KRISHNA PATEL
Toronto,Canada
Summary
Results-driven Claims Adjuster at Intact Insurance with expertise in settlement negotiation and fraud detection. Proven track record of minimizing financial risk and achieving cost savings through effective claims evaluation. Strong analytical thinking and active listening skills enhance collaboration and client satisfaction, ensuring compliance and protecting company assets.
Overview
5
5
years of professional experience
Work History
Claims Adjuster
Intact Insurance
Toronto, Canada
07.2024 - Current
- Negotiated favorable settlements with claimants, attomeys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Customer Service Representative - CLAIMS
Intact Insurance
Toronto, Canada
05.2023 - 07.2024
- Handling incoming inquiries via phone, and email, and providing information about the claims process, gathering initial details about the claim, and guiding claimants through the necessary steps to file a claim.
- Assisting claimants in completing and submitting the required documentation for their claims. This may include helping them fill out claim forms, gathering supporting evidence, and explaining any documentation requirements.
- Educating claimants about their insurance policies, including coverage limits, deductibles, exclusions, and other relevant terms and conditions.
- Listening attentively to claimant's issues, investigating any discrepancies or misunderstandings, and working to resolve problems to the satisfaction of the claimants within the bounds of company policies and procedures.
- Collaborating with claims adjusters and other internal departments to facilitate the resolution of claims, and ensuring that all interactions with claimants are handled with professionalism, empathy, and accuracy.
Customer Care Specialist
Optima Communications International Inc.
Toronto, Canada
01.2022 - 03.2023
- Worked to achieve high customer satisfaction rates by providing optimal customer service and creative tattoo work.
- Helped to increase customer return rates by providing excellent customer service at all times.
- Respond to customer queries promptly and accurately via phone, email, or chat.
- Analyze and report product malfunctions (for example, by testing different scenarios or impersonating users). Update our internal databases with information about technical issues and useful discussions with customers.
- Share feature requests and effective workarounds with team members.
- Follow up with customers to ensure their technical issues are resolved.
Customer Sales Representative
S&P Data
Toronto, Canada
01.2021 - 01.2022
- Established sales goals by forecasting annual sales quotas and projecting expected sales volume for existing and new products.
- Worked to achieve high customer satisfaction rates by providing optimal customer service and creative tattoo work.
- Identified and maximized sales opportunities, and increased customer retention rates.
- Developed and implemented sales plans to expand customer base and increase customer retention.
- Worked as a dedicated Sales Representative for multiple regions.
- Utilized the customer relationship management system to track sales activities.
Education
Data Administrator - System Admin and IT infrastructure
Coursera
Montréal01.2020
Graduate Certificate - Hospitality Foundations
Centennial College
Toronto01.2018
Diploma - Computer and networking
Evergreen College
Toronto01.2017
Bachelors Of Information and Technology -
Mahatma Gandhi Kashi Vidyapith
India01.2015
Skills
- Active Listening
- Communication skills
- Legal proceedings
- Settlement negotiation
- Investigation Skills and Documentation
- Analytical thinking
- Claims evaluation and Liability
- Fraud detection
Languages
- English
- Gujarati
- Hindi
Timeline
Claims Adjuster
Intact Insurance
07.2024 - Current
Customer Service Representative - CLAIMS
Intact Insurance
05.2023 - 07.2024
Customer Care Specialist
Optima Communications International Inc.
01.2022 - 03.2023
Customer Sales Representative
S&P Data
01.2021 - 01.2022
Data Administrator - System Admin and IT infrastructure
Coursera
Graduate Certificate - Hospitality Foundations
Centennial College
Diploma - Computer and networking
Evergreen College
Bachelors Of Information and Technology -
Mahatma Gandhi Kashi Vidyapith
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