Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
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PRADEEP POOJARY

Senior Assistant Manager In Claims Department
Dubai

Summary

Seeking a challenging and rewarding position in Insurance industry where I can utilize my extensive knowledge of Insurance and Claims Management.

Overview

15
15
years of professional experience
4
4
years of post-secondary education
3
3
Certifications
4
4
Languages

Work History

Senior Assistant Manager in Claims Department

Al Ittihad Al Watani Insurance Company
Dubai
08.2017 - Current

 Senior level claims specialist with expertise notably in Marine Cargo and Liability and will be responsible for investigating and maintaining all claims relative to the given sphere of operations.

 Under technical direction, work within authority on assignments of significant technical complexity.

 Review Policy coverage, determine liability, adjust and settle claims in accordance with established, written Claims Handling Guidelines

 Review all documentation in order to finalize claims and settling the survey fees to the surveyor

 Set reserves and authorize payments - within the scope of the given claims settling authority - in the most cost-effective manner and ensure payments are made in accordance with the company's formal, written Claims Handling Guidelines.

 Conduct investigations and evaluate claims through contact with brokers, insured’s, claimants, Third Parties, witnesses and experts, including solicitors, loss adjusters, and other professional in addition to general business partners.

 Work with brokers, agents, co-insurers and solicitors for the disposal of active claims.

 Work with underwriters, brokers, Reinsures Third Party Claims Administrators and agents for risk management and loss control and prevention purposes.

 Utilize negotiation skills to develop complex settlement packages

 Identify, preserve and pursue subrogation potential within corporate claims handling guidelines

 Analyze claim activity, trends and unusual whole account features. Prepare reports for management review

 Update claim systems and confirm data accuracy and Assist in management and control of Third Party Claims Administrators including oversight of claim referrals, bordereaux and claim funds.


Senior Assistant Manager in Claims Department

Nasco Gulf Insurance Agency LLC
Dubai
04.2008 - 07.2017

 Senior level claims specialist with expertise notably in Marine Cargo and Liability and will be responsible for investigating and maintaining all claims relative to the given sphere of operations.

 Under technical direction, work within authority on assignments of significant technical complexity.

 Review Policy coverage, determine liability, adjust and settle claims in accordance with established, written Claims Handling Guidelines

 Review all documentation in order to finalize claims and settling the survey fees to the surveyor

 Set reserves and authorize payments - within the scope of the given claims settling authority - in the most cost-effective manner and ensure payments are made in accordance with the company's formal, written Claims Handling Guidelines.

 Conduct investigations and evaluate claims through contact with brokers, insured’s, claimants, Third Parties, witnesses and experts, including solicitors, loss adjusters, and other professional in addition to general business partners.

 Work with brokers, agents, co-insurers and solicitors for the disposal of active claims.

 Work with underwriters, brokers, reinsurers Third Party Claims Administrators and agents for risk management and loss control and prevention purposes.

 Utilize negotiation skills to develop complex settlement packages

 Identify, preserve and pursue subrogation potential within corporate claims handling guidelines

 Analyze claim activity, trends and unusual whole account features. Prepare reports for management review

 Update claim systems and confirm data accuracy and Assist in management and control of Third Party Claims Administrators including oversight of claim referrals, bordereaux and claim funds.


3 years worked in motor claims and motor claims recovery department.

Motor recovery and Total Loss (Motor Claims):

  • Coordinate with the insurance companies to ensure the recovery of outstanding.
  • Follow up with the Insurance companies for the recovery of outstanding claims through phone, email and fax.
  • Settlement of other insurance company’s claims and exchanging of credit notes.
  • Discussing with the Manager (Mr. Michael Hitti) concerning to the outstanding claims which are difficult to get from the insurance companies and other related issues.
  • Handling the Total Loss claims (Motor) own damage, total loss recovery and third party total loss.
  • Registering the claims, sending the total loss confirmation to the client (total loss offer letter).
  • Follow up with the clients for the transfer of the vehicle (Hayaza) to Nasco Karaoglan Name or to the scrap buyer’s name.
  • For the total loss recovery, sending total loss intimation and salvage confirmation to the other insurance company
  • Disposal of salvage with the help of Claims Director.

Reconciliation Statement:

  • Preparing reconciliation statement of the Insurance companies


Education

PGDBM - Finance

SDM COLLEGE
Mangalore
06.2003 - 07.2004

BBM - Finance & Marketing

Madhava Pai Memorial College
Manipal
06.2000 - 06.2003

Skills

Extensive knowledge of marine insurance and claims management

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Certification

Completed Applied Insurance Certificate in Marine Cargo from Gulf Insurance Institute

References

Furnished upon request.

Timeline

Senior Assistant Manager in Claims Department

Al Ittihad Al Watani Insurance Company
08.2017 - Current

Senior Assistant Manager in Claims Department

Nasco Gulf Insurance Agency LLC
04.2008 - 07.2017

PGDBM - Finance

SDM COLLEGE
06.2003 - 07.2004

BBM - Finance & Marketing

Madhava Pai Memorial College
06.2000 - 06.2003

Completed Applied Insurance Certificate in Marine Cargo from Gulf Insurance Institute

Perusing Cert CII (completed W01 & IF4)

MS Office, Tally6.3, SAP 6.0

PRADEEP POOJARYSenior Assistant Manager In Claims Department