
Lorna D'Souza
Claims Adjuster
Fair, fast settlements and fraud that doesn't get through
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.
Meridian General Insurance - Mumbai, India
Claims Adjuster (Motor & Property) April 2018 to Present 8 years & 3 months
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
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.
University of Mumbai
BCom in Banking & Insurance (July 2011 to June 2014)
Insurance Institute of India
Licentiate, Insurance Institute of India (January 2015 to June 2016)
Caught inflated & staged claims
Fair settlements, on time
Licentiate, Insurance Institute of India
Insurance Institute of India (June 2016 to Present)
- Claims Assessment
- Coverage & Policy Interpretation
- Liability Determination
- Fraud Detection
- Settlement Negotiation
- Damage Evaluation
- Surveyor Coordination
- Claims Documentation
- Customer Handling
- Claims Systems