Detail oriented professional with solid foundation in uncovering and analyzing evidence to resolve cases effectively. Known for high standard of teamwork and results-driven approach, adaptable to changing requirements. Proficient in critical thinking and problem-solving, with reputation for reliability and collaborative efforts. Good base knowledge of civil and criminal law, with the ability to utilize both analytical and investigative skills proactively,
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Examiner
TuGo Insurance
Vancouver, Canada
03.2023 - Current
Reviewing reports and medical records to assess costs, treatments, and validity
Using knowledge of insurance policies and industry regulations, as well as investigative skills, claims are evaluated and policyholders receive the compensation they are entitled to
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Reviewed police reports, medical treatment records to determine extent of liability.
Examined claims forms and other records to determine insurance coverage.
Managed caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
Mitigated fraud risks by identifying suspicious patterns in claims data and escalating concerns to Management
Finalized medical and travel files for insurance claim payment release.
Driver Examiner
INSURANCE CORPORATION OF BC (ICBC)
Vancouver, Canada
03.2018 - 03.2023
Conducting driver license examinations to determine the eligibility of applicants for licensure, and applying the various laws, rules and regulations in making these determinations
Utilized GPS and other navigation tools to plan routes and stay on schedule.
Contributed positively to organizational reputation by consistently demonstrating professionalism, integrity, and expertise in the role of Examiner.
Provided clear explanations of decisions made during examinations, enhancing transparency between applicants and organization.
Ensured compliance with relevant laws, policies, and procedures throughout the examination process.
Maintained up-to-date knowledge of industry regulations to ensure accurate application assessments.
Assisted in the development of training materials, improving examiner knowledge and skillsets.
Kept up-to-date with state and federal regulations to prevent errors and fraud.
Telecommunications Operator
RCMP
Kelowna, BC
01.2021 - 07.2022
Handled emergency calls and dispatched appropriate resources, ensuring swift response times
Provided calm and reassuring assistance to callers in high-stress situations, maintaining composure
Utilized computer-aided dispatch systems to accurately record and relay critical information
Handled sensitive customer data with discretion, adhering to strict confidentiality protocols at all times.
Managed high call volume while maintaining professionalism and composure during periods of peak demand.
Efficiently managed resources, utilizing appropriate staffing levels based on anticipated call volumes and demands.
Remained calm and poised in stressful situations, diffusing angry callers and mitigating issues.
Cabinet Maker/Installer
T&W Woodworks
Vancouver, Canada
10.2015 - 02.2018
Liaising with clients, designing cabinets, making and installing custom cabinetry, and maintaining supplies
Education
Independent Adjuster License Level 1 - Financial Services And Insurance
Insurance Institute of BC
Vancouver, BC
Skills
Detailed report writing
Research abilities
Ethical and honest
Legal knowledge
Risk Assessment
Investigation Management
Social media investigations
Calm in crisis situations
Trend Monitoring
Resource Management
Case Documentation
Case Management
Teamwork and Collaboration
Certification
Independent Adjusters license level 1
Languages
English
Full Professional
Timeline
Claims Examiner
TuGo Insurance
03.2023 - Current
Telecommunications Operator
RCMP
01.2021 - 07.2022
Driver Examiner
INSURANCE CORPORATION OF BC (ICBC)
03.2018 - 03.2023
Cabinet Maker/Installer
T&W Woodworks
10.2015 - 02.2018
Independent Adjuster License Level 1 - Financial Services And Insurance
North Carolina Medical Examiner at North Carolina Office of the State Medcial ExamineNorth Carolina Medical Examiner at North Carolina Office of the State Medcial Examine