Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

LAVNISH PATHAK

Etobicoke,Ontario

Summary

Experienced Professional with a strong background in risk and insurance, offering a proven track record of success in mitigating organizational risks and optimizing insurance strategies. Possessing comprehensive knowledge of industry regulations and best practices. Expert in the insurance program design, negotiation, and claims management, resulting in substantial cost savings and improved coverage for the clients. With exceptional communication skills and a strategic mindset, adept at building relationships with stakeholders, insurers, and external partners. Seeking a challenging managerial role to leverage expertise to drive operational resilience, minimize risk exposure, and deliver measurable results

Overview

4
4
years of professional experience
1
1
Certification

Work History

Resource Officer

TD Insurance Meloche Monnex
10.2023 - Current
  • Train and coach new hires to set them for an ongoing development of the team members, provide guidance, training and coaching and encourage professional growth.
  • Responsible for reporting all parties on status of insurance claims and maintaining risk management report to keep track of risk events on claims.
  • Report to underwriting department and senior manager any complex negotiations with clients/vendors, uninformed material changes in insurance policy, premium leakage or any risk events such as overpayments on claims etc.
  • Builds and maintains positive and strong professional relationships with internal and external stakeholders, clients, catastrophic department, vendor management, complex team, special investigative units, subrogation department, appraisals.
  • Conduct meetings to ensure that team is acquainted with current and changes concerning business practices, system enhancements, and technological changes.
  • Participates in special insurance related projects as assigned by Senior Managers and providing deliverables in timely manner.
  • Handle complex escalations and negotiate with lawyers to ensure fair claim settlement.

Residential Claim Advisor

TD Insurance
11.2021 - 10.2023
  • Negotiates and settles claims within authority level and requests authorization where necessary.
  • Investigates claims by gathering detailed information about claim from internal and external sources.
  • Follows up with clients to ensure timely and accurate submissions of documentation.
  • Independently manages communication with third parties (insurance companies, counsel, adjusting firms, claimants, representatives, insurance brokers, etc.) to progress claim files forward in timely manner.
  • Understand and executes faithfully LEI program and its initiatives.
  • Diligent processing of claims, efficient responding to calls, messages, mails and invoices in accordance with claims service standards.
  • Assists company's Litigation team in preparation of cases, including investigation of losses, liability, damages, and inquiries to defend company from significant litigation matters pursued against it.
  • Provide sound claims advice at every customer interaction to create legendary customer experience.
  • Ensure customer problems are handled appropriately and escalating issues when necessary; refer customers to appropriate team members or internal partners as appropriate.
  • Directed claims negotiations within allowable limit and supported successful litigations for advanced issues

Licensed Insurance Advisor/Transition Coach

RBC Insurance
12.2019 - 11.2021
  • Provide superior client experience, listening and connecting with clients, act as “trusted advisor” in client conversations using effective client discovery to identify client needs, provide relevant insurance advice and solutions based on client needs.
  • Act as Subject Matter Expert in all Compliance and Operational Excellence metrics, Organizing meetings for new hires to provide audit/compliance information to minimize risk and improve operational efficiency.
  • As top player within team and consistently passing audits, review, analyze and report on team's operational efficiency targets aimed at improving all metrics, efficiencies and departmental business goals.
  • Understand importance of true calls per hour, knowledge of call centre and service levels, metrics, quality of calls, legendary client experience, compliance.
  • Regularly completing audit checklists before accepting risk to ensure compliance with underwriting rules, guidelines and practices.
  • Making risk selection decisions as per policy and underwriting guidelines for new business, renewals and policy changes
  • Reviewing claims history through HITS, auto plus, MVR for both auto and property inspections to take appropriate underwriting action
  • Demonstrated client-focused approach by delivering superior quality commitments and quality advice while underwriting policies effectively by conducting thorough analysis of risks and recommending effective solutions through RBC Insurance's diverse suite of products.
  • Demonstrated solid understanding of underwriting guidelines and changes in processes based on company standards and obtained level 2 authority after successfully passing audits month after month.
  • Apply knowledge and critical thinking to identify and analyze acceptable and unacceptable risks.
  • Maintaining good relationships with our partners Aviva to ensure compliance/regulatory is being met.
  • Commitment to exhibit high degree of integrity when representing RBC/Aviva while dealing with our partners.
  • Assisted team members and mentored new hires individually and helped them to better understand role, do call listening, complete audit checks, gave them constructive feedback on audits,
  • Initiate to develop positive client experience by providing qualify advice while underwriting and thorough review of risks, provide valuable insurance advice which suits their needs and deescalate their concerns by resolving client complaints at first point of call.
  • Attained and exceeded mandated goals with respect to sales, audits, productivity, compliance and qualifying for quarterly and year-end bonuses.
  • Recipient of RBC performance award and got an opportunity to win RBC cruise in RBC Performance Gala along with other awards.
  • Nominated for RBC performance for demonstrating positive client experience and exceeding mandated targets within few months of hitting floor as well as receive RBC's bringing it Beyond Award twice for “Outstanding client experience” and “highest sales” demonstrating ability to deescalate client conversations through providing superior client experience.

Lead Hand

Compass Group Canada, Humber Lake Café
08.2019 - 03.2020
  • Managing, guiding staff by assigning tasks, providing training, monitoring performance, and addressing any performance issues or conflicts that may arise.
  • Overseeing opening and closing procedures to ensure cafe is properly prepared for business at start of day and that all necessary closing tasks are completed efficiently.
  • Managing orders to ensure they are accurate, prepared in timely manner, and delivered to customers correctly.
  • Ensuring compliance and health and safety regulations are being followed across all campuses.
  • Identifying training needs and organizing training sessions for new employees to ensure they are well-equipped to perform their roles effectively.
  • Preparing daily reports on sales, inventory, and other relevant metrics, and communicating this information to higher management if required.
  • Addressing any issues or challenges that arise during day, such as equipment malfunctions, staff shortages, or customer concerns, and finding effective solutions.
  • Assisting in organizing and executing promotional activities, special events, and marketing initiatives to attract more customers and increase revenue.
  • Working closely with the management to provide input on improving operations, implementing new policies or procedures, and contributing to overall success of the company.

Education

Advanced Diploma in Business Administration - Business Administration And Management

Humber Institute of Technology And Advanced Learning
Toronto, ON
06.2019

Skills

  • Risk Management
  • Insurance/Underwriting/Claims Knowledge
  • Insurance Compliance and Regulations
  • Strategic sales knowledge
  • Complaint resolution
  • Excellent problem-solving abilities
  • Customer management procedures knowledge
  • Analytical/ Decision Making Skills
  • Multitasking and Organizational skills

Certification

Chartered Insurance Professional-
Insurance Institute of Canada

C 11-Principles and Practice of Insurance
C 12- Property Insurance

C 130- Essential Skills for the Insurance Broker and Agent

C131- Advanced Skills for the Insurance Broker and Agent

R110- Risk Management Principles and Practices


Project Management Professional (PMP Certification)

Timeline

Resource Officer

TD Insurance Meloche Monnex
10.2023 - Current

Residential Claim Advisor

TD Insurance
11.2021 - 10.2023

Licensed Insurance Advisor/Transition Coach

RBC Insurance
12.2019 - 11.2021

Lead Hand

Compass Group Canada, Humber Lake Café
08.2019 - 03.2020

Advanced Diploma in Business Administration - Business Administration And Management

Humber Institute of Technology And Advanced Learning

Similar Profiles

CREATE PROFILE
LAVNISH PATHAK