Shyam Bihari Pandey
Greater Noida
Summary
Dynamic Area Claims Manager with extensive experience at Liberty General Insurance Company Limited, excelling in claims management and negotiation. Proven track record in achieving accurate settlements and enhancing client relationships. Skilled in data analysis and team collaboration, driving compliance and efficiency in complex claims processes.
Overview
16
16
years of professional experience
Work History
Area Claims Manager
Liberty General Insurance Company Limited
Greater Noida
11.2021 - 05.2023
- Managed diverse portfolio of commercial property claims, overseeing processes from initial report to final settlement.
- Negotiated accurate settlements with policyholders and claimants, showcasing strong negotiation skills.
- Communicated regularly with policyholders and brokers to provide updates on claim status and address inquiries.
- Ensured compliance with regulatory requirements and internal policies throughout the claims process.
- Maintained organized claim files and documentation, ensuring accuracy in data management.
- Delivered exceptional customer service, enhancing relationships with clients and contributing to retention.
- Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
Commercial Claims Manager
ICICI Lombard General Insurance Company Limited
10.2017 - 11.2021
- Managed marine insurance claims for high-profile clients like Xiaomi, Flipkart, Myntra, Raymond, Reliance Retail, and Bosch, handling loss amounts ranging from 25 Lac to 10 Cr from notification to settlement.
- Appointed Investigators & surveyors to ascertain the cause, extent, and validity of claims. Evaluated policy coverage and exclusions to determine claim eligibility and applicability.
- Gathered crucial documentation, including police reports, photographs, and witness statements to strengthen claim assessments.
- Analyzed loss data, estimates, repair invoices, and supporting documentation to calculate claim settlements accurately.
- Collaborated with internal teams, external experts, and legal professionals to gather additional information and assess liability.
- Negotiated settlements with policyholders, claimants, and their representatives, ensuring adherence to coverage limitations and policy terms.
- Maintained transparent communication with stakeholders regarding claim status, progress, and settlement decisions.
- Delivered exceptional customer service, fostering strong relationships with commercial clients, brokers, and other stakeholders.
- Contributed to enhancing claims processes, workflows, and customer service initiatives to drive continuous improvement.
Insurance Surveyors & Loss Assessors
Mclarens insurance surveyors & loss assessors Pvt Ltd
09.2013 - 10.2017
- Independently managed fire, engineering, marine, and Miscellaneous claims for both PSU and Private clients from inception to closure.
- Generated Immediate Loss Advice (ILA) and Letter of Requirement (LOR) for all filed claims, ensuring prompt processing.
- Coordinated with insured clients, insurers, and intermediaries (Brokers, Agents) to gather necessary documentation within the stipulated Turnaround Time (TAT).
- Demonstrated expertise as an Insurance Surveyor & Loss Assessor, with a proven track record in the insurance sector.
- Possessed extensive knowledge of insurance policies, coverage, and adeptness in claim assessment procedures.
- Exhibited strong analytical skills, enabling comprehensive evaluation and interpretation of intricate data.
- Showcased excellent communication and negotiation skills essential to effectively engage with diverse stakeholders.
- Displayed meticulous attention to detail, coupled with exceptional organizational and time management capabilities.
- Proficiently utilized computer applications and software for streamlined documentation and data analysis.
- Operated effectively in an autonomous capacity and made well-informed decisions even under high-pressure situations.
- Held a valid driverʼs license and expressed willingness to travel for property inspections and assessments.
Surveyor & Loss Assessors
Absolute Insurance Surveyors Loss Assessors
07.2012 - 09.2013
- Conducted thorough on-site investigations to assess property damage claims, gathering evidence and documenting findings accurately and meticulously.
- Collaborated with insurance companies, policyholders, and contractors to negotiate fair settlements, ensuring prompt and efficient resolution of claims.
- Utilized skills and expertise and collaborated with industry experts to analyze complex claims, including repair costs, depreciation, and policy coverage. This enabled us to provide precise and well-informed claim assessments.
- Provided expert advice and guidance to clients on insurance policies, enabling them to make informed decisions regarding coverage, claims procedures, and potential risks.
- Demonstrated strong leadership skills by overseeing a team of claims adjusters, providing guidance and support to ensure timely and efficient claims processing.
Design Engineer
GSC GLASS LTD
01.2007 - 07.2012
- Proven experience and expertise in CNC programming and operation, specifically with water jet machines.
- Proficiency in AutoCAD software for designing and optimizing glass cutting patterns. Strong analytical and problem-solving skills to identify and resolve issues related to CNC programming and machine operation.
- Attention to detail and the ability to accurately inspect glass products against provided drawings.
- Excellent organizational and time management skills to effectively utilize manpower and meet production targets.
Education
PG Diploma -
Annamalai University
Chidambaram05.2023
Xth -
Hindi
other08-2019
B.Tech/B.E. -
Annamalai University
ChidambaramXIIth -
Hindi
Skills
- Claims Management
- Property Claims
- Policy Compliance
- Loss Prevention
- Claims Adjudication
- Claim Settlement
- Data Analysis
- Coverage Closure
- Marine Engineering
- Fire Insurance
- ENGINEERING INSURANCE
- Corporate Insurance
- Home Insurance
- Team collaboration
- Problem solving
- Insurance regulations
- Expense control
Languages
- English
- Hindi
Courses Certifications
- NDT ASNT LEVEL-2
- DIPLOMA IN AUTOMOBILE MAINTAINANCE
- PG DIPLOMA IN HUMAN RESOURCE MANAGEMENT
Total Work Experience
11, 0
Languages
Hindi
First Language
English
Upper Intermediate (B2)
B2
Timeline
Area Claims Manager
Liberty General Insurance Company Limited
11.2021 - 05.2023
Commercial Claims Manager
ICICI Lombard General Insurance Company Limited
10.2017 - 11.2021
Insurance Surveyors & Loss Assessors
Mclarens insurance surveyors & loss assessors Pvt Ltd
09.2013 - 10.2017
Surveyor & Loss Assessors
Absolute Insurance Surveyors Loss Assessors
07.2012 - 09.2013
Design Engineer
GSC GLASS LTD
01.2007 - 07.2012
PG Diploma -
Annamalai University
Xth -
Hindi
B.Tech/B.E. -
Annamalai University
XIIth -
Hindi
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