Seun Oyeyemi
Edmonton,Canada
Summary
Seeking a position utilizing my extensive knowledge and successful experience in Claims management, insurance underwriting, Risk Management, Customer Services, Administration, Claims handling, organizing, and following up on multi-faceted, complex activities; and a position offering opportunities for personal contribution and professional growth.
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 15 years of insurance experience.
Overview
18
18
years of professional experience
Work History
Claims Representative II, Property Field
Cooperators Insurance
06.2023 - Current
- Processed and evaluated claims to ensure compliance with company policies and regulations.
- Collaborated with clients to gather necessary documentation for claims assessments.
- Investigated discrepancies and coordinated resolutions between clients and internal departments.
- Analyzed trends in claims data to identify areas for improvement in service delivery.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Claim Representative
TD Insurance
03.2021 - 02.2023
- Enter new claims reported via telephone, fax, email, or web/mobile into the claims system
- Answer clients' billing or claims questions
- Transcribe recorded statements and create new claim records
- Process claims payment or forwarded to appropriate personnel for further investigation
- Resubmits claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Investigate and interpret coverages to settle claims
- Identify, sort, and distribute Claim Department documents.
- Ensure successful transmission of documents to vendors.
- Review documents and information from third parties ie Repair garages, loss adjusters
- Proactively work collaboratively with internal partners to ensure a legendary customer experience in all interactions.
- Provide exceptional customer service to Claimants, adjusters, and other stakeholders.
- Contribute positively to CEI by continuously evaluating department speed and accuracy.
Clerk II - Administrative Assistant
Employee Services, City of Edmonton
04.2020 - 03.2021
- Provide exceptional customer service to Claimants, adjusters, and other stakeholders.
- Organized employee packages and other memos for the appropriate recipient
- Managed over five thousand employees across compensation, benefits, wellness, and safety, HRIS, payrolls, and data departments to ensure optimal productivity.
- Provided administrative support to the branch Directors and General Supervisors, including managing calendars, booking meetings, preparing agendas, drafting correspondence, and recording meeting minutes including monitoring future agenda items.
- Provided general administrative services, such as coordination of telecommunications, corporate directory updates, stationery/office supplies purchasing, corporate procurement card transaction submissions, PC/Software inventory and maintenance and standard office equipment maintenance
Senior Claims Representative
Access Insurance Brokers
04.2010 - 10.2019
- Handled claims file files while receiving regular intake of moderate to complex basic claims.
- Analyzed and interpreted insurance policy wording to determine coverage and assessed entitlements that are fair and equitable.
- Demonstrated exposure recognition through proactive file handling with strong analysis.
- Communicated in a timely and respectful manner with the customer, claimants, lawyers, and rehabilitation experts and report findings.
- Instructs Counsel on files in dispute and Participated in Large Loss Meetings on own files where appropriate.
- Conducted investigations and identify additional information required to clarify and/or justify a claim.
- Completed regular reporting as required and liaised with Technical Services to ensure appropriate action and reserving is in place where appropriate.
Underwriter
Access Insurance Brokers
06.2008 - 04.2010
- Determination of risk acceptance
- Gather background information on new commercial/personal business.
- Enter and organize certificates of insurance, renewals, letters of experience, quotes, inspections and into the insurance systems.
- Enter data, coding off-system policies, endorsements, forms, and letters.
- Maintain electronic logs and account-specific spreadsheets
- Writing quotes and negotiating terms with Insurance Underwriters and clients
- Determination of insurance coverage and premiums
- Preparation of insurance policy terms and conditions
- Establishing and maintaining professional business partnerships with the company's agents to provide underwriting solutions
- Follow up on abeyances, entering certificates of insurance
Education
Bachelor of Science - Cooperative Management
National Open University
Lagos, Nigeria01.2017
Chartered Insurance Professional - undefined
12.2025
Advanced Certificate - Information Technology (OOAD)
National Institute Of Information Technology
01.2009
Skills
- Bachelor's Degree, BSc Corporative Management
- Insurance Underwriting and Claims Management
- Quoting and pricing policies
- Excellent skills to Operate Microsoft Office products including Word, Excel & Powerpoint
- Detail oriented with a high degree of accuracy
- Strong problem-solving skills
- Team player with the ability and confidence to work independently
- Excellent Relationship Management Skills
- Great Customer Service Skills
- Good Negotiation and Interpersonal Skills
- Flexibility, Adaptability, and willingness to learn new Skills
- Excellent communication skills (verbal and written)
- Strong Analytical and organizational Skills
- Ability to successfully handle multiple priorities
Timeline
Claims Representative II, Property Field
Cooperators Insurance
06.2023 - Current
Claim Representative
TD Insurance
03.2021 - 02.2023
Clerk II - Administrative Assistant
Employee Services, City of Edmonton
04.2020 - 03.2021
Senior Claims Representative
Access Insurance Brokers
04.2010 - 10.2019
Underwriter
Access Insurance Brokers
06.2008 - 04.2010
Chartered Insurance Professional - undefined
Advanced Certificate - Information Technology (OOAD)
National Institute Of Information Technology
Bachelor of Science - Cooperative Management
National Open University