Insurance and Risk Officer
Damas Jewellery
Total years of experience :14 years, 7 Months
Insurance: \n \n1. Prepare, manage and place insurance quotations and coverage’s required for the company on a timely basis. \n2. Review policies for accuracy and coverage. Order policy changes as required providing adequate and necessary coverage for new locations and exposures. \n3. Ensure requests for Certificates of Insurance and other items are processed on a timely basis. \n4. Constantly improve and update procedures and processes to ensure excellent delivery of all insurance services. \n5. Assist in the annual renewal process for Corporate Insurance. \n6. Assist in claims management and reporting as required. \n7. Communicate with legal department for both contract reviews and any claims assistance they may require. \n8. Work co-operatively with broker to deliver excellent quality service. \n \nFinancial Responsibility: \n \n1. Review insurance/broker invoices. Investigate inconsistencies and high values for appropriateness. \n2. Ensure projects are charged for insurance as per quotation/agreement. \n3. Work with Finance to achieve target budget results.
Area of Expertise:
Extended high level of customer service and support to all internal and external stakeholders
Ensured prompt and professional responses to requests from members / clients in relation to claims and approvals
Effectively managed risk through appropriate verification of eligibility and pre-existing conditions coverage relating to members chosen plan
Underwrite / Incorporate undeclared pre-existing conditions in members’ policy
Handled complex enquiries or enquiries relating to new medical technology in coordination with the team knowledge specialist, team leader, medical assessment team and/or clinical operations
Achievements:
Top Performer who consistently achieved monthly KPI’s and received bonuses as rewards.
Promoted from Level 2 within 6 months to handle orthopaedic, spinal, neurological and gynaecological cases.
Promoted to Level 3 in the following 3 months and handled cases related to cardiac and vascular approvals.
Recommended / Nominated by immediate management for the role of Medical Assessor.
Responded in a highly proactive and timely manner to all calls received by the Service Desk
Provided fast and accurate solutions to user problems, including: Internet, Phone, Email, Web, Desktop, Networking etc
Maintained a Help-Desk log and ensured timely follow-up actions and escalation processes were carried out as required
Assisted in the resolution of user and support issues across company sites to ensure timely distribution of knowledge and positive impact on customer satisfaction
Anticipated and kept users informed of any problems or system outages
From time to time worked on projects aimed at specific problems or objectives and managed them to resolution with a small team from the rest of I.T.
Promoted to Level 2 Support and Supervised / Coached new employees
Consistently achieved KPI’s and earned Rewards and Recognition