Results-driven insurance professional specialising in claims processing and negotiation. Expertise in using RESPOND and INVUE for claim validation, identification of fraudulent claims, and ensuring GDPR compliance. Maintains accurate records and audit compliance while meeting KPIs under pressure. Aiming to advance within the sector to deepen knowledge in claims settlement and underwriting.
Overview
9
9
years of post-secondary education
25
25
years of professional experience
Work history
Specialist Claims Handler
Intact Insurance
Peterborough, Cambridgeshire
09.2002 - Current
Specialist in managing complex claims such as Escape of Water, Fire and flood with claims values up to £15,000 and escalation capabilities to £30,000
Managed complex insurance claims for successful resolution.
Negotiated favourable settlements for policyholders in contentious cases.
Experience in dealing with contents claims on all perils
Ensured customer satisfaction by promptly resolving claims disputes.
Resolved numerous claim disputes, promoting a fair outcome for all parties involved.
Maintained high levels of accuracy whilst reviewing and validating claims documentation.
Achieved efficient claim processing with meticulous attention to detail.
Conducted thorough investigations into suspicious or fraudulent claims.
Mitigated potential losses by identifying and reporting fraudulent activity promptly.
Adhered strictly to industry regulations during every stage of claim processing.
Handled all claims and communications within established service level agreements.
Determined insurance cover level and relevance for accurate claim assessments.
Recorded detailed, accurate claim particulars for reliable case notes.
Handled sensitive client information, maintaining confidentiality at all times.
Maintained strict confidentiality when dealing with sensitive client information.
Obtained clear photographic evidence to support customer claims.
Processed outstanding claims to reduce backlog and improve efficiency.
Worked with a diverse range of brands including John Lewis, YBS, Saga, Affinity and most recently Nationwide.
Kept clients well-informed of claim updates and case progress.
Processed inbound customer calls promptly to meet call-handling timeframe targets.
Followed up on all client requests and verified resolution.
Handled initial claims enquiries with attention to first-class, personal service.
Managed large client portfolio, prioritising claims in line with complexity and demand.
Provided claims advice to clients, managing expectations and explaining claims processing timelines.
Resolved technical issues promptly.
Cashier
BP
Peterborough
09.2001 - 08.2002
Took initiative in restocking shelves during downtime, enhancing product availability.
Balanced till at end of day, maintaining accurate records.
Processed payments swiftly for improved customer experience.
Greeted each customer warmly, creating a friendly shopping environment.
Maintained clean and organised workspace to ensure efficient service.
Assisted customers with enquiries to enhance their shopping experience.
Handled cash and card payments with precision, maintaining customer confidentiality and discretion throughout.
Greeted customers entering store and responded promptly to customer needs.
Assisted customers to locate obscure items on shop floor.
Displayed and restocked merchandise by following brand guidelines.
Education
NVQ Level 2 -
Peterborough Regional College
Peterborough
09.1998 - 07.2001
Eastholm School
Peterborough
09.1992 - 07.1998
Skills
Claim investigation technique
Fraudulent claim identification
Claims negotiation
Pressure resilience
Insurance product knowledge
Underwriting principles knowledge
Claims systems knowledge
Familiarity with insurance software - RESPOND (complaint's system), INVUE (system used for video calls to validate claims by having a video call with the policyholder)
Policy interpretation
Working with KPIs
Productivity and organisation
Efficient time management
Problem-solving
Complaints management
Proficient communication
Proficient decision-making
Calm under pressure
Professional integrity
Investigation methods
Critical evaluation
Fraud detection
Affiliations
Team sports - cricket and football
Gardening - I enjoy my time in the garden growing plants, flowers and food
Specialist Claims Handler at Royal & Sun Alliance Group Ltd/Intact InsuranceSpecialist Claims Handler at Royal & Sun Alliance Group Ltd/Intact Insurance