Tolulope Adetiloye
Plainfield,IN
Summary
With a proven track record at AIICO Insurance American International, I excel in claims investigation and fostering client satisfaction. My expertise in insurance policy coverage and advanced communication skills have significantly improved claim processing efficiency and customer relations, demonstrating both technical knowledge and motivation. Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with brokers to gain details for processing claims.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Insurance Claims Adjuster
Olumba Auto Sales LLC
03.2022 - Current
- Coordinated prompt payments to clients after successful settlement negotiations were reached.
- Identified fraudulent activities through diligent investigation, protecting company assets from potential losses.
- Assisted policyholders in understanding the complexities of their coverage plans, helping them make informed decisions about their claims.
- Ensured accurate record-keeping within database systems for audit purposes and streamlined retrieval of pertinent information during claim reviews.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Reduced claim processing time by efficiently investigating and evaluating insurance claims.
Customer Service Representative
GXO
04.2018 - 01.2022
- Responded to customer requests for products, services, and company information.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Insurance Adjuster
AIICO Insurance American International
07.2015 - 08.2017
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Maximized customer satisfaction by resolving complex claim issues promptly and professionally.
- Facilitated communication between parties involved in claims disputes, mediating conflicts to reach mutually beneficial resolutions.
- Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.
- Collaborated with other departments within the organization to enhance overall efficiency in processing claims and improving client satisfaction levels.
General Insurance Processor
Zenith General Insurance
03.2013 - 02.2015
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Generated, posted and attached information to claim files.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Calculated adjustments, premiums and refunds.
- Maintained confidentiality of patient finances, records, and health statuses.
Education
Bachelor of Science - Insurance And Risk Management
Lagos State University
Ojo, Lagos, Nigeria 04.2013
Skills
- Claims Investigation
- Motivation and Initiative
- Technical knowledge
- Legal Compliance
- Highly motivated
- Claims Processing
- Insurance policy coverage knowledge
- Advanced oral and written communication skills
- Advanced computer skills
- Risk Assessment
- Quality Control
- Innovation and Creativity
- Damage Assessment
- Policy investigations
- Best Practices Implementation
Certification
Texas-All lines Adjuster.
Timeline
Insurance Claims Adjuster
Olumba Auto Sales LLC
03.2022 - Current
Customer Service Representative
GXO
04.2018 - 01.2022
Insurance Adjuster
AIICO Insurance American International
07.2015 - 08.2017
General Insurance Processor
Zenith General Insurance
03.2013 - 02.2015
Bachelor of Science - Insurance And Risk Management
Lagos State University
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