Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ummeh Koulsoom Bachun

Camp Levieux, Rose Hill

Summary

Experienced Claims Handler with over 6 years experience managing insurance claims from start to settlement. Skilled in claim analysis and customer service, with a proven track record of resolving complex claims efficiently.

Overview

7
7
years of professional experience

Work History

Claims Handler

Sanlam General Insurance Co.Ltd
2017.06 - Current
  • Attending clients for new Motor claims (First Notification of loss)
  • Collecting accurate information and relevant documents regarding a claim
  • Establish and maintain accurate claims reserves
  • Advising customers regarding their cover
  • Liaising with policy holders, insurance companies and other third party stakeholders to ensure swift settlement of the claims
  • Appointing surveyors (surveys, investigations, re-inspections)
  • Requesting and investigating statements, sketches, police reports, vehicle repair documentation and other supporting evidence to settle a claim
  • Analysing documents and survey reports, Ensuring validity of claims
  • Assessing each claim individually for fraud and consequently reporting any bogus/scam claims to the Claims Manager for further action
  • Ensuring the customer receives excellent service in accordance with the company guidelines
  • Handle any complaints associated with a claim
  • Authorizing repairs, propose cash settlement, request for replacement vehicles, collect spare parts when necessary.
  • Providing constant updates to client regarding their claim
  • Payments of claims ( insured, suppliers, contract cars,towing)
  • Preparing discharge vouchers (for insured, third parties)
  • Preparing relevant documents for total loss claims.
  • Follow up for sale of salvage


Recovery


  • Preparing recovery letters and sending relevant documents to third party companies
  • Keep tracking outstanding debts
  • Liaise with Third Party Insurance companies for settlement
  • Attend to customer queries
  • Analysing documents received from Third parties and settle claim
  • Process cheques received from TPI
  • Analysing documents for payable claims to third party companies and processing payments.


Non Motor Claims


  • Register new claims
  • Requesting for policy documents
  • Appointing loss adjustor and follow up for reports
  • Sending notification of loss to reinsurers where applicable
  • Analysing claim submitted by client
  • Processing payments
  • Preparing claim letters for rejection of claims
  • Updating monthly report for re-insurers and management






















Education

Insurance Claims Handling process -

Chartered Insurance Institute
01.2019

HIGHER SCHOOL CERTIFICATE -

Quatre Bornes State Secondary School
01.2016

SCHOOL CERTIFICATE -

Quatre Bornes State Secondary School
01.2014

Skills

    -Demonstrate excellent communication and interpersonal skills

    -Customer service and problem solving skills

    -To be able to follow set procedures

    -Communicate effectively with underwriting team prior to either confiring or declining cover

Timeline

Claims Handler

Sanlam General Insurance Co.Ltd
2017.06 - Current

Insurance Claims Handling process -

Chartered Insurance Institute

HIGHER SCHOOL CERTIFICATE -

Quatre Bornes State Secondary School

SCHOOL CERTIFICATE -

Quatre Bornes State Secondary School
Ummeh Koulsoom Bachun