Claims Adjuster Resume Sample

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Lorna D'Souza

Claims Adjuster

Fair, fast settlements and fraud that doesn't get through

+91 22 5555 0474
linkedin.com/in/lorna-dsouza-claims

Insurance claims adjuster with eight years handling motor and property claims for a Mumbai general insurer, managing a caseload of around 150 open claims. Investigates and assesses claims end to end — coverage, liability, damage and settlement — balancing fair, fast payouts to genuine claimants against catching fraud. Recovered significant amounts by identifying inflated and staged claims, and keeps settlement turnaround within service targets. Negotiates settlements, coordinates surveyors and repairers, and documents decisions to withstand audit and dispute. Sharp on policy interpretation and calm with distressed claimants. Looking for a claims-adjuster or claims-team-lead role with an insurer that values sound judgement and good customer outcomes.

Work Experience

Meridian General Insurance - Mumbai, India

Claims Adjuster (Motor & Property) April 2018 to Present 8 years & 3 months

Manage a caseload of around 150 open motor and property claims, assessing coverage, liability, damage and settlement.
Recovered significant sums by identifying inflated, exaggerated and staged claims through careful investigation.
Negotiate settlements with claimants, repairers and third parties, keeping payouts fair and within policy.
Keep settlement turnaround within service targets even at peak claim volumes after major weather events.
Coordinate surveyors, loss assessors and repair networks to validate and progress claims.
Document every decision with clear rationale so it stands up to audit and dispute.

City Insurance Services - Mumbai, India

Claims Executive August 2014 to March 2018 3 years & 8 months

Registered, validated and processed motor claims for a busy claims desk.
Liaised with surveyors and customers to gather documentation and progress files.
Learned coverage interpretation, liability assessment and fraud indicators.
Earned an insurance qualification and the move to a full adjuster role.
Education

University of Mumbai

BCom in Banking & Insurance (July 2011 to June 2014)

Commerce degree specialising in banking and insurance, covering risk, policy and claims fundamentals. An insurer internship led into claims work. Built the policy-and-risk grounding the role depends on.

Insurance Institute of India

Licentiate, Insurance Institute of India (January 2015 to June 2016)

Professional insurance qualification covering general insurance, claims handling and policy interpretation. It deepened the technical knowledge of coverage and liability assessment used daily. Maintained through ongoing continuing professional development.
Highlights

Caught inflated & staged claims

Recovered significant amounts by spotting exaggerated and staged claims through careful investigation. Catching fraud protects honest policyholders from higher premiums as much as it protects the insurer.

Fair settlements, on time

Keeps settlement turnaround within service targets while keeping payouts fair to genuine claimants. Fast, fair handling is what turns a stressful claim into a retained customer.
Certifications

Licentiate, Insurance Institute of India

Insurance Institute of India (June 2016 to Present)

Professional insurance qualification covering general insurance, claims and policy interpretation. It deepened technical knowledge of coverage and liability assessment. Maintained through continuing professional development.
Technical Skills
  • Claims Assessment
  • Coverage & Policy Interpretation
  • Liability Determination
  • Fraud Detection
  • Settlement Negotiation
  • Damage Evaluation
  • Surveyor Coordination
  • Claims Documentation
  • Customer Handling
  • Claims Systems
Langauges

English

Full Professional Proficiency

Hindi

Native or Bilingual Proficiency

Marathi

Professional Working Proficiency
Personal Info

Location

Mumbai, India

Nationality

Indian

Gender

Female

Notice Period

1 month

Date of Birth

1992-12-09
Activities & Interests
Personal Skills

Judgement

Attention to Detail

Composure

Integrity

Communication

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