ABIN JOHN
Sharjah
Summary
A Master in management with 3 year exceptional track record in india as well as UAE market, managing business administrations with specific proficiency in claims and underwriting assistance and seeking a challenging position with an insurance broker, which is dynamic market oriented with opportunities to utilize my insurance knowledge attribute and work experience , leveraging on my strength,self confidence, perseverance, commitment and process to ultimate head the with global scale of operation
Overview
2
2
years of professional experience
3
3
Languages
Work History
CLAIM EXCUTIVE AND UNDERWRITING EXCUTIVE
COSMOS INSURANCE BROKER LLC
04.2023 - Current
- Handling motor claims and Workmen's compensation claims and medical claims and underwriting as well.
- Registering motor claims through insurers via portal, email and calls
- Assisting customers with the motor insurance procedure and guidelines
- Oversee the day-to-day operations of the insurance department, ensuring work is completed accurately and within established timelines.
- Develop and implement departmental policies, procedures, and workflows to enhance efficiency and streamline operations. re prompt and accurate settlement, resolving any disputes or issues that arise.
- Monitor and review insurance claims to ensure accurate settlement the overall business operations.
- Communicating with garages and agency to discuss on repair and duration
- Convincing customer in case of escalation or delays on repair and estimation
- Deal with Total loss, property damage and personal injury due to accident settlement
- Responsible for conducting quality control tests to ensure that software meets specified standards and end users’ requirements.
- Performs quality assurance and provides test management services - testing, drafting, revise and approve test plans and scripts to ensure alignment with standards, business requirements, and information technology strategy.
- Create test data files with valid and invalid records to thoroughly test program logic and verify system flow, collaborates with users - to plan and execute user acceptance testing, ensure that system tests are successfully completed and documented, and all problems are resolved, and may develop, revise, and approve quality assurance and testing policies, standards and procedures.
- Ensure compliance with/contribution to the control environment, including adherence to local regulations.
- Establish positive and influential relationships with all stakeholders, including outside immedite area of responsibility where required.
- Working closely with experts from the different areas of the company, detecting improvements, and new opportunities.
- Ensure all Client requests and queries are dealt with promptly and accurately
- Review and understand incoming documentation and new claims notifications under supervision of more senior colleagues, informs colleagues of any potential problems or contentious claims, and seeks guidance or advice where necessary to ensure the proper processing of claims
- Identify which policies or parts of the coverage that may be effected by incoming claims from middle-market clients, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed
- Determine coverage for incoming claims through use of their knowledge of the policies
- Escalate complex issues pertaining to claims complications and the necessity for technical knowledge to senior colleagues and to claims advocates in order to ensure proper application of pertinent claims policy and calculation of claims rates
- Communicate with clients, beneficiaries, third parties or insurers to receive status updates, common information requests, instructions or query resolution
- Generate, validate and distribute claims reports, to ensure accurate records are produced and distributed.
Assistant Manager
Wipro
01.2022 - 03.2023
- provide advice on making a claim and the processes involved
- collect accurate information and documents to proceed with a claim
- analyses a claim made by a policymaker to establish whether it satisfies the policy conditions
- guide policyholders on how to proceed with the claim
- organics immediate help, for example alternative accommodation after a fire
- identify reasons why full payment may not be made
- explain to policyholders when their claim is not covered
- contact tradespeople from a network of approved professionals and arrange for them to make repairs on the policyholder's property
- monitor the progress of a claim
- investigate potentially fraudulent claims
- liaise with solicitors, as well as other legal and claims professionals, and negotiate the terms of a claim
- prepare an initial estimate of costs and then closely monitor and keep a record of costs
- get advice from external specialists, such as loss adjusters and forensic accountants, on complex cases
- ensure fair settlement of a valid claim
- ensure the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
- handle any complaints associated with a claim
- manage all administration aspects of the claim, ensuring that case notes, logs and diaries for each customer are completed on time and accurately
- adhere to legal requirements, industry regulations and customer quality standards set by the company.
Education
SSC -
MODERN SCHOOL
HSC - undefined
TILAK COLLEGE OF COMMERCE AND SCIENCE
BACHELOR OF MANAGEMENT STUDIES - undefined
TILAK COLLEGE OF COMMERCE AND SCIENCE
MASTER OF MANAGEMENT STUDIES - undefined
ORIENTAL COLLEGE OF MANAGEMENT STUIDES
Skills
Microsoft excel
Communication skills
Microsoft word
Microsoft powerpoint
Operation Management
Executive presentation development
Timeline
CLAIM EXCUTIVE AND UNDERWRITING EXCUTIVE
COSMOS INSURANCE BROKER LLC
04.2023 - Current
Assistant Manager
Wipro
01.2022 - 03.2023
SSC -
MODERN SCHOOL
HSC - undefined
TILAK COLLEGE OF COMMERCE AND SCIENCE
BACHELOR OF MANAGEMENT STUDIES - undefined
TILAK COLLEGE OF COMMERCE AND SCIENCE
MASTER OF MANAGEMENT STUDIES - undefined
ORIENTAL COLLEGE OF MANAGEMENT STUIDES
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