysis
- Decision-making
- Critical thinking
- Organizing and prioritizing work
- Risk Assessment & Loss Mitigation
- Accident Investigation & Reconstruction
- Leadership
- Microsoft Office
Languages
English
Native or Bilingual
Hindi
Native or Bilingual
Gujarati
Native or Bilingual
Timeline
Senior Auto Claims Specialist (L4)
Aviva Canada
12.2024 - Current
Senior Auto Claims Adjuster (Level 3)
Aviva Canada
04.2024 - 12.2024
Intermediate Auto Claims Adjuster
Aviva Canada
10.2023 - 04.2024
Auto Claims Adjuster
Aviva Canada
03.2023 - 10.2023
Financial Services Representative
GoEasy Ltd.
09.2022 - 03.2023
Bachelor of Business Administration - Project Management
Yorkville University
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