Yamini Katraj
Insurance claims specialist
Talent
Mississauga, OntarioMember since April 23, 2023
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About
Certified claims administration and insurance professional with over 10 years of international customer service and operations experience with industry leaders. Focused on driving cross-functional process effectiveness, service excellence and operational efficiencies in fast-paced environments.
Experience
Claims Specialist, QBE, New Zealand – Sep to Dec 2022
- Performed tasks related to claims handling and management
- Provided professional claims consultation and best practice guidance to mitigate risks across the organization
- Escalated files with significant indemnity exposure to manager for further investigation
- Developed cost containment techniques to reduce overall claim costs
- Championed administrative tasks, such as communication, mail distribution, and document scanning to ensure accuracy
- Analyzed information gathered by investigation and reported findings and recommendations
- Understood dispute requirements, gathered evidence, and prepared customer cases to handle appeals without errors
- Conducted day-to-day administrative tasks to maintain information files and process paperwork up to date
- Collaborated with legal counsel to develop and implement claims policies and best practices aligned with governing laws
- Conducted thorough investigations of complex claims, resulting in a 20% increase in successful claims outcomes.
- Effectively handled and resolved escalated customer complaints, resulting in a 30% decrease in escalations in the first quarter.
- Collaborated with legal and compliance teams to ensure regulatory compliance and adherence to company policies during disputes resolution.
- Developed and implemented new dispute resolution strategies, resulting in a 25% reduction in resolution time and improved customer satisfaction.
- Conducted regular training sessions for claims team members on best practices for handling escalated cases and disputes, resulting in an increase in team productivity and efficiency.
- Accompanied clients to small claims court to provide support and resolve disputes, resulting in successful outcomes for all parties involved.
- Generated a total of $500,000 in cost savings through identification and prevention of fraudulent claims.
- Acted as a mentor to new team members, resulting in a 25% reduction in training time for new hires.
- Demonstrated sound knowledge of a wide range of policies, including commercial and domestic policies such as Home, Contents, Vehicles, and Boat insurance. Effectively communicated policy details to customers and provided guidance on claims processes.
- Achieved an average customer satisfaction rating of 95% through effective communication and prompt resolution of claims.
- Successfully processed an average of 75 claims per week while maintaining a high level of accuracy and attention to detail.
- Analysed claims to determine the extent of the company’s liability and negotiated settlements with clients.
- Contributed to the development and implementation of new claims processing systems and procedures to improve efficiency and accuracy.
- Provided guidance and support to new claims associates, helping to develop their skills and knowledge of claims management.
- Managed a portfolio of accounts for debt recovery, achieving a 15% reduction in outstanding debts within the first 3 months.
- Implemented a new collections process, resulting in a 10% increase in successful collections and reducing the average collection time by 20 days.
- Monitored portfolio performance and identified areas of improvement, implementing changes to achieve better outcomes.
- Developed and presented reports on portfolio accounts and collection metrics to senior management.
- Collaborated with legal counsel to initiate legal proceedings against borrowers who were in default on their mortgage loans, resulting in successful resolutions for 80% of cases.
- Cultivated strong relationships with customers to facilitate timely payments and resolve account issues.
- Ensured compliance with relevant laws, regulations, and best practices pertaining to customer account management.
- Managed a portfolio of delinquent accounts, consistently meeting or exceeding collection targets.
- Negotiated payment arrangements with customers who were experiencing financial hardship, demonstrating empathy and professionalism.
- Developed and maintained positive relationships with customers, acting as a liaison between them and the company to resolve any issues and address their concerns.
- Conducted thorough investigations to locate customers and verify their contact information, resulting in a significant increase in successful collections.
- Collaborated with legal teams to initiate legal action against customers who failed to respond to collection efforts.
- Maintained daily, weekly, and monthly collection and metric goals.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols
- Retained customers by addressing their concerns and providing solutions.
- Developed and executed retention strategies to reduce customer churn rate.
- Maintained customer satisfaction and exceeded retention targets.
- Provided technical support to customers via phone and email.
- Troubleshoot technical issues and resolved them efficiently.
- Maintained a high level of customer satisfaction and retention rate.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Resolved billing and technical issues and maintained customer satisfaction.
- Increased revenue by cross-selling and upselling products and services
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Education
Bachelor of Science in Biotechnology – Osmania University, Hyderabad, India – 2008
Business Management Diploma – Auckland Wise Institute, Auckland CBD, New Zealand – 2011
General Claims Handling Certification – The Australian and New Zealand Institute of Insurance and Finance (ANZIIF) – 2017