Sophia Hoummady
Miami,Florida
Summary
Motivated Claims Adjuster with experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing cases. Provides exceptional customer service. Adept at supporting new adjusters. Skilled in recognizing potential fraudulent claims. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems.
Overview
10
10
years of professional experience
Work History
Claims Supervisor
Intact Insurance
12.2021 - 04.2023
- Optimized case management with establishment of best practices.
- Determined proper course of action for claims processing.
- Implemented and regularly reviewed financial controls to generate accurate and reliable claim indemnity.
- Review and authorize payment in claim adjuster's files.
- Responsible of weekly quick fixes to maintain the team up to date.
- Part of the seasonal plan management team
Senior Claims Adjuster
Intact Insurance
04.2021 - 12.2021
- Managed other adjusters claims.
- Managed theft, fire, fraudulent claims as well as out of province and US claims.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Claims Adjuster
Intact Insurance
07.2017 - 04.2020
- Examined insurance contracts and other records to determine insurance coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding the claim
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Conducted investigation to establish liability
Customer Service Representative
Intact Insurance
04.2015 - 07.2017
- Answered constant flow of customer calls with minimal wait times.
- Updated account information to maintain customer records.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Participated in team meetings and training sessions to stay informed about procedures updates and changes.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge and creating welcoming, positive experiences.
- Working with claim adjusters, helping them in their files with investigations, statements from insureds and third parties as well as assisting garages by confirming deductibles on files and other information left by the adjuster or collecting any information missing in the file that may help the adjuster in his investigation
Emergency Claims Department
Intact Insurance
04.2014 - 04.2015
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Open new claim and assist the insured with the emergency after hours
- Canada wide FNOL, working with multiple systems and laws specific to each province.
- Dispatching OWL adjusters if necessary
- Making sure the insured is safe and all conserns answered before letting them go
Telemarketing Insurance Sales Representative
Intact Insurance
10.2013 - 04.2014
- Connected with prospective clients to set appointments.
- Stayed in touch with clients to assess changing demands and offer new solutions.
- Met with prospective clients to discuss insurance needs and provide solutions. Then put directly in contact with an insurance broker.
Education
Associate of Science - Health Sciences
Maisonneuve College of Montreal
Montreal Skills
- Organizational Skills
- Polyglot
- Proactive and Focused
- Time Management
- Customer Service Orientation
- Process Improvement
- Analytical Thinking
Timeline
Claims Supervisor
Intact Insurance
12.2021 - 04.2023
Senior Claims Adjuster
Intact Insurance
04.2021 - 12.2021
Claims Adjuster
Intact Insurance
07.2017 - 04.2020
Customer Service Representative
Intact Insurance
04.2015 - 07.2017
Emergency Claims Department
Intact Insurance
04.2014 - 04.2015
Telemarketing Insurance Sales Representative
Intact Insurance
10.2013 - 04.2014
Associate of Science - Health Sciences
Maisonneuve College of Montreal
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