Quality Control Manager
Resume:
Steve Kasimos
Etobicoke, ON M9B 0A1
********@*******.***
November 29, 2012
Dear Sir/Madam:
My enclosed resume provides you with an overview of my relevant experience and training. I have over 14 years of experience working in the insurance industry and a solid commitment to this field. My most recent position has given me 7 years of claims adjudicating experience.
I wish to build on these achievements and take on a new role within your organization. My education, along with my work experience will enable me to offer you a combination of practical experience and up-to-date theoretical knowledge.
My success in the past has been achieved from strong dedication and professionalism. I maintain high standards for my work and I pride myself in always following through on my commitments. I respond well to a challenge and enjoy the opportunity to reap the rewards of hard work.
I would appreciate the opportunity to discuss future employment and look forward to speaking with you. Thank you.
Sincerely,
Steve Kasimos
Encl:
Steve Kasimos
25-355 Viking Lane
Etobicoke, ON M9B 0A1
********@*******.***
Summary
I am a highly motivated, organized and self-disciplined individual who thrives on challenges and responsibilities and have the ability to lead, set and attain progressive goals in a fast paced environment. Among my personal strengths, I have excellent interpersonal skills and easily build rapport with associates and clients. I wish to further my career and challenge myself in a new role within our company.
EMPLOYMENT HISTORY
The Canada Life Assurance Company
Toronto, ON
June 2005 – Present
Case Manager Group Creditor The assessment of individual claimants in line with the guidelines and limitations of the policies pertaining to that group.Review of medical documentation in order to provide input on eligibility for insurance benefits as well as monitoring and management of claims through telephone contacts with physicians and employers in order to complete assessments.Collaborate with attending physicians with the request of completion of pre-existent reports as well as assessing a claimant’s medical status required throughout continuum of care for continuation of benefits.Provide ongoing benefits through comprehensive assessment and overall evaluation of the claimant’s medical or employment status.Initiate and present denial letters or approval letters, as appropriate.Provide a follow up to cases involving no response from the claimant or doctor.Undertake assignments given by the casework supervisor, such as training manual preparation, quality control, monthly reporting and new product initiatives. Coordinate the claim implementation and testing of new business through the preparation of claim requirement documentation, training manual documentation, system testing and claim letters.Initiate the proposal of a new down sell product to only involve Job Loss coverage which is in the process of being implemented.
The Canada Life Assurance Company
Toronto, ON
May 2003 – June 2005
Case Coordinator Group Life and Health-DentalProvided policy holders, group administrators and dental offices eligibility of health and dental procedures according to the guidelines and limitations of the policy.Corresponded with the claims department to ensure claims were assessed correctly and notified department of any variances.Provided guideline information in accordance with the Ontario Dental Fee Guide.Logged calls to ensure each situation was handled accordingly.
Zurich Canada North America
Toronto, ON
February 2002 – May 2003
Finance-Expense AnalystWorked along with the finance team to review and analyze expense budgets as well as spending across a number of different business units.Reported actual vs. planned expenses and an explanation of the variance between the two.Recorded all expenses into SAP for the preparation of monthly and annual reporting.
Zurich Canada North America
Toronto, ON
March 1998 – February 2002
Help Desk – Computer Support SpecialistTroubleshoot computer problems from in house or remote users, by answering staff questions in person, email and via phone on all company supported applications to determine source of computer problem (hardware, software, user access, etc.). Served as liaison between staff and the technology department to resolve issues, such as advising appropriate staff for level 2 escalations.Worked one-on-one with staff on new application projects for training purposes.Assisted users with installs and modified operating systems and software programs, such as virus protection and network printers.The setup of access rights to network files, printers and drives as well as the removal of access rights.
EDUCATION
Microsoft Certified for Windows 2000 MSCE
University or Windsor
1992-1995
Computer SkillsKnowledgeable in Lotus Notes and Microsoft OutlookKnowledgeable in AS/400 platformExtensive experience with Windows Operating Systems
**Professional and Personal references available upon request**
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