Rohit Pawar
Mumbai
Summary
Claims Examiner with extensive experience in claims processing and customer service. Expertise in data analysis and dispute resolution, ensuring accurate claim management. Proven ability to enhance operational efficiency and client satisfaction through meticulous attention to detail and effective communication. Results-oriented professional skilled in policy interpretation and data verification.
Overview
4
4
years of professional experience
Work History
Claims Examiner
T-Three Insurance Surveyors and Loss Assessors
Navi Mumbai
04.2024 - Current
- Reviewed insurance claims for accuracy and compliance with company policies.
- Coordinated with clients to gather necessary documentation for claim processing.
- Analyzed claim files to determine eligibility based on policy terms.
- Communicated findings and recommendations to internal teams effectively.
- Maintained organized records of all claims and related correspondence.
- Assisted in resolving disputes between clients and insurance providers promptly.
- Updated claim status in the company's management system regularly.
- Collaborated with adjusters to facilitate timely claim investigations and resolutions.
- Managed workloads efficiently by prioritizing tasks based on urgency or importance.
- Paid and processed claims within designated authority level.
- Performed data entry into the computer system to record information regarding claim status.
- Assisted new policyholders with processing claims.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Operated surveying equipment to ensure precise data collection.
- Conducted site surveys to gather accurate measurements and data.
Field Worker
Blue Dart Express Limited
Mumbai
05.2022 - 12.2023
- Collected samples and documented observations for environmental assessments.
- Entered data accurately into company database systems.
- Maintained confidentiality of sensitive information throughout tasks.
- Communicated with dispatch to confirm delivery schedules and special instructions.
- Ensured proper handling of packages to prevent damage during transit.
- Provided excellent customer service by addressing inquiries during deliveries.
- Followed safety protocols when loading, unloading, driving, and delivering items.
Education
B.Com - Accounting And Finance
S.I.E.S
Mumbai01-2027
HSC - Commerce
Central Railway Junior College
Mumbai05-2020
M.P.Bhuta Sion Sarvajanik High School
Mumbai03-2018
Skills
- Data analysis
- Financial reporting
- Customer service
- Claims processing
- Attention to detail
- Effective communication
- Data verification
- Policy interpretation
- Coverage analysis
- Microsoft Office Suite
- Examine reports
- Coverage assessment
- Claims settlement
- Teamwork and collaboration
Languages
Marathi
Beginner
A1
English
Beginner
A1
Hindi
Beginner
A1
Timeline
Claims Examiner
T-Three Insurance Surveyors and Loss Assessors
04.2024 - Current
Field Worker
Blue Dart Express Limited
05.2022 - 12.2023
B.Com - Accounting And Finance
S.I.E.S
HSC - Commerce
Central Railway Junior College
M.P.Bhuta Sion Sarvajanik High School
.
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