Oye Seun Oyeyemi
Edmonton,AB
Summary
Dynamic and results-driven Property Field Claims Examiner at Co-operators, skilled in claims processing and negotiation strategies. Proven track record in reducing loss ratios and delivering exceptional customer service. Adept at regulatory compliance and documentation management, fostering positive relationships with clients while resolving complex issues efficiently.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Property Field Claims Examiner
co-operators
Edmonton, Alberta
06.2023 - Current
- Negotiated settlements with claimants based on assessment of damages incurred.
- Conducted witness interviews to assist claim information gathering process.
- Provided detailed explanations of insurance policies and procedures to claimants.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Resolved disputes between claimants and insurance companies regarding payment amounts and coverage limits.
- Completed required investigations on referred files within established timeframes.
- Participated in training and mentoring of new claims adjusters, sharing knowledge and expertise.
Claims Adjuster
TD insurance
Edmonton, Alberta
02.2021 - 05.2023
- Identified and obtained evidence to ascertain claim value.
- Reviewed and applied state laws and regulations to ensure compliance in claim handling.
- Reduced loss ratios through fair and prompt processing of claims.
- Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
- Explained loss coverage, assisted policyholders with itemizing damages, and coordinated alternative living arrangements.
- Maintained accurate documentation of all claim activity within the designated system.
Clerk II - Administrative Assistant
Employee Services, City of Edmonton
Edmonton, Alberta
11.2019 - 01.2021
- Performed data entry tasks to update customer account records.
- Processed customer orders promptly and accurately.
- Performed data entry and recordkeeping tasks to track company correspondence and updates.
- Followed confidentiality rules to preserve data quality and reduce potential information compromise.
- Provided excellent customer service to ensure satisfaction.
- Monitored office supplies inventory and placed orders when necessary.
- Prepared meeting agendas, attended meetings, and recorded and transcribed minutes.
Senior Claims Representative
Access Insurance
Lagos/Nigeria, Lagos
06.2010 - 09.2019
- Performed quality assurance audits of claims processing activities.
- Evaluated and processed insurance claims according to company policies and industry standards.
- Handled modification and updating of policies.
- Maintained detailed records of claims, decisions, and financial transactions in compliance with regulatory requirements.
- Provided updates to field personnel regarding ongoing claims.
- Managed asset recoveries for claims, including salvage, and subrogation.
- Conducted training sessions for new hires on claims processing procedures and best practices.
- Resolved complex customer issues in a timely manner to ensure customer satisfaction.
- Prepared reports on the progress of claim resolution efforts for management review.
Education
Bachelor of Science - Economics
University of Lagos
Lagos01-2013
Skills
- Claims processing and damage assessment
- Regulatory compliance
- Customer service and support
- Negotiation strategies
- Documentation management
- Detail orientation
- Analytical thinking
- Investigation techniques
- Insurance program management
- Motivational skills
- Excellent communication
Certification
- Advanced Certificate in Information Technology (OOAD) 2009 National Institute Of Information Technology
- Chartered Insurance Professional (CIP) In View
References
References available upon request.
Timeline
Property Field Claims Examiner
co-operators
06.2023 - Current
Claims Adjuster
TD insurance
02.2021 - 05.2023
Clerk II - Administrative Assistant
Employee Services, City of Edmonton
11.2019 - 01.2021
Senior Claims Representative
Access Insurance
06.2010 - 09.2019
Bachelor of Science - Economics
University of Lagos
Similar Profiles
Holle HenninkHolle Hennink
Talent Management Partner at Co-operatorsTalent Management Partner at Co-operators
Hussein Al HusseiniHussein Al Husseini
Financial Advisor at Co-operatorsFinancial Advisor at Co-operators
Lisa ChristieLisa Christie
Sr Licensed Insurance Representative at Co-operatorsSr Licensed Insurance Representative at Co-operators
Keisha MavungaKeisha Mavunga
Brand Associate at Banana RepublicBrand Associate at Banana Republic
Wayne NormanWayne Norman
Security Officer at Comissionair Northern AlbertaSecurity Officer at Comissionair Northern Alberta