Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Mohit Arora

Brampton,Canada

Summary

Claims Examiner with extensive experience in the customer service industry, adept at reducing processing times and enhancing claim accuracy. Proven skills in meticulous data entry, fraud detection, and cross-departmental communication. Passionate about leveraging analytical skills and teamwork to drive operational efficiency and contribute to organizational success.

Overview

6
6
years of professional experience

Work History

Claims Examiner

Manulife Insurance
09.2022 - Current
  • Investigate and analyze claims, identifying fraudulent activities, enhancing claim accuracy
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Maintain detailed records of claim assessments, supporting data-driven decision-making
  • Streamlined claim review processes, reducing average processing time by 20% for Public Service Health Care Plan Members
  • Facilitated cross-departmental communication to gather essential claim information, improving assessment accuracy and efficiency.

Customer Service Advisor

Manulife Insurance
02.2021 - 08.2022
  • Expedited claim settlements to policyholders by effectively negotiating with legal representatives and third-party administrators.
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Leveraged analytical skills to evaluate complex case information accurately determining appropriate benefit amounts.
  • Provided exceptional customer service during difficult conversations regarding denied or terminated benefits, offering empathy while upholding company policies.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Improved customer satisfaction by providing timely and accurate benefit information to policyholders.

Customer Service Real Support

Rogers Communications
08.2018 - 01.2021
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs.
  • Processed customer service orders promptly to increase customer satisfaction.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.

Education

Supply Chain Management

Lambton College Toronto
01.2020

Bachelor of Science - Mechanical Engineering

Rajasthan Technical University
Kota
07.2016

Skills

  • Claims Processing
  • Data Verification
  • Disability claims process
  • Computer Skills
  • MS Office
  • Policy investigations
  • Strong interpersonal, listening and communication skills
  • strong decision-making skills
  • Problem-solving abilities
  • Critical Thinking

Languages

English
Punjabi
Hindi

Timeline

Claims Examiner

Manulife Insurance
09.2022 - Current

Customer Service Advisor

Manulife Insurance
02.2021 - 08.2022

Customer Service Real Support

Rogers Communications
08.2018 - 01.2021

Supply Chain Management

Lambton College Toronto

Bachelor of Science - Mechanical Engineering

Rajasthan Technical University

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Mohit Arora