Quality Assurance Insurance

Melissa Unira

** ******** *****, *******, ** m*b*e9 647-***-****

*******.*****@*****.***

Objective

To obtain a challenging position in which my work experience and

various skills would contribute to the company's continued success.

Experience

MARch 2012 - Present INTACT INSURANCE AJAX, ON

CASUALTY CLAIMS REPRESENTATIVE

INVESTIGATES MODERATELY AND HIGHLY COMPLEX LOSSES BY PHONE AND

WRITTEN CORRESPONDENCE. ENSURES PROMPT AND EQUITABLE SETTLEMENTS

IN LINE WITH CORPORATE POLICIES AND STANDARDS.

Securing appropriate reports and statements from claimants,

insureds, claimants, witnesses and any other pertinent experts to

determine liability and coverage. Analyzes the information

gathered, interprets insurance policy wordings, determines

coverage, and assesses damage and/or liability.

Negotiates with insureds, claimants, lawyers, and insurers to

settle claims. Evaluates the injury's value. Completes internal

reports.

Answers queries relating to investigations and the claims process.

Maintains productive business relationships with service

providers.

May 2009 - March 2012 INTACT INSURANCE AJAX, ON

CLAIMS TELEPHONE ADJUSTER

OBTAIN AND ASSEMBLES INFORMATION ON NEW, TRANSFERRED AND ONGOING

CLAIMS, ADVISE OF CLAIM PROCEDURES INVOLVED AND RESPOND TO CLIENT'S

NEEDS AND INQUIRIES VIA TELEPHONE.

Evaluate the scope of the loss, determine and apply appropriate

policy coverages and company guidelines to effectively manage loss

and expense costs.

Coordinate with external service providers, such as independent

adjusters/appraisers and preferred shops to provide claims services

for clients and maintain contact with vendors/service providers for

follow ups.

Consistently contact clients to provide updates of the claims

process.

Maintain file notes, adjust reserves and make claim payments.

Assist other claim advisors in a team environment.

June 2008-May 2009 BELAIRDIRECT INSURANCE TORONTO, ON

QUALITY ANALYST

REVIEWS THE QUALITY OF PHONE CALLS HANDLED, RECORDS AND ANALYZES

THE RESULTS AND IDENTIFY ISSUES AND TRENDS IMPACTING QUALITY

PERFORMANCE.

Identifies and recommends procedures and workflow improvements, as

identified from the compilation of quality assurance data and trend

analysis.

Assists with the development and implementation of the quality

assurance data tracking, trend analysis and reporting. Collect and

analyze quality data.

Provide results/feedback to both management and employees on the

quality of work.

2005-2008 BELAIRDIRECT INSURANCE TORONTO, ON

CLAIMS SERVICE ADVISOR

PROCESSING NEW CLAIMS, CONFIRMING INSURANCE COVERAGES.

Providing emergency support and crisis advice.

Refer insured to preferred vendors and arrange appraisal requests.

Advise on claim procedures and inquires.

Education

St. Augustine Secondary School

Working towards CIP (Insurance) designation

Wedding Planning Institute of Canada certified

qualifications

EXCELLENT VERBAL AND WRITTEN COMMUNICATION SKILLS.

Highly organized and able to set priorities and meet deadlines.

Proficient in windows based software programs and excellent

keyboarding skills.

Ability to work independently.

Knowledgeable understanding of the principles and practices of

general insurance.

INTERESTS

Volunteer for corporate, public and charity events, event planning,

wedding assistant, piano playing, swimmer, participates in physical

recreational activities, personal shopper, travelling, leisure

reading and participates in social media blogging.

References

References are available on request.

Contact this candidate