THIDUSHA KANDASAMY
Ajax,Canada
Summary
Analytical professional in the insurance investigation field known for high productivity and efficient task completion. Skilled in claim evaluation, fraud detection, and regulatory compliance, ensuring thorough and accurate case handling. Excel in communication, problem-solving, and decision-making, leveraging these soft skills to navigate complex cases effectively and deliver optimal outcomes.
Overview
8
8
years of professional experience
Work History
Bilingual Creditor Claims Analyst
Securian Canada
Toronto, Ontario
12.2023 - 10.2024
- Contacted banks to acquire credit information.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Coordinated with external adjusters and experts for claims requiring specialized evaluation.
- Investigated complex claims by gathering information from various sources to assess validity.
- Analyzed claims data to determine coverage and liability, ensuring accurate decision-making.
- Reviewed appeals filed by claimants who were dissatisfied with initial decisions made concerning their cases.
- Collaborated with underwriting teams to suggest policy adjustments based on claims trends.
- Documented all claims activities clearly and concisely in the claims management system.
Bilingual Claims Operations Analyst
TD Insurance (Contract)
Markham, Canada
06.2022 - 12.2023
- Reviewed and verified insurance claim forms to ensure accuracy and completeness of information provided by claimants, performed data entry into internal systems to process claims requests.
- Provided customer service support to policyholders, claimants, and agents over the phone or via email.
- Developed relationships with external stakeholders such as medical providers, employers., in order to obtain necessary information for successful claims resolution.
- Participated in regular training sessions designed to keep up-to-date on industry laws and regulations pertaining to insurance claims handling practices.
- Attended monthly meetings with upper management personnel in order discuss any outstanding challenges encountered while processing high volume workloads.
- Analyzed claims data to identify trends and recommend changes to reduce risk and prevent fraud.
- Provided project management support for the development of new products, services, or processes.
- Conducted training sessions for new hires on claims processing and company protocols.
Financial Service Agent
Hospital Center Pierre Dezarnault (Internship)
Gien, France
04.2021 - 07.2021
- Assisted in performing in-depth financial analysis including analyzing and understanding the sustainability of earnings and cash flows, weekly/month-end reconciliation reports on General ledger (GL), cost reconciliations, operating working capital requirements, and key drivers of financial performance
- Developed financial models & forecasts, performed a sensitivity analysis, scenario planning & variance analysis; designed, developed & validated monthly & quarterly management reporting, offering key insights to drive action
- Maintained financial reporting hierarchies, KPI definitions & calculations, and documented P&L/budget/forecast assumptions; prepared project structures and budgets
- Contributed to the development of management information system processes, procedures, and reports to streamline the information management and support the management decision-making process
Online Banking Customer Service Representative
BNP Paribas
Orléans, France
07.2020 - 03.2021
- Provided customer service and financial advice based on the client's priorities, advised them on solutions for a forward-looking financial plan
- Leveraged knowledge of online banking (chequing/savings/adding payee), small business banking, credit cards, line of credit (LOC), card activation/cancellation, loyalty/rewards, loans/mortgage, insurance, investment/wealth protection, and various other bank products and services to help clients meet their goals
- Worked with prospective and existing clients to provide financial solutions through lending and companion products that require complex analysis and sales strategies
- Analyzed various financial documents for accuracy and compliance with bank and federal guidelines and as well as for potentially fraudulent activity
- Provided helpful and engaging, knowledgeable, accurate, responsive, and professional banking services to clients leveraging technology to deliver a memorable client experience, drive sales and retain business
Bank Customer Service Representative
Société Générale
Orléans, France
09.2018 - 12.2019
- Provided professional advice and education with an ability to address complex mortgages, credit, investment, and everyday banking, needs concerning both personal and business needs; communicate with clients to learn about their needs and help them achieve their goals
- Analyzed financial information to determine strategies for meeting clients' financial and retirement planning objectives
- Provided tailor-made financial planning advice and solutions using our unparalleled array of investment and portfolio solutions, including best-in-class proprietary and select third-party mutual fund solutions
- Collaborated with market-leading professionals in financial planning, mortgages, and business banking experts to ensure clients receive customized and targeted expert advice
- Proactively took ownership of resolving and preventing client’s banking problems and provided effective solutions for their banking needs
- Educated clients on the features and benefits of the bank's products and services, offers, and help clients with digital, banking including mobile, ATM, and online banking
- Mentored and trained junior and new staff; adhere to day-to-day business controls to meet obligations for operational, compliance, AML/ATF/sanctions, and risk management policies
Executive Assistant
M.M.M. Conseils
Bobigny, France
03.2018 - 08.2018
- Managed Director's complex local and international travel arrangements, multi-calendar management, and coordinated executive communications including taking calls, responding to emails, and interfacing with clients
- Performed office administrative duties opening and distributing mail, sending and receiving courier packages, ordering office supplies, managing meeting rooms, prepared agendas, noted and distributed minutes of meetings including any follow-up action required, created and maintaining spreadsheets, faxing, copying, scanning printing, etc
- Created and formatted information for internal and external communication including memos, emails, presentations, reports
- Prepared/processed/filed documents and handled issues of a confidential/sensitive nature and performed additional administrative functions as required
- Responsible for the organization and coordination of office operations, procedures, and resources to facilitate organizational effectiveness & efficiency on the team
Business Manager
Société expertise énergétique
Montlhéry, France
11.2016 - 06.2017
- Managed the execution of action plans to maintain core business, identified new business opportunities aligned to purpose-driven strategy, budgeting, P&L management to achieve pricing targets, relationship management with clients, product demonstrations, geographic business expansion, brand management to grow total profitability of the company’s products
- Developed and oversaw the execution of complex sales processes that included partnership development, cold-calling, forecasting, regional sales, quota attainment, value propositions, and contract negotiations
- Provided regular, formal updates to the senior leadership teams on key clients on a sales strategy to review and interpret sales data
- Created and supported marketing plans used to market within the industry to establish the company's industry presence using various methods, i.e., press releases, radio/tv ads, social media outreach, presentations at virtual conferences/tradeshows, demos, and promoting to local, regional, and national constituents
- Drove continuous improvement projects to optimize operations and improve productivity to meet and exceed business objectives; effectively leveraged with sales teams to solicit ideas and understand problems and challenges in business development
Education
European Bachelor Degree - Finance
ENACO Business School
France01.2021
Diploma - Negotiation and Customer Service Relations
LYCÉE ROBERT DOISNEAU
France01.2017
Skills
- Retail & Everyday Banking Solutions
- Collaboration
- Leadership
- Training
- Complex Problem Solving
- Wealth/Financial Planning
- Sales & Business Development
- Customer Satisfaction
- Investment
- Credit
- Mortgages
- Inbound & Outbound Call Handling
- Call Center Operations
- Capital markets
- Securities
- Relationship Management
- Negotiation
- Conflict Resolution
- Payment Processing
- Dispute Resolution
- Information Analysis
- Fraud knowledge
- Critical Thinking
- Decision-making skills
- Risk control
- Adaptability and Flexibility
- Policy analysis
- Documentation And Reporting
Languages
French
Native/ Bilingual
Tamil
Native/ Bilingual
Spanish
Limited
Timeline
Bilingual Creditor Claims Analyst
Securian Canada
12.2023 - 10.2024
Bilingual Claims Operations Analyst
TD Insurance (Contract)
06.2022 - 12.2023
Financial Service Agent
Hospital Center Pierre Dezarnault (Internship)
04.2021 - 07.2021
Online Banking Customer Service Representative
BNP Paribas
07.2020 - 03.2021
Bank Customer Service Representative
Société Générale
09.2018 - 12.2019
Executive Assistant
M.M.M. Conseils
03.2018 - 08.2018
Business Manager
Société expertise énergétique
11.2016 - 06.2017
European Bachelor Degree - Finance
ENACO Business School
Diploma - Negotiation and Customer Service Relations
LYCÉE ROBERT DOISNEAU
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