Claims Examiner Specialist
Resume:
NEIL RANDALL, CRM
(c) 204-***-**** ********@*****.***
summary
Highly efficient and challenge driven senior sales professional with a strong business acumen and diverse knowledge encompassing a number of critical business areas. Recognized for tackling and resolving hard issues affecting business and clients alike; patient and methodical, task oriented; consistently exceeds expectations. Visionary and strategic thinker critically analyzes issues before making decisions. Exudes energy and confidence to excel and deliver. Builds synergy and rapport with persons of all levels and backgrounds.
accomplishments
Identified clients with high claims occurrences and developed claims reporting protocol
Developed claim programs with multiple clients ie. single point of contact at insurance companies and independent adjusting firms. Identified claim reporting thresholds at insurance companies.
Delivered brokerage claim advocacy and related claims products to clients ie. Forensic accounting and financial consulting.
Managed a large claim file pending and consultation that resulted in early resolution.
Accurate claim assessment on liability and quantum.
Solid policy interpretation resulting in favorable claim outcomes for clients.
Litigation and judicial mediation specialist.
Mentoring junior adjusting staff.
Auditing of company claim files and independent adjusting billing practices.
employment history
GREEN ACRES FUNERAL HOME & CEMETARY July 2020 – July 2021
Family Services Counselor/Pre-Need Sales
SOLERA/AUDATEX May 2019 – Feb 2020
Professional Services Consultant
RANA 2017 – May 2019
Oxygen Services Technician
Marsh Canada Inc. 2013 – 2016
Senior Claims Specialist
Advocate for Marsh client’s insurance claims.
Identified clients with high claims occurrences and developed claims reporting protocol
Developed claim programs with multiple clients ie. single point of contact at insurance companies and independent adjusting firms. Identified claim reporting thresholds at insurance companies.
Delivered brokerage claim advocacy and related claims products to clients ie. Forensic accounting and financial consulting.
Crawford & Company (Canada) Inc. 2012 - 2013
Independent Claims Adjuster
Responsible for all lines of insurance claims handling including tort bodily injury as well as rehabilitation case management on 1st party bodily injury claims.
Managed a large volume of claims with a high satisfaction rating
Consistently had a high billing and file closure rate
Claim consulting of insurance company adjusting staff
Portage Mutual Insurance 2011 - 2012
Property/Liability Claims Adjuster
Responsible for assessment of residential and commercial property damage claims, coverage confirmation. Assessed liability of residential and commercial claims.
Managed a large volume of claims with a high satisfaction rating
Consistent high customer satisfaction rating
AMA INSURANCE, Calgary 2008 – 2011
Bodily Injury Claims Examiner
Responsible for the assessment and settlement of bodily injury and other liability claims direct with claimants or through formal litigation.
Managed a large volume of claims with a high satisfaction rating
Litigation and judicial mediation specialist within Calgary Branch
Consistent claim settlement within set reserves
Mentored junior adjusting staff
Auditing of company claim files and independent adjusting billing practices
Aon REED STENHOUSE, Calgary 2007 – 2008
Senior Claims Consultant
Responsible for the placement and management of client insurance programs, along with claims management, this included overseeing of the control adjusters and client advocacy.
McLARENS CANADA, Calgary 2006 – 2007
Senior Claims Examiner
Responsible for the assessment and settlement of major commercial liability claims direct with claimants or through formal litigation. McLarens was the main claims service provider for Zurich in Western Canada.
KINGSWAY GENERAL, Calgary 2004 – 2006
Bodily Injury Claims Examiner
Responsible for the assessment and settlement of bodily injury and other liability claims direct with claimants or through formal litigation.
AVIVA INSURANCE, Calgary 2002 – 2004
Senior Claims Examiner
Responsible for the assessment and settlement of bodily injury claims and major commercial liability claims direct with claimants or through formal litigation.
ING CANADA, Calgary 1998 – 2002
Senior Claims Examiner
Responsible for the assessment and settlement of bodily injury and commercial liability claims direct with claimants or through formal litigation.
MANITOBA PUBLIC INSURANCE 1981 - 1998
Rehabilitation Case Manager
Assessment of client rehabilitation needs for re-entry into the workforce. (worked in Winnipeg/Brandon and Thompson)
Bodily Injury Claims Adjuster
Responsible for the assessment and settlement of bodily injury and other liability claims direct with claimants or through formal litigation.
Auto Claims Adjuster
Adjusting automobile physical damage claims and assessing liability.
education
Chartered Insurance Professional (CIP), working towards designation (4 courses remain)
Canadian Risk Management (CRM) Designation 2007
Manitoba Insurance Council - Level 1 Adjusters License 2012
Mount Royal College (Calgary, Alberta) Professional Sales Certificate 2005
associations
Canadian Association of Fire Investigators since 2011
Independent Insurance Adjusters Association since 2012
Insurance Institute of Manitoba since 1998
SARIMS (Southern Alberta Risk and Insurance Management Society) since 2007
computers
MS Word, Excel, Powerpoint, Lotus Notes, MS Outlook, Internet
Contact this candidate