Resourceful Accident Benefits Adjuster known for high productivity and efficient task completion. Skilled in claims investigation, policy interpretation, and negotiation, ensuring fair and timely settlements. Excel in communication, problem-solving, and decision-making, facilitating smooth operations in challenging environments.
Proven expertise in insurance products, service and customer needs. Familiar with analyzing documentation, liaising between parties and handling both routine and complex issues each day. Identifies and resolves concerns while promoting new products and meeting sales objectives.
Overview
10
10
years of professional experience
Work History
Accident Benefits Adjuster
Wawanesa Mutual Insurance Company
North York, ON
09.2023 - Current
Verified liability extent with reviews of police reports, medical treatment histories and other records.
Researched relevant legislation and policy provisions to ensure accurate determination of benefit entitlement.
Prepared comprehensive written reports outlining findings from investigations.
Developed action plans for handling difficult cases or those involving multiple parties.
Participated in meetings with clients to discuss claim progress and provide updates.
Collaborated with team members from various departments within the organization on projects related to accident benefits adjudication processes.
Insurance Advisor
TD Insurance
Markham, ON
02.2022 - 09.2023
Think Like a Customer by asking questions and actively listening and effectively offer product solutions to clients on every call, delivering legendary experiences and trusted advice.
Act Like an Owner by contributing to an engaged culture that is committed to delivering business results and contributing to Canadian families.
Identifying nature of the policy and set the policy based on the client needs which is in interest for both Insurer and client (Selling Peace of Mind).
Employed assumptive sales techniques to efficiently close and process sales.
Gathered, organized and analyzed information to support written reports.
Documentation, Record keeping, Excellent computer skills, professional and Ethical.
Wellness SME (creating a wellness tips and recommendation every week for team).
Focusing on team efforts for reaching team targets.
Physiotherapy Aide
Fairvern Nursing Home
Huntsville, ON
08.2021 - 01.2022
Approaching the resident with best communication skill
Perform exercise and follow the protocol prepared by Physiotherapist
Understanding medical reports and referrals
Reporting any changes to the client health to Registered Physiotherapist
Documentation
Record keeping
Computer skill (Point click care, Microsoft office, Activity Pro, Adobe)
Excellent writing skill (Email, Charting, Making notes)
Professional behavior with responsible communication
Attaining the care conference and solve the client concern with best possible answer
Receiving the call from the customer and provide their order through dispensing
Greeting the customer and fulfilling their needs and expectation
Picking the products at the request of customer and provide best support
Dispensing and returning the online products
Problem solving for customer complains with best approach
(Missing product or wrong product)
Excellent communication skill on regular calls and operating the device system.
Intervention Based Home Visits (O.T)
Home Visits
Anand, India
01.2017 - 01.2018
Visiting client's residence based on the referrals
Understanding medical terminology (Anatomy, Physiology, Psychological and Recreational)
Assessing the client needs based on medical condition and functional restriction
Reviewing the Medical reports and recommendation from the Physician and other medical professionals
Developing the treatment protocol based on investing client condition
Assessment, Scales, Measuring functionality
Negotiation with client for home modification and scheduling the activity protocol
Follow up in scheduled manner to determine the progress
Documentation/Record keeping.
Chemist
Pharmacy customer experience manager
Narayan Chemist
Anand, India
01.2015 - 01.2018
Greeting the customer and fulfilling their needs and expectation
Answering incoming calls (prescription drop off, checking the availability of products)
Placing the order on calls (Inventory, returning expired products)
Operating computer system (Data entry, making invoice)
Customer support with best solution
Organizing the products and maintain the cleanliness.
Education
Associate of Applied Science - Fitness And Health Promotion
Georgian College
Barrie, ON, Canada
04.2020
Bachelor of Science - Bachelor of Occupational Therapy
SMT K.P Patel Institute of PT And OT
Anand, Gujarat, IND, India
01.2018
Skills
Knowledge of Insurance Regulations
Empathy and Compassion
customer Service Skills
Good decision-making skill
communication skill
Negotiation and Settlement Skill
Attention to Detail
Multitasking
Analytical Skills
Problem-solving abilities
Client Counseling
Report writing
Medical terminology specialist
Time Management
Task – oriented
Conference lead (organizing and writing minutes)
Benefit entitlement determination
Risk management
Interests
Awards/ conference , Best poster presentation award Participated in national conference in All India Occupational Therapists’ Association. 53 rd annual national conference held at Chennai India.
Conference attained. Participated and attained 52nd Annual National Conference of AIOTA in OTICON’2015 At AIIMS, New Delhi. Participated and attained 53rd Annual National Conference of AIOTA in OTICON’2016 At SRM college of occupational Therapy, SRM University, Chennai.
The documents and References are provided as per the request. I hereby declare that the above-mentioned information is true and best of my knowledge. Thank you. Internal
Timeline
Accident Benefits Adjuster
Wawanesa Mutual Insurance Company
09.2023 - Current
Insurance Advisor
TD Insurance
02.2022 - 09.2023
Physiotherapy Aide
Fairvern Nursing Home
08.2021 - 01.2022
Physiotherapy Assistant
Achieva Health
01.2020 - 07.2021
Customer Experience Associate
Walmart, Bayfield
11.2019 - 04.2020
Intervention Based Home Visits (O.T)
Home Visits
01.2017 - 01.2018
Chemist
Pharmacy customer experience manager
Narayan Chemist
01.2015 - 01.2018
Associate of Applied Science - Fitness And Health Promotion
Georgian College
Bachelor of Science - Bachelor of Occupational Therapy