Onchuma Pumsuk-Eldby
102 Vinegar Hill Road, Kauri,Whangarei
Summary
Experienced in managing insurance claims with a focus on efficient and accurate processing. Skilled in negotiating claim settlements and adept at interpreting insurance policies to determine coverage. Excel in communication, problem-solving, and adaptability, ensuring seamless operations and client satisfaction.
Overview
16
16
years of professional experience
Work History
ERT Team Secondment
Tower Insurance
Auckland CBD, Auckland
03.2023 - 08.2023
- Managed large loss house and contents claims.
- Liaised with assessors, suppliers, contractors, and alliance partners.
- Addressed customer complaints.
- Maintained open and transparent communication with customers, keeping them informed about the status of their claims.
- Maintained regular communication with customers, particularly those who were vulnerable.
- Explained loss coverage, assisted policyholders with itemising damages and coordinated alternative living arrangements.
- Maintained responsibility for complete claims management, from initial filing to successful resolution and settlement.
- Solved problems.
- Acquired higher DA as required.
Claims Consultant
Tower
, Auckland
04.2013 - 02.2023
- Lodged claims
- Pro-actively managing a caseload of high value claims to settlement.
- Competent in managing motor, contents and especially house claims.
- Reviewed documents such as police reports, invoices, photographs. related to claim processing.
- Ensured that all payments were made within established time frames outlined in the policy agreement.
- Established effective communication channels with assessors, suppliers, contractors, and alliance partners.
- Provided efficient resolution to claim related complaints.
- Managed communication with third parties and insurance companies.
- Offered expert guidance on claims and policy to customers.
- Negotiated settlements with claimants in accordance with company guidelines.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
Customer Care
Tower Insurance
Auckland CBD
05.2011 - 03.2013
- Created new insurance policies using Quest.
- Provided quotes on various types of insurance policies.
- Coached and mentored junior members of the Customer Care team.
- Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
- Managed high-volume inbound calls to address customer inquiries and claims.
- Educated customers on new insurance products and services relevant to their needs.
- Handled modification and updating of policies.
- Identified opportunities for upselling additional products or services to customers.
2IC
General Issue
Dressmart, Onehunga
02.2008 - 03.2011
- Conducted regular audits on inventory levels.
- Monitored performance of staff and provided feedback.
- Reviewed work processes and identified areas for improvement.
- Provided training and guidance to new employees.
- Delegated work to staff, setting priorities and goals.
- Prepared and submitted nightly bank deposits.
- Balanced sales, reconciled cash and made bank deposits to facilitate opening and closing duties.
- Established weekly and monthly goals for sales staff to achieve desired results.
- Coordinated stock replenishment processes as needed based on sales trends.
Education
Some College (No Degree) -
Crown Institute of Studies
Auckland01-2005
Epsom Girls Grammar School
Auckland01-2004
Skills
- Team Collaboration
- Policy Interpretation
- Problem-Solving
- Decision-Making
- Excellent Communication
- Time management abilities
References
- Kelly Mason - Tower Insurance (previous team leader) 021 154 9130
- Nina Vuilleumier - (previous team leader) Tower Insurance 021 074 1380
Timeline
ERT Team Secondment
Tower Insurance
03.2023 - 08.2023
Claims Consultant
Tower
04.2013 - 02.2023
Customer Care
Tower Insurance
05.2011 - 03.2013
2IC
General Issue
02.2008 - 03.2011
Some College (No Degree) -
Crown Institute of Studies
Epsom Girls Grammar School
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