Insurance Policy Processing Clerks /Motors Claims Department
Jordan Insurance Company
Total years of experience :18 years, 5 Months
Jordan Insurance Company (June 2011-till Present)
Insurance Policy Processing Clerks /Motors Claims Department
➢ Adjust reserves and provide reserve recommendations to ensure reserving activities consistent with corporate policies.
➢ Communicate with reinsurance brokers to obtain information necessary for processing claims.
➢ Conduct detailed bill reviews to implement sound litigation management and expense control.
➢ Confer with legal counsel on claims requiring litigation.
➢ Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
➢ Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
➢ Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
➢ Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.
➢ Pay and process claims within designated authority level.
➢ Prepare reports to be submitted to company's data processing department.
➢ Present cases and participate in their discussion at claim committee meetings.
➢ Report overpayments, underpayments, and other irregularities.
➢ Resolve complex, severe exposure claims, using high service oriented file handling.
➢ Supervise claims adjusters to ensure that adjusters have followed proper methods.
➢ Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Sales Agent (2009 - till present)
Car Service National Company (CSN) Amman - Jordan
➢ Attend meetings, seminars and programs to learn about new products and services, learn new skills, and receive technical assistance in developing new accounts.
➢ Calculate premiums and establish payment method.
➢ Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries.
➢ Confer with clients to obtain and provide information when claims are made on a policy.
➢ Contact underwriter and submit forms to obtain binder coverage.
➢ Customize insurance programs to suit individual customers, often covering a variety of risks.
➢ Ensure that policy requirements are fulfilled, including any necessary medical examinations and the completion of appropriate forms.
➢ Explain features, advantages and disadvantages of various policies to promote sale of insurance plans.
➢ Explain necessary bookkeeping requirements for customer to implement and provide group insurance program.
➢ Install bookkeeping systems and resolve system problems.
➢ Interview prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage.
➢ Monitor insurance claims to ensure they are settled equitably for both the client and the insurer.
➢ Perform administrative tasks, such as maintaining records and handling policy renewals.
➢ Plan and oversee incorporation of insurance program into bookkeeping system of company.
➢ Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients.
➢ Sell various types of automobile insurance policies to businesses and individuals on behalf of insurance companies
Al Quds Insurance Company (Jan 2009 - June 2011)
Insurance Policy Processing Clerks /Motors Claims Department
➢ Calculate premiums, refunds, commissions, adjustments, and new reserve requirements, using insurance rate standards.
➢ Check computations of interest accrued, premiums due, and settlement surrender on loan values.
➢ Collect initial premiums and issue receipts.
➢ Compose business correspondence for supervisors, managers and professionals.
➢ Correspond with insured or agent to obtain information or inform them account status or changes.
➢ Interview clients and take their calls in order to provide customer service and obtain information on claims.
➢ Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
➢ Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.
➢ Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.
Brand Manager (2008 - 2009)
Secret Garden Store Amman - Jordan
Data Entry (2003 - 2004) Six months
Ghosheh Co. Amman - Jordan
Portions Entry (2003 - 2004) Six months
The Industrial Recourses Co. Amman - Jordan
Bachelor Degree Applied Science University (ASU) Business Administration