Suteera Mounglek
Claim Specialist
Bangkok,10
Summary
Dynamic Claims Specialist with extensive experience at Dhipaya Insurance PCL, excelling in claims processing and regulatory compliance. Proven track record in negotiating settlements and enhancing client communication, resulting in improved satisfaction. Adept at cross-functional collaboration, fostering team efficiency, and delivering training programs that elevate performance and compliance standards.
Overview
11
11
years of professional experience
1
1
Certificate
1
1
Language
Work History
Nonmotor Claim Specialist
Dhipaya Insurance PCL
07.2022 - Current
- Based on your request for experience statements for the role of Nonmotor Claim Specialist, here are eight tailored resume statements:
- Reviewed and processed nonmotor insurance claims, ensuring compliance with company policies and industry regulations.
- Analyzed claim documentation to determine eligibility, resulting in accurate and timely claims resolution for clients.
- Collaborated with cross-functional teams to streamline claims processing workflows, enhancing overall operational efficiency.
- Provided support in training new staff on claims processing procedures, fostering a knowledgeable and skilled team environment.
- Managed client communication regarding claim status and requirements, improving customer satisfaction through effective follow-up.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Negotiated settlements with claimants and attorneys, achieving favorable outcomes for all parties involved.
- Improved team morale and productivity by fostering collaborative work environment.
- Analyzed claim documents to ensure accuracy and compliance, mitigating loss.
- Modified, updated and processed existing policies.
Claims Consultant
TTB Broker Co., Ltd.
01.2019 - 07.2022
- Analyzed complex claims, ensuring compliance with regulatory standards and enhancing overall processing efficiency for clients.
- Led cross-functional teams to streamline claims processing workflows, resulting in improved turnaround times and client satisfaction.
- Developed and implemented training programs for junior consultants, fostering knowledge sharing and enhancing team performance.
- Conducted comprehensive reviews of claims documentation, identifying discrepancies and mitigating risks associated with claims processing.
- Negotiated claim settlement agreements to resolve disputes.
Loss Adjuster
Sedgewick PCL
01.2020 - 01.2021
- Conducted thorough investigations of insurance claims, ensuring compliance with industry regulations and company policies, thereby minimizing potential disputes.
- Collaborated with clients, adjusters, and contractors to assess damages, facilitating timely resolutions and maintaining strong relationships throughout the claims process.
- Evaluated loss reports and documentation, identifying discrepancies and recommending corrective actions, which enhanced overall claims accuracy and efficiency.
- Led initiatives to streamline claims processing workflows, improving turnaround times and reducing operational bottlenecks within the adjustment team.
- Verified insurance claims and determined fair amount for settlement.
Loss Adjuster
Crawford and Company Co., Ltd.
04.2015 - 06.2019
- Mentored junior adjusters on best practices for loss assessment and documentation, fostering professional development and ensuring adherence to quality standards.
- Developed and implemented training materials for new team members, enhancing their understanding of claims management systems and procedures.
- Analyzed industry trends and changes in regulations, advising management on necessary adjustments to policies and practices to maintain compliance.
- Facilitated cross-departmental collaboration to resolve complex claims, drawing on diverse expertise to achieve timely and equitable outcomes for clients.
- Prepared summaries of damage, payments, and policy coverage.
Education
Bachelor of Engineering - Civil Engineering
Naresuan University
Phitsanulok, Thailand 04.2001 -
High School Diploma -
Phetpittayakom School
Phetchabun 04.2001 -
Skills
Claims processing
Regulatory compliance
Claims analysis
Cross-functional collaboration
Client communication
Negotiation skills
TOEIC : 620
Certification
Intensive English Brisbane Australia
Timeline
Nonmotor Claim Specialist
Dhipaya Insurance PCL
07.2022 - Current
Loss Adjuster
Sedgewick PCL
01.2020 - 01.2021
Claims Consultant
TTB Broker Co., Ltd.
01.2019 - 07.2022
Loss Adjuster
Crawford and Company Co., Ltd.
04.2015 - 06.2019
Intensive English Brisbane Australia
01-2013
Bachelor of Engineering - Civil Engineering
Naresuan University
04.2001 -
High School Diploma -
Phetpittayakom School
04.2001 -
Languages
English
Full Professional