Customer Service

ROBITA AHMED

**-*** ******** ****, ***********, ON M1E 4X4

R: 416-***-****, C :( 416) 457- 6360 E-Mail acr3ki@r.postjobfree.com

CAREER OBJECTIVE: Customer Service/Clerical

HIGHLIGHTS OF QUALIFICATIONS

Two years’ of Recovery Specialist Advisor in Accident Benefit of Aviva Canada

Five years ‘of experience in working as an Accident Benefit Advisor in the Transition Unit of Aviva Canada

Three years worked as a Claims Assistant, for Accident Benefit of Aviva Canada Inc.

Over five years experience in Customer Service and Administrative position in a hotel environment and other well-reputed Multinational companies

Have knowledge and understanding of auto and property insurance and underwriting skills

Excellent written, verbal, and communication skills in English, Bengali, Hindi and Urdu

Excellent organizational, time-management, negotiating and problem solving skills

Self-motivated; detail oriented; keen ability to multitask; meet deadlines; able to work

Proficient in MS Word, Excel, PowerPoint, Internet, General, RTM and all other internal systems

Own valid “G” class driver’s license

RELATED WORK EXPERIENCES

Recovery Specialist - Healthcare Recovery Unit, Accident Benefit 2012 - 2014

Aviva Canada Inc.

Handled claims for Priority, Loss Transfer, WSIB and Overpayments for Healthcare Services.

Investigated claims for Priority, Loss Transfer, WSIB and Overpayments

Logged all Recovery expenses from Priority, Loss Transfer, WSIB and Overpayments claim in Citrix system

Responsible for claims under Minor Injury Guideline., and Responded to incoming correspondence

Worked on HCAI system to approve or deny treatment plan and invoices.

Communicated and follow up with clinics and lawyers regarding the claimant’s improvement from their accident related injury and ensure adequate treatments were being administered.

Communicated with the employers to verify and get information regarding the eligibility of income replacement benefits, short term and long term disability benefits

Responsible for all other activities to handle the claim

Healthcare Services Advisor - Accident Benefit 2010 - 2012

Aviva Canada Inc.

Investigated insurance claims, negotiate settlements, and authorize payments

Work on HCAI system to approve or deny treatment plan and invoices

Responded to incoming correspondence and reports while maintaining compliance with SABS

Communicated to Family Practitioners and treatment providers at clinics to ensure adequate treatments were being administered

Managed and arranged services with outside vendors such Accountants, surveillance companies, occupational therapist, psychologists, physiotherapist, chiropractic, physiatrist, orthopedic, dental, neurological and vocational assessments

Communicated employers to verify accuracy of income replacement benefits, short term and long term disability benefits

Communicated with workplace safety insurance board to determine eligibility or priority

Communicated employers to verify accuracy of income replacement benefits, short term and long term disability benefits

Focused on early intervention through early treatment and rehabilitation to return individuals to pre-accident employment and normal life activities

Talk to housekeepers and caregivers to ensure accuracy of services provided to claimant

Robita Ahmed: (416) 457- 6360

Claims Assistant 2007-2010

Accident Benefit, Aviva Canada Inc.

Set up I. E. referrals (OCF 18, OCF 22) using on site/off site referral form

Sent approval/denial letters (OCF 18, OCF 22) to the claimant, representative and the clinic along with OCF 9.

Set up IE’s for Specified Benefits (HHEB, IRB, CG, Non-Earner etc.) as well as Attendant Care

Secured adequacy of reserves to meet the needs of the file.

Ensured all coverage issues were resolved; completed liability investigations

Prepared insurance claim forms or related documents and review them for completeness.

Provided customer service, such as limited instructions on proceeding with claims or referrals to auto repair facilities or local contractors.

Understand the insurance coverage of the claimant properly and investigate losses including contacting claimants

Miscellaneous admin works

EDUCATION

Rehabilitation Courses In progress

Seneca College

Interested Course Chartered Insurance Professional (CIP) credits

Office Administration General Diploma 2006

Centennial College -

General Diploma Relevant courses included

Transcription Techniques and Customer Service

Masters of Arts English

University of Dhaka

References Available Upon Request

One (1) year insurance experience or two (2) years of related work experience

Working towards Chartered Insurance Professional (CIP) credits

Well-developed computer skills in Microsoft Office software, internet, email systems.

The successful candidate shall be subject to a Criminal Record and Consumer History background check as a condition of employment.

University/College Degree

Contact this candidate