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Claims Examiner Specialist

Location:
Winnipeg, MB, Canada
Salary:
$65000-$75000
Posted:
November 25, 2021

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Resume:

NEIL RANDALL, CRM

(c) 204-***-**** adpgsu@r.postjobfree.com

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