Customer Service Services
Resume:
MOHAMED MAHADALE
***-** ** **** *** WEST
TORONTO, ON M9P 1A5
********@*****.***
JOB OBJECTIVE:
To obtain a full time position where I can utilize my experience in Adjusting claims, customer service skills and experience the growth of an organization
HIGHLIGHTS OF QUALIFICATION:
Provides excellent customer service and possesses strong communications skills in a working environment
Ability to work in a fast-paced, high pressure environment
Excellent interpersonal skills with a positive attitude towards work and when dealing with clients
Ability to work independently as well in a team environment
Demonstrates organizational skills with the ability to prioritize and manage conflicting claims in an effective manner
Proactive and positive approach to clients ensuring that all inquiries are effectively dealt with in a timely manner
Strong investigation and negotiation skills
Effectively trained others in a customer services in claims center environment
Excellent knowledge of Microsoft word, PowerPoint & Excel
EDUCATION:
Business Administration Management Diploma
Seneca College, Toronto, Ontario 2004-2006
WORK HISTORY:
Claims Adjuster, ClaimsPro Inc 2008-Present
Toronto, Ontario
Investigating, negotiating, and settling auto, third party liability and responsible for handling Ontario accident benefits claims including determination of priority of payments and assessment, and calculation of benefit entitlements
Responsible for securing information from insured’s, third parties, witnesses, and service providers
Adjusting Accident Benefits claims as per Statutory Accident Benefits Schedule (SABS)
Reviewing and approving, when appropriate, treatment plans for claimant rehabilitation
Understanding knowledge of the SABS changes effective September 1, 2010
Instruct Field Claims Representatives to complete signed statements
Interpret reports in order to draw accurate conclusions about proposed treatment or actions
Arranging insurer examinations to determine benefits eligibility
Applying applicable Priority Rules chart to each claim file
Responding to assessment recommendations
Processing election of benefit claims
Reserving files appropriately after assessing claim
Arranging Examination under oath for claimants when appropriate
Processing payments after confirming benefits, eligibility and reserves
Responding to correspondence and Accident Benefit forms in accordance with the applicable legislation and confirming collateral benefits
Making contact with the injured party or their legal representative and attempts to negotiate a final settlement of the claim
Interpretation of police reports and various other documents to bring the claim to resolution
Licensed in Ontario, Alberta and British Columbia within the company
Pursuing a CIP designation
Customer Services Representative, Budget Car and Truck Rental 2007-2008
Edmonton, Alberta
Provided rental vehicles to customer in a professional manner
Supervises services Agents and provided direction
Able to follow instructions and work under minimal supervision
Conducted accurate vehicle inspection
Promote company features and benefits
Perform tasks involving daily operation of the office
Customer Services, Zellers 2005-2006
Toronto, Ontario
Assisted customers and respond to inquire about merchandise
Able to work independently or as part of a team
Pleasant and positive attitude toward customers and fellow co-workers
VOLUNTEER EXPERIENCE:
Volunteer at Bloor Christi X-ray ultrasound Spring 2003
Toronto, Ontario
Organized and located client files
Assisted receptionist with daily tasks
Performed general office duties
References available upon request
Contact this candidate