Insurance Professional -CIP, Accident Benefit Claims Adjuster, Leadership Support Group Member
Milton,ON
Summary
To utilize Insurance expertise’s and leadership skills for a professional growing organization
Overview
29
29
years of professional experience
5
5
years of post-secondary education
3
3
Languages
Work History
Accident Benefits Adjuster
Desjardins Insurance
Mississauga, ON
09.2018 - Current
Reviewed new files to determine current status of injury claim and to develop plan of action.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records
Consistently met or exceeded performance metrics related to case closure rates, customer satisfaction scores, and overall departmental goals as Accident Benefits Adjuster.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Offered preferred network clinics to clients for speedy recovery and effective cost management
Reduced processing time for accident benefits claims by implementing a streamlined case management system, approval of treatment plans in HCAI and regular milestone phone calls
Assisted policyholders in understanding their coverage, guiding them through the claims process for efficient resolution.
Evaluated medical records and consulted with healthcare providers to determine appropriate benefit amounts for clients.
Maintained comprehensive knowledge of relevant laws and regulations governing accident benefits insurance practices, providing expert guidance to both clients and colleagues alike.
Maintained high level of professionalism and confidentiality when handling sensitive information pertaining to claimants'' medical history, financial status, and personal circumstances.
4 Successful years in LSP and managed 20 LSP converges with exceptional results and appreciation by management
Conducted regular team meetings and huddles for operational excellence
PPN and client experience ambassador
Property and Casualty Insurance Advisor
Desjardins Insurance
Mississauga, ON
01.2016 - 09.2018
Managing sales and underwriting of home and auto insurance products for all brands and 5 Canadian provinces
Certified OTL licensed advisor and RIBO License
Underwrite policies accurately ensuring high quality standard, analyzing and managing risk including reviewing and releasing files for other agents as a senior broker with Level 2 binding authority
Need based assessment to client with suitable insurance coverage
Create new business opportunities, exceed team and individual objectives related to client satisfaction and quality
Communicate clearly and effectively with clients to increase NPS score
Member of cohesive group to increase overall key metrics
Demonstrating leadership by conducting team meetings, huddles and to achieve increased metrics and sales with proven track record.
Part of Incentive prime team member and web ambassador
Client Service Analyst
Td Insurance
Toronto, ON
01.2012 - 01.2016
Managed sales of TD insurance home and auto products
Certified RIBO licensed broker
Member of manager in training and conducted team meetings and provided lead support
Trained new hires on underwriting guidelines and system navigation
Underwrite risks and approved files for other agents as senior broker with Level 2 binding authority
Organized team building activities and cross selling workshops by sharing best practices
Attended workshops on customer relations and shared best client experiences to increase NPS scores
Build professional relationships with management and ensured continuous support.
Senior Manager Sales & Operations
Religare Wellness Limited
New Delhi , India
01.2005 - 01.2011
Managed sales and operations of $900,000 of retail outlets
Added new business accounts by developing new business teams
Trained and developed senior sales representatives to store In charges
Managed team of 10 store in charges and 50 sales representatives
Developed standard operating processes and implemented ISO 9001:2008
Achieved budgeted targets and generated revenue within allocated cost
Provided continued support to senior management and delivered desired results.
Assistant District Manager
Johnson & Johnson Ltd
New Delhi , India
01.1995 - 01.2005
Managed team of 15 medical sales representatives and business worth $1Million.
Exceeded budgeted targets and generated revenue for company products
Trained and developed 6 new hires on sales and negotiation
Developed excellent relationships with key opinion leaders including managers of large cooperates
Strategically planned marketing activities of company’s products and services
Implemented customer relationship and sales management software program
Managed and expanded authorized sales dealer network
Ensured continuous trainings for product features and benefits.
Education
CIP Designation - Insurance Management
Insurance Institute of Canada
Toronto, ON
12.2020
Post Graduate Diploma - Health Care Administration
Symbiosis Institute of Health Sciences
Pune, India
05.2001 -
MBA - Business Management
BP School of Business Management
New Delhi, India
07.1993 - 08.1995
Bachelor of Science - Science
University of Delhi, India
New Delhi, India
08.1989 - 08.1992
Skills
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Phone
(647) 710-9979, (905) 901-2393
Relevant Experience And Achievements
19 Recognition awards for highest auto and property binding contests in Desjardins
5 awards for appreciation badges, and Best NPS score in January 2017
Awarded All-star Winner for outstanding achievement in 2014 with TD Insurance
Awarded Top performers consistently in 2013 and 2014.
Management recognition for highest revenue generating Manager with Religare wellness in 2010
Awarded Best Regional Performer in Johnson and Johnson for year 2000
References
References available on request
Timeline
Accident Benefits Adjuster
Desjardins Insurance
09.2018 - Current
Property and Casualty Insurance Advisor
Desjardins Insurance
01.2016 - 09.2018
Client Service Analyst
Td Insurance
01.2012 - 01.2016
Senior Manager Sales & Operations
Religare Wellness Limited
01.2005 - 01.2011
Post Graduate Diploma - Health Care Administration