A methodical and extremely organized RIBO licensed professional with a 20+ year background in insurance in all types of insurance coverage, including prior claims handling experience related to property, commercial, liability, and auto losses.
Diligent in providing a claims experience that is consistent, efficient, and tailored to meet our clients' needs for auto, property, and commercial claims by working directly with and using my experience to properly interpret the extent of policy's coverages and answering questions about the claims process, providing a first point-of-contact resolution and/or directing to appropriate personnel when resolution requires escalation, and working with other insurance professionals to ensure claims are filed and closed within a reasonable time frame.
Function as a claims liaison between our insurance partners, TPAs, clients, and internal employees.
Participate in extended hours duties on evenings and weekends to provide immediate assistance to clients.
Assist auto and property adjusters when needed involving verifying policy and coverage terms and conditions, making arrangements for repair quotes, filling out and organizing the claims paperwork, gathering any reports and necessary documentation, etc.
AUTO PHYSICAL DAMAGE CLAIMS ADJUSTER
Dominion Insurance
Toronto
12.2010 - 12.2014
Ensured fulfillment of claims satisfaction with insureds using investigative techniques and my expertise on every claim to conduct full investigation, evaluation, analysis, negotiation, and settlement of automobile and third-party property damage claims.
Carefully reviewed documents and policies using a strong attention to detail, interpreted policy wordings, determined policy coverage, and ensured appropriate reserving.
Consulted with witnesses, reviewed police reports, and compiled evidence from other sources.
Investigated losses to determine liability.
Coordinated, consulted, negotiated, and collaborated with appraisers, body shops, third party claimants, adjusters, and vendors to quantify losses and evaluate relevant information.
Conveyed claim settlements within authority limits to insureds, as well as oversaw that claims were paid out to policyholders.
Adjusted claims from inception to completion in a proactive manner.
Participated in catastrophic claim events.
Reviewed and resolved claim queries and complaints at times coordinating support for complex queries and complaints.
Communicated company's positioning on issues to insureds, brokers, and vendor partners.
Created reports detailing the events and damage related to claims, ensured accuracy of claims documents, maintained accurate records based on company standards and policies within the claims system.
Promptly responded to and answered emails and phone calls using strong verbal and written communication skills while keeping the customer experience top of mind, including utilizing systems to track complaints and resolutions.
Responded to requests of directions in a professional and timely manner.
Participated in extended hours duties to interview and meet with clients, visit accident sites, auto repair shops, etc.
Performed other duties as assigned.
ACCOUNT MANAGER
The Co-operators
Whitby
12.1999 - 12.2010
Used my professional skills to manage an existing and extensive book of personal lines business consisting of 1,000+ clients to ensure that service excellence standards were met by providing a prompt response to all client inquiries, resolving client concerns and complaints, and cross-selling and upselling other insurance products.
Ensured new business and retention targets were met.
Completed outbound calls as required for renewal review and special projects.
Ensured file handling quality, workflow efficiency, and service delivery were in alignment with corporate quality standards.
Proactively engaged in the target account process by monitoring new business to ensure that brokers were meeting assigned targets.
Education
REGISTERED INSURANCE BROKER OF ONTARIO (RIBO) LICENCE -
Insurance Brokers Association of Ontario
Toronto, Ontario
Skills
INVESTIGATIVE MINDSET
ACCOUNT MANAGEMENT
STRONG NEGOTIATOR
ANALYTICAL/CRITICAL THINKER
ATTENTION TO DETAIL
PROBLEM-SOLVING SKILLS
TIME MANAGEMENT/MULTI-TASKER
COMMUNICATION
CONFIDENTIALITY
Claims management
Policy interpretation
Liability assessment
Negotiation techniques
Claims documentation
Customer relationship management
Compliance adherence
Effective communication
Time management
Conflict resolution
Team collaboration
Documentation
Communication skills
Education And Professional Development
Registered Insurance Broker of Ontario (RIBO) Licence, Insurance Brokers Association of Ontario, Toronto, Ontario, Valid Class 'G' driver licence with an acceptable driving
Regional Business Development Manager at Good insurance brokers private limited(Heart beat brokers)Regional Business Development Manager at Good insurance brokers private limited(Heart beat brokers)