Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Languages
Timeline
Navid Rahman

Navid Rahman

North Reading,MA

Summary

Organized and detail-oriented individual dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

12
12
years of professional experience

Work History

PIP Subrogation Claims Adjuster

Plymouth Rock Assurance
11.2022 - Current
  • Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements
  • Presented and explained our theory of coverage application to an adverse party or arbitration panel
  • Negotiated settlements with an adverse carrier’s representative, an attorney or claimant
  • Maintained an effective follow-up system on pending files, prioritized and handle multiple tasks simultaneously, adjust to fluctuating workload
  • Reviewed medical bills and monitored treatment, assessed reserves with counsel on legal pursuit of recoveries and settlement.
  • Active arbitrator through Arb Forums; hear and resolve cases between opposing insurance companies.

Subrogation Claims Representative

Plymouth Rock Assurance
08.2022 - 11.2022
  • Investigated automobile cases and identify all liable parties
  • Presented and explained our theory of liability to adverse carriers and/or arbitration panel
  • Negotiated settlements with an adverse carrier’s representative, an attorney or claimant
  • Coordinated and recovered moderately complex subrogation cases under limited team manager supervision
  • Conducted investigation to develop subrogation prospects
  • Evaluated subrogation potential and pursued appropriate recovery
  • Communicated with policyholders, vendors and agents on the status of pending subrogation matters, where required by statues, regulation or service standard
  • Processed recovery reimbursements and vendor expense payments within established authority
  • Preserved evidence and protects the chain of custody
  • Adhered to all applicable statutes and regulations and corporate compliance protocols.
  • Checked documentation for accuracy and validity on updated systems.

Claims Triage and Training

Plymouth Rock Assurance
02.2022 - 08.2022
  • Conducted claim systems and First Notice of Loss training with new hires in the Property Damage claims department
  • Trained adjusters regarding new loss investigation, liability and coverage, scheduling appraisals, and making payments
  • Implemented best claims practices for new hires and help adjusters with questions related to their claims
  • Reviewed and handled unassigned BI claims and negotiated claim settlement with Attorneys and/or claimants
  • Evaluated subrogation potential and pursued appropriate recovery with adverse carriers or arbitration panel
  • Participated in the interview process making recommendation to hire/not hire with reasoning.

High Risk Unit- Claims Representative

Plymouth Rock Assurance
11.2016 - 02.2022
  • Investigated and mitigated high risk and complex property damage based on coverage risk factors and exposures
  • Initiated contact and processed statements from insured’s, operators, witnesses and other parties related to accidents
  • Identified potential premium risk and reported directly to the Underwriting department with suggestions on non-renewals or cancellations
  • Responded to all legal complaints and/or demands and intercompany arbitrations
  • Reviewed appraisals, medical bills, police reports and location photographs to determine if the damages and injuries are consistent with the facts of the loss as reported by the insured to determine if claim should be paid
  • Used independent judgment and discretion in determining whether field assist or SIU adjusters were appropriate to involve in the investigation
  • Reviewed BI demands, created evaluation with proposal for management
  • Negotiated bodily injury claim settlements with claimants and Attorneys; involve counsel as necessary to respond to complaints, summons and litigation processes

Property Damage Claims Representative

Plymouth Rock Assurance
03.2016 - 11.2016
  • Reviewed automobile policies to verify and determine insurance coverage eligibility under Massachusetts State Laws
  • Managed a high volume of calls by communicating with policyholders, claimants, witnesses, and auto body shops to investigate and settle first and third party automobile insurance claims
  • Determined liability by obtaining essential facts of each accident, and presented evidence to support all liability decisions
  • Evaluated loss scenarios for potential fraud and coverage issues by taking recorded statements, and when appropriate referred claims to the Special Investigation Unit
  • Managed the claims payment authorization process to ensure the payments and handling of the claim were within company guidelines.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.

Insurance Property Inspector

Mueller Services
01.2014 - 01.2016
  • Prepared and produced detailed routine underwriting reports for review by management in a timely, efficient manner
  • Accurately recorded all on site home observations in accordance with customer-specific requirements
  • Retained a friendly and professional demeanor when interacting with policyholders to increase retention
  • Gathered data, physical samples and photographic evidence of alleged issues.
  • Effectively managed and completed case load of inspections, appointments with policyholders and survey reports within specified deadlines
  • Thoroughly reviewed, interpreted and applied appropriate state laws, codes and policies.

General Manager

Gold Buyers At The Mall
01.2012 - 01.2013
  • Developed and implemented strategies to increase sales and profitability.
  • Strictly followed all gold testing procedures to accurately and efficiently buy jewelry from customers while also extensively re-testing gold to ensure accurate testing procedures made by team members
  • Strategically hired and recruited new team members ensuring the proper fit for each position
  • Maintained a detailed calendar in order to set weekly schedules to ensure top operational productivity
  • Fully assisted the District Manager in daily store reporting to identify areas for improvement
  • Provided exceptional customer service when interacting daily with potential customers to increase sales opportunities
  • Protected the company assets, including both money and gold, to ensure continuous growth and flawless execution
  • Maximized profitability through superior customer service, effective and prompt communication and follow-up on all pending matters with the customer.

Education

Bachelor of Arts - Political Science

University of Massachusetts - Boston, Boston, MA
05.2015

Skills

  • Claims Investigations
  • Claims File Management Processes
  • Liability Determinations
  • Learning Strategies
  • Staff Management
  • Active Listening

Accomplishments

  • Maintained a consistent PIP subrogation closing ratio of 93%.
  • Maintained a superior quality rating for file handlings consistently.


Additional Information

  • Plymouth Rock Assurance- 2019 Presidential Award

Languages

English
Bengali

Timeline

PIP Subrogation Claims Adjuster - Plymouth Rock Assurance
11.2022 - Current
Subrogation Claims Representative - Plymouth Rock Assurance
08.2022 - 11.2022
Claims Triage and Training - Plymouth Rock Assurance
02.2022 - 08.2022
High Risk Unit- Claims Representative - Plymouth Rock Assurance
11.2016 - 02.2022
Property Damage Claims Representative - Plymouth Rock Assurance
03.2016 - 11.2016
Insurance Property Inspector - Mueller Services
01.2014 - 01.2016
General Manager - Gold Buyers At The Mall
01.2012 - 01.2013
University of Massachusetts - Boston - Bachelor of Arts, Political Science

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Navid Rahman