LAVNISH PATHAK
Oshawa,ON
Summary
Results-driven insurance professional with extensive experience in risk management, claims, and project leadership. Proven success in optimizing insurance strategies, improving operational processes, and mitigating organizational risk. Skilled in cross-functional collaboration, stakeholder engagement, and driving initiatives that enhance efficiency and client outcomes. Adept at managing end-to-end insurance projects, with a strong understanding of industry regulations and best practices. Now seeking a project management role to leverage expertise in delivering strategic solutions, improving workflows, and achieving measurable business results.
Overview
6
6
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.
- Act as Subject Matter Expert 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.
- Making risk selection decisions as per policy and underwriting guidelines for new business, renewals and policy changes
- 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.
- 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,
- 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.
Lead Hand
Compass Group Canada, Humber Lake Café
08.2019 - 11.2021
- Managing, guiding staff by assigning tasks, providing training, monitoring performance, and addressing any performance issues or conflicts that may arise.
- Managing orders to ensure they are accurate, prepared in timely manner, and delivered to customers correctly.
- 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
06.2019
Skills
- Risk Management
- Insurance/Underwriting/Claims Knowledge
- Insurance Compliance and Regulations
- Strategic sales knowledge
- Leadership and 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
R110- Risk Management Principles and Practices
R120-Risk Assessment and Treatment
R130-Risk Financing
Project Management Professional (PMP Certification)
Projects & SME Contributions
Acted as a Subject Matter Expert on key initiatives focused on improving claims handling and operational efficiency:
- LEI Optimization: Shared best practices to help improve adjusters’ LEI scores.
- Payment Enhancement: Supported timely resolution of unpaid contractor invoices.
- ALE Process: Streamlined ALE handling to assist adjusters and enhance customer experience.
- Claims Handling Guide: Created scenario-based guide to boost adjuster confidence in complex files.
- XAXpert: Currently contributing to faster estimate reviews and approvals to reduce settlement delays.
These contributions have helped the business achieve improved service delivery and operational outcomes.
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 - 11.2021
Advanced Diploma in Business Administration - Business Administration And Management
Humber Institute of Technology And Advanced Learning
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