THOMAS KALLOOR
Toronto,Canada
Summary
Detail-oriented individual with exceptional communication and project management skills. Demonstrated ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for proactive problem-solving and process optimization to support team objectives.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Residential and Auto Claims Advisor
TD Insurance
Markham, Canada
01.2019 - Current
- Consistent Top Performer from 2019 for Compliance, Fraud Detection.
- Contributed to overall department success by consistently meeting or exceeding established performance metrics and goals.
- Developed strong relationships with external partners including contractors, engineers, repair shops, and legal representatives to facilitate seamless claim resolutions.
- Managed a high volume of claims, ensuring timely settlements for clients.
- Reduced claim resolution time by implementing streamlined workflow processes.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Assisted clients in navigating the often complex world of insurance claims while providing empathetic support during difficult situations.
- Conducted thorough investigations of complex claims to ensure accurate evaluations and appropriate reimbursements.
- Resolved disputes between contractors and customers, followed up with customers on unresolved issues.
- Negotiated fair settlements with policyholders and claimants, maintaining a professional demeanor during sensitive discussions after claim center and guidewire system reviews.
- Identified fraudulent activities by analyzing patterns in submitted claims, protecting company resources from potential losses.
- Maintained comprehensive knowledge of industry regulations, ensuring compliance in all claim handling procedures.
- Trained new employees on company policies, claims management software, and best practices for efficient work performance.
- Implemented cost-control measures through careful evaluation of available coverage limits when settling claims.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Enhanced customer satisfaction by efficiently processing and resolving insurance claims.
- Improved department productivity through effective communication and teamwork among colleagues.
- Continuously updated personal knowledge of industry trends and developments to provide informed recommendations on claim handling procedures.
Easyline and Fraud Detection Officer
TD Bank
Toronto, Canada
05.2017 - 12.2018
- Best Performer amongst 9 lines of businesses competing for the winter credit card sales campaign, certificate awarded.
- Analyzed fraudulent account transactions to determine root cause of loss
- Mentored junior staff members, helping them develop their skills and advance in their careers.
- Supported effective utilization of fraud detection systems, tools and reports to prevent, detect and manage fraud losses
- Maintained strict adherence to industry regulations, minimizing risk exposure for the organization.
- Enhanced communication between team members by organizing regular meetings and fostering open dialogue.
- Improved department efficiency by streamlining and implementing policies and processes.
- Coordinated cross-functional teams to address complex issues, leading to more efficient problem-solving processes.
- Conducted thorough investigations into complex cases, leading to successful resolution of numerous high-profile incidents.
- Generated reports detailing findings and recommendations.
- Maintained database systems to track and analyze operational data.
- Gathered, organized and input information into digital database.
Operations Manager
Jordan Insurance Co.
Kuwait, Jordan, Greece, Saudi Arabia, Qatar, Lebanon, Oman, UK, UAE, UAE
09.2007 - 12.2016
- Supervised operations staff and kept employees compliant with company policies and procedures.
- Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
- Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
- Screened underwriting requests and worked on reinsurance approvals
- Supervised claims management from claim reporting, reviewing policies, liaising with parties involved, recording and maintaining claims database and final settlement
- Conducted quality assurance reviews of in-house and vendor reports
- Audited policy documents/ certificates, user fees and payments on overdue accounts; authorized transactions with head office and/or reinsurers
- Negotiated, liaised to address issues and solve problems between company head offices, reinsurance companies, customers, brokers and insurance companies
- Generated operational reports for management on monthly schedule
- Led hiring, onboarding and training of new hires to fulfill business requirements.
- Enhanced customer satisfaction by establishing clear communication channels and addressing concerns promptly.
- Analyzed and reported on key performance metrics to senior management.
- Facilitated smooth collaboration between departments through clear communication channels.
- Managed budgets effectively, consistently delivering projects on-time and within financial constraints.
- Directed initiatives to improve work environment, company culture or overall business strategy.
- Spearheaded process improvements, resulting in increased productivity and reduced operational costs.
- Negotiated contracts with vendors and suppliers to obtain best pricing and terms.
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
Quality Analyst
Batra Hospital
Delhi, India
06.2006 - 07.2007
- National Accreditation Bureau Hospitals/ISO Quality Analyst
- Review existing processes, implement standardization, evaluate risks and establish controls
- Analyzed quality and performance data to support operational decision-making.
- Created and revised procedures, checklists and job aids to reduce errors.
- Developed and maintained quality assurance procedure documentation.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
- Identified process inefficiencies through meticulous data analysis, leading to streamlined operations and increased productivity.
- Ensured compliance with regulatory requirements by meticulously reviewing documentation and maintaining accurate records.
- Enhanced user satisfaction by tailoring testing approaches to focus on key functionalities and performance indicators.
- Developed and maintained defect databases for known issues.
Education
Certificate - Risk Controls
Risk Control Management
05.2024
Certified Insurance Certificate - Insurance
Chartered Insurance Institute
Bachelor’s in Commerce - Audit and Taxation
University of Kerala
Skills
- Guidewire
- Claims Centre10
- Exclaims
- XA
- Microsoft Office
- Gateway
- PRM
- ARMS
- Risk management
- Strong understanding of residential and commercial construction practices
- Ability to assess and mitigate risks of construction projects
- Ability to influence clients and colleagues
- Excellent communication skills
- Excellent time management skills
- Ability to work with strict and often overlapping deadlines
- Excellent decision-making skills
- Integrity to process and handle confidential details
- Adaptable to change in a fast-paced dynamic environment
- Lead team functions
- Promote independent work excellence
- Experience with data analysis tools
- Experience with reporting
- Multitasking
- Attention to Detail
- Insurance policy coverage knowledge
- Coaching and Mentoring
- Damage Assessment
- Teamwork and Collaboration
- Claims analysis
- Policy Interpretation
- Claims Investigation
- Sales Champion
- Analytical Skills
- Fraudulent Claims Investigation
- Sourcing and Compiling Information
- Property Damage Assessment
- Client Interviewing
- Problem-solving aptitude
Accomplishments
- Championed the Winter Sales Campaign
- Collaborated with Claims Centre Testing Team in the development of new updates to the residential claims process.
- Achieved TD Risk Controls Certificate by completing the Shadowing Program with accuracy and efficiency.
Languages
English
Full Professional
Malayalam
Native or Bilingual
Hindi
Limited Working
Tamil
Elementary
Certification
- Certified Insurance Practitioner
Social Welfare
Initiate, Organize and Support social welfare for oppressed and less privileged communities.
Timeline
Residential and Auto Claims Advisor
TD Insurance
01.2019 - Current
Easyline and Fraud Detection Officer
TD Bank
05.2017 - 12.2018
Operations Manager
Jordan Insurance Co.
09.2007 - 12.2016
Quality Analyst
Batra Hospital
06.2006 - 07.2007
Certificate - Risk Controls
Risk Control Management
Certified Insurance Certificate - Insurance
Chartered Insurance Institute
Bachelor’s in Commerce - Audit and Taxation
University of Kerala