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BOEMO
Relationship Manager X- Commercial
Contato
Competências
Demonstrated experience with Risk Assessment & Enterprise Risk Management.
Demonstrated experience with Claims Management.
Demonstrated experience with Data Analysis.
Demonstrated experience with Fraud Risk Identification.
Demonstrated experience with Regulatory Compliance (NBFIRA).
Formação acadêmica
Resumo
Relationship Manager X- Commercial open to new opportunities
Experiência
Client Service Officer
Interpreted insurance policy terms, conditions, benefits, and exclusions to assess claim validity, support informed decision-making, and ensure compliance with policy and regulatory requirements.. Investigated customer queries, claim discrepancies, and documentation inconsistencies, identifying potential risks, recommending corrective actions, and escalating complex cases for resolution.. Maintained monitoring trackers and management reports to support effective case management, risk oversight, and timely resolution of outstanding matters.. Managed and processed insurance claims using digital and paper-based filing systems, ensuring accurate record-keeping, data integrity, compliance with operational procedures, and efficient workflow management.. Analyzed claims documentation and supporting information to identify irregularities, control gaps, and potential risk indicators while ensuring adherence to established policies and processes.
Claims Intern
Delivered high-quality customer service by responding to client enquiries, providing accurate claims-related guidance, and maintaining clear communication throughout the claims process.. Maintained and enhanced claims registers to capture customer feedback and complaints, supporting continuous improvement, operational efficiency, and proactive risk mitigation.. Conducted customer risk assessments, sanctions screening, and KYC verification to support AML/CFT compliance and identify potential compliance risks.. Participated in the implementation of WhatsApp and web-based digital claims solutions, collaborating with developers to enhance customer experience, streamline claims submission, and improve workflow efficiency.. Managed and organized digital records through systematic filing, policy verification, data management, and information retrieval, ensuring accurate, accessible, and efficient maintenance of customer records.. Escalated discrepancies, fraud indicators, and potential compliance concerns in accordance with internal policies and procedures.. Served as a Data Privacy Champion, conducting Privacy Impact Assessments (PIAs) and promoting adherence to data protection and privacy requirements.