WAD MOHAMEDELHASSEN
Hamilton,ON
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Looking forward to work in dynamic organization to deliver exceptional services to policyholders.
Overview
10
10
years of professional experience
Work History
Auto Claims Adjuster
Crawford and Company Canada
Mississauga, Ontario
11.2024 - Current
- Investigate, collect, and analyze claims information to determine coverage, liability, and quantum.
- Negotiate and settle first- and third-party commercial lines claims by telephone and correspondence.
- Evaluate and finalize claims within delegated authority, or report to clients.
- Maintain accurate billing, and time and expense records.
- Work with managers to maintain client relations.
- Proficient in Microsoft Office and Windows 10.
- Demonstrated excellent communication, negotiation, and problem-solving skills.
Claims Adjuster - Cargo / Transportation
Sedgwick Canada Inc
05.2023 - 11.2024
- Reviewed insurance policies to determine coverage; investigated, evaluated, and settled claims while applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute towards a reduced loss ratio.
- Transmitted claims for payment or further investigation.
- Organized and worked with detailed office/warehouse records using specialized software to enter, access, search, and retrieve data.
- Handled a variety of losses and risks using a service-oriented approach. Followed the standards set forth by the industry for best practices, resulting in good cost management, fair claim decisions, and customer satisfaction.
- Conducted research for loss valuation and worked closely with agents and vendors to prepare structural damage estimates.
- Applied detailed policy coverage specifically about limits and denials and referred the customers to their agent to raise possible limits.
- Evaluated client information related to police reports, video footage, and previous insurance claim to apprehend the damage more closely.
Receptionist/Administrative Client Coordinator
Utter Morris Insurance Brokers
Burlington, ON
01.2022 - 11.2022
- Answer client calls
- Check emails for claim notices, faxes, MVR& Autoplus requests, and responses from clients to prior inquiries
- Check endorsement folder & sort accordingly
- Check activities like reminder notices, cancellations for non-payment, NSF notices, ownership requests, and credit card expiry reminders
- Pulling reports for brokers such as HITS, MVR, and Autoplus
- Process client payments by credit card in person or over the phone sort courier mail and distribute to the CSRs
Administrative Assistant/ Customer Service Representative
Hamilton Health Science
09.2021 - 09.2021
- Monitoring data and emails that are coming from internal staff related to their COVID vaccination status Answer internal and external queries via phone/email or in person, demonstrating effective communication capabilities
- Provide administrative support to team projects by maintaining records, preparing reports, filing and/or electronically tracking activities
- Navigate through a CRM system (there will be training for those hired) and verify that uploaded documents match the requirement
- Manage the process to collect data and match data to enable the mailing of test kits to employees at their home
- Manual work involved to prepare the vaccine kits (ordering, opening/preparing boxes for mail, printing and affixing labels to prepare for Canada Post, etc.)
- Other administrative functions as assigned
Prince Osman Digna Hospital, Sudan, Hospital
04.2016 - 10.2018
- Provided service excellence at Prince Osman Digna, Completed multiple medical training with top marks
- Received accolades on numerous occasions from both the hospital and directly from patients, while working at all levels of socio-economic status
- The ability to work well with colleagues from all different ethnicities and backgrounds Performed triage on incoming patients to become part of the ER's current load Cleared patients for discharge or further procedures with specialists Conducted follow-up to monitor patient’s condition.
Resident
Port Sudan Teaching Hospital
, Sudan
11.2014 - 01.2015
- Initial and ongoing assessment of patient's medical, physical, and psychosocial status Taking history and performing physical examinations Develop assessment and treatment plan
- Wrote / dictated admission notes, progress notes, procedure notes, and discharge summaries Provided patient education and counseling covering health status, test results, disease processes, and discharge planning
- Performed procedures with supervision Assisted in surgeries.
Education
Insurance Diploma -
Mohawk College
04.2023
Bachelor of Medicine and General Surgery (MBBS) -
National Ribat University
11.2013
CIP - Insurance
Insurance Institute of Canada
Skills
- Customer Service
- Computer Proficiency MS-Office
- Analytical Thinking
- Claims Processing
- Policy investigations
- Policy Interpretation
- Coverage assessments
- Claims investigations
Additional Information
- Holding a valid Alberta, New Brunswick, EPI, and Ontario adjusting license.
Timeline
Auto Claims Adjuster
Crawford and Company Canada
11.2024 - Current
Claims Adjuster - Cargo / Transportation
Sedgwick Canada Inc
05.2023 - 11.2024
Receptionist/Administrative Client Coordinator
Utter Morris Insurance Brokers
01.2022 - 11.2022
Administrative Assistant/ Customer Service Representative
Hamilton Health Science
09.2021 - 09.2021
Prince Osman Digna Hospital, Sudan, Hospital
04.2016 - 10.2018
Resident
Port Sudan Teaching Hospital
11.2014 - 01.2015
Insurance Diploma -
Mohawk College
Bachelor of Medicine and General Surgery (MBBS) -
National Ribat University
CIP - Insurance
Insurance Institute of Canada
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