Mark Kow Arthur
Claims Adjuster
Calgary,Canada
Summary
Highly motivated and results-driven with fifteen years of extensive experience in overseeing and optimizing claims processing operations. Adept at leading cross-functional teams and implementing effective strategies to enhance customer satisfaction and maximize organizational efficiency.
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
15
15
years of professional experience
7
7
years of post-secondary education
Work History
Claims Manager
Safety Insurance Brokers Limited
01.2018 - 01.2024
- Immediate or prompt acknowledgment of Claims notification from clients and other claimants
- Collecting accurate information and documents to proceed with claim process and analyzing claims made by insureds
- Monitoring and reporting progress of claims through weekly reports, investigating potentially fraudulent claims, identifying reasons why full payment may not be made, and ensuring fair settlement of all valid claims
- Maintaining and improving computerized claims/loss recording system, developing information and reports based on such records for proper analysis and decision-making
- Ensure client renewal notices are generated, vetted, and sent out in agreed timelines
- Procure on behalf of clients from Insurance market most favorable terms and conditions of Insurance Products under guidance
- Prepare weekly, monthly, or quarterly reports on all areas of engagement and ensure that outgoing correspondences are properly vetted and signed before being dispatched out.
- Manage up to 70 calls and up to 30 scheduled appointments daily to gather information to initiate claims process.
- Directed claims negotiations within allowable limit of $150,000.00 and supported successful litigation for advanced issues.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Senior Insurance Officer
Road Safety and Transportation Consultancies Limited
01.2015 - 01.2018
- Maintained and regularly updated detailed database of all Company policies, including renewal dates and schedules, diligently overseeing timely renewal of each policy upon expiration to ensure continuous coverage and compliance
- Conducted frequent and informative training sessions on Insurance Policies for Company staff and drivers, equipping them with necessary knowledge to understand and adhere to policy guidelines, fostering culture of awareness and risk mitigation
- Thoroughly reviewed and assisted in completing claim forms with all required documents, meticulously monitoring progress of claims with various Insurance Companies, and proactively followed up until prompt settlement was achieved
- Facilitated Motor Insurance Policies for contract drivers, ensuring received comprehensive coverage and comprehended key terms and conditions to promote safety and security for both drivers and Company
- Prepared accurate and well-structured monthly Insurance Reports, consolidating relevant data and essential insights, and timely presented them to Chief Executive Officer, enabling informed decision-making and strategy development.
- Streamlined claim processing by effectively collaborating with adjusters, appraisers, and other insurance professionals.
- Participated in audits conducted by regulatory agencies or internal teams so as to ensure compliance with applicable standards.
- Conducted thorough reviews of policy applications for accuracy and completeness before approval.
- Managed large caseloads while maintaining strict adherence to deadlines, guaranteeing timely completion of all tasks related to claims processing or policy issuance.
- Contributed to business growth by identifying opportunities for cross-selling additional products and services to existing clients.
- Delivered comprehensive training sessions on insurance products and processes to new employees, ensuring seamless transition into their roles.
- Enhanced department efficiency through regular reviews of workflows, procedures, and systems for improvement opportunities.
Insurance Officer
Ghana Cocoa Board
10.2012 - 12.2014
- Proactively monitored and tracked expiration dates of all Company policies, promptly initiating renewal process well in advance to ensure continuous coverage and compliance with regulatory requirements
- Collaborated with relevant departments and Insurance Companies to gather necessary documentation and information for policy renewals, meticulously reviewing terms and conditions to guarantee accurate and up-to-date coverage
- Maintained comprehensive records of all policy renewals, ensuring that deadlines were met, and necessary approvals were obtained, to eliminate any potential lapses in coverage and mitigate risks effectively
- Worked closely with finance and accounting teams to ensure timely payment of policy premiums and accurately updated financial records to reflect renewed policies
- Regularly assessed Company's insurance needs, considering changing business dynamics and industry trends, to recommend appropriate coverage enhancements or modifications during renewal process.
- Delivered comprehensive training sessions on insurance products and processes to new employees, ensuring a seamless transition into their roles.
- Provided ongoing support and guidance to junior team members, fostering positive work environment conducive to professional growth and development.
- Streamlined claim processing by effectively collaborating with adjusters, appraisers, and other insurance professionals.
Underwriting Officer - Corporate Lines
Hollard Insurance Ghana Limited
07.2011 - 10.2012
- Secured favorable insurance deals while adhering to Company's risk assessment guidelines.
- Maintained impeccable 100% renewal rate on all corporate policies, proactively engaging with clients and providing tailored solutions to meet their evolving needs, fostering strong and lasting business relationships
- Guaranteed timely dispatch of corporate fleet renewal notices, sending out clear and informative communications to clients six weeks before policy expiry to facilitate smooth renewals and minimize potential lapses in coverage
- Demonstrated unwavering commitment to compliance by preparing and dispatching all regulatory reports to National Insurance Commission (NIC) on time, ensuring adherence to regulatory requirements, and avoiding any penalties
- Achieved exceptional 0% error rate in underwriting process, exercising keen attention to detail and robust risk assessment techniques to minimize errors and provide accurate policy terms to clients
- Efficiently issued, renewed, or endorsed all policies within three days of receiving necessary documentation, streamlining internal processes to enhance customer satisfaction and maintain service excellence
- Proactively monitored outstanding premium payments and implemented effective strategies to ensure not more than 15% of premiums written for any period remained outstanding, ensuring healthy cash flow for Company
- Cultivated customer-centric approach throughout organization, instilling culture of customer service excellence to consistently exceed client expectations and garnered positive feedback and referrals.
Claims Officer
Hollard Insurance Ghana Limited
01.2009 - 01.2011
- Initiated or coordinated prompt surveys within 24 hours of claim notification, ensuring efficient data collection, and submitted comprehensive survey reports within 72 hours, enabling timely assessment and processing of claims
- Efficiently prepared adjustment reports within 24 hours of receiving Discharge Vouchers, promptly handed over cheques to claimants within 48 hours, streamlined claims settlement process, and provided swift resolution to beneficiaries
- Immediately notified Reinsurance Unit of all claims involving Coinsurance and Facultative Reinsurance arrangements and informed Finance and Accounts Department of all claims amounting to GH¢100,000.00 and above, ensuring appropriate risk-sharing measures were executed and proper financial records were maintained
- Maintained organized diary of pending reported claims, diligently issued follow-up letters within stipulated time, and proactively engaged with involved parties to expedite claim resolutions
- Registered all claims promptly, acknowledged receipt of claim notifications, and promptly communicated outstanding premiums to insured/intermediary within 24 hours of claim notification, actively assisting unit by making calls to gather necessary information
- Immediately issued subrogation letters as soon as tortfeasor (liable party) was identified for all subrogation cases, facilitating Company's right to recover losses and protect its interests
- Prepared and submitted accurate monthly claims recovery reports on 5th day of following month, presenting comprehensive and up-to-date information on claim recoveries to facilitate decision-making and financial planning
- Efficiently handled receipt and dispatch of mail, while also registering cheques in timely manner, ensuring smooth flow of communication and financial transactions within department.
Education
Underwriting And Risk Management
The Institutes Knowledge Group
Malvern, Pennsylvania, United States 07.2023 - Current
Associate In Risk Management (ARM) - Insurance And Risk Management
The Institutes Knowledge Group
Malvern, Pennsylvania, United States 07.2023 - 02.2024
Associate, Chartered Insurance Institute of Ghana (ACIIG) - Insurance
Chartered Insurance Institute of Ghana
Accra, Ghana07.2023
Applied Advanced Diploma in Insurance - Insurance
Ghana Insurance College
Accra, Ghana09.2022
Master of Business Administration (Human Resource Management Option) - Human Resource Management
Ghana Institute of Management And Public Administration (GIMPA)
Accra, Ghana 05.2017 - 05.2019
Diploma in Insurance -
Ghana Insurance College
Accra, Ghana09.2011
Bachelor of Arts - History
University of Cape Coast
Cape Coast, Ghana 05.2004 - 06.2008
Skills
- Consistently achieve optimal results in various tasks and projects
- Actively listen to diverse perspectives and collaborate effectively with teams to foster open and constructive communication environment that cultivates success and strengthens relationships
- Identify challenges, evaluate multiple alternatives, and implement innovative solutions
- Fostering collaborative atmosphere, actively contributing to group discussions, and leveraging diverse strengths to achieve collective goals
- Efficiently prioritizing tasks, setting clear objectives, and adhering to tight deadlines, ensuring maximum productivity and optimal utilization of resources
- Reviewing information, cross-referencing data, maintaining accuracy in all tasks, ensuring error-free outcomes, and upholding highest standards of quality
- Embracing change, proactively adjusting strategies to evolving circumstances, effectively navigating through challenges, and fostering a resilient approach to achieve success
- Property Adjusting
- Workers' Compensation Claims
- Claims Analysis
- Insurance Policy Review
Professional Accomplishments
- As the Claims Manager at Safety Insurance Brokers Limited in Accra, Ghana, I successfully led a transformation of the claims processing system, resulting in improved client responsiveness, transparency, and communication. Proactive fraud detection and fair settlements protected the company's financial interests. Skillful negotiation and efficient data management contributed to increased client satisfaction and bolstered the organization's reputation. The implementation of quality control measures elevated the professionalism of the claims department, enhancing the overall service provided to clients. Overall, my efforts significantly elevated the claims management process, benefiting both clients and the company.
- During my tenure as the Senior Insurance Officer at Road Safety and Transportation Consultancies Limited in Accra, Ghana, from January 2015 to January 2018, I successfully enhanced the management of insurance policies and risk awareness within the company. Through my efforts, the organization experienced improved operations, increased safety measures, and greater efficiency in claim settlements, resulting in a positive impact on its insurance operations and safety culture.
- As the Insurance Officer at Ghana Cocoa Board in Accra, Ghana from 2012 to 2014, I successfully improved insurance policy management and coverage. Through dedication, proactive monitoring, collaboration, and meticulous record-keeping, I ensured accurate and up-to-date coverage for all policies. This achievement safeguarded the organization against potential risks and ensured compliance with regulatory requirements, contributing to the overall success and security of the Ghana Cocoa Board.
References
- Mr. Edmund Yaw Awuku, General Manager | Technical & Operations, Safety Insurance Brokers Limited, Accra, Ghana, 12/2017 - Present, eawuku@siblgh.com
- Harrison Asamoah, HR Administrator, BluPlanet Recycling Canada, 11/2019 - Present, hasamoah@bprecycling.ca
- Mr. Amos Fianko, Facilities Maintenance Technician, Saskatchewan Government Insurance (SGI) Canada, 11/2015 - Present, mozy1u@yahoo.ca
Hobbies and Interests
- Reading
- Listening to music
- Watching football
- Embarking on road trips
- Cooking
Work Preference
Work Type
Full TimeWork Location
On-SiteRemoteHybridImportant To Me
Career advancementPersonal development programsWork-life balanceCompany CultureTimeline
Underwriting And Risk Management
The Institutes Knowledge Group
07.2023 - Current
Associate In Risk Management (ARM) - Insurance And Risk Management
The Institutes Knowledge Group
07.2023 - 02.2024
Claims Manager
Safety Insurance Brokers Limited
01.2018 - 01.2024
Master of Business Administration (Human Resource Management Option) - Human Resource Management
Ghana Institute of Management And Public Administration (GIMPA)
05.2017 - 05.2019
Senior Insurance Officer
Road Safety and Transportation Consultancies Limited
01.2015 - 01.2018
Insurance Officer
Ghana Cocoa Board
10.2012 - 12.2014
Underwriting Officer - Corporate Lines
Hollard Insurance Ghana Limited
07.2011 - 10.2012
Claims Officer
Hollard Insurance Ghana Limited
01.2009 - 01.2011
Bachelor of Arts - History
University of Cape Coast
05.2004 - 06.2008
Associate, Chartered Insurance Institute of Ghana (ACIIG) - Insurance
Chartered Insurance Institute of Ghana
Applied Advanced Diploma in Insurance - Insurance
Ghana Insurance College
Diploma in Insurance -
Ghana Insurance College
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