Shweta
Auckland
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 3 years of experience and willingness to take on any challenge.
Overview
2
2
years of professional experience
Work History
Claims Specialist
QBE Insurance
02.2023 - Current
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Managed a high volume of claims approx 300+ effectively by prioritizing tasks and maintaining excellent organizational skills.
- Collaborated closely with underwriting teams to ensure appropriate risk assessment measures were applied during policy issuance.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Delegated authorization limit to approve the value of files had been increased by team leader within a year from $30k to $150k.
- Followed up with customers on unresolved issues.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Responded to inquiries by answering questions via phone or email, providing information and directing customers to appropriate resources.
- Conducted full claim investigations and reported updates and legal actions.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Negotiated with other involved parties to arrange settlements for maximum results.
Claims Advisor
Suncorp Insurance
01.2022 - 12.2022
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Continuously updated personal knowledge of industry trends and developments to provide informed recommendations on claim handling procedures.
- Organized, planned and documented materials for 150+ claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Trained new employees on company policies, claims management software, and best practices for efficient work performance.
- Coordinated effectively with other departments such as underwriting and risk management for improved decision-making on policy renewals.
- Managed a high volume of claims, ensuring timely settlements for clients.
Customer Service Representative
Concentrix
11.2021 - 01.2022
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business over the phone regarding Air newzealand ticket bookings.
- Educated customers about airfare, refunds and rescheduling/cancelling of tickets.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Education
MBA - Banking And Financial Support Services
Kalinga Institute of Industrial Technology
India03.2015
Skills
- Customer Service
- Microsoft Office
- Decision-Making
- Analytical Thinking
- Time Management
- Compliance Management
- Documentation skills
- Friendly, Positive Attitude
- Dependable and Responsible
- Relationship Building
Accomplishments
- Recognized with outstanding feedback in annual performance appraisals. Recently earned the organization's second highest ranking ,as Met expectation/Consistent performer.
Timeline
Claims Specialist
QBE Insurance
02.2023 - Current
Claims Advisor
Suncorp Insurance
01.2022 - 12.2022
Customer Service Representative
Concentrix
11.2021 - 01.2022
MBA - Banking And Financial Support Services
Kalinga Institute of Industrial Technology
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