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Mohamed El Tahawy

Supervisor General Claims

Summary

  • I am seeking a challenging position where my personal skills & abilities can be efficiently utilized & enhanced.

Profile

INSURANCE CLAIMS PROCESSOR

Dedicated insurance professional with more than 10 years of experience investigating and processing automobile insurance and general claims. Excel in analyzing damages/causes, interpreting policies and negotiating payment solutions. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service

Key Skills

Claims Handling and Investigations

Risk Assessment and Mitigation

Damage Assessment

Evaluation of Liability Exposure    

Claims Reports and Documentation

Policy Interpretation

Confidential Records Management

Analyze claims to determine extent of company’s liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues.

Outcomes:

Completed more than 2,500 claims throughout tenure. Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.

Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in quality-control audits; and monitor claim status updates.

Supported claims adjusters in processing hundreds of first- and third-party auto insurance claims. Analyzed and determined completeness and validity of claims. Assisted policyholders in a busy call-center environment.

Outcomes:

Accompanied underwriters and insurance agents in the field to investigate claims and determine cause and extent of damages.

Uncovered fraudulent claims scheme; provided evidence leading to the recovery of thousands of dollars in insurance over payments.

Developed a strong understanding of insurance policies and legal issues through completion coupled with in-depth, multi-week claims training.

Work History

Oct 2010Present

Supervisor General Claims

Supervisor General Claims
AROPE. Since Job description Handling the entire branch General claims. Handling all clients' calls and requests. Setting appointments with clients. Preparing a claim file for all General claims reported. Preparing an inspection report with the all General claims details and the clients' data. Following up on all claims with the clients'. Analyze claims to determine extent of company's liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues. Receiving and reviewing all invoices. Settling the claims in twenty four(24) hours from the date of receiving the invoices. Contacting clients to receive their checks. Authorizing payment for claims. Review and preparation of the report on the loss ratio for all line of business Some other functions Review big Motor claims and confirm the application of the policy terms and conditions. Member and Secretary of the auction Processing Motor Auctions Handling auctions and contact merchants to get to the highest price. writing rejection Memoir according to the terms and conditions of the insurance policy Authorize reserve for all claim files as seen appropriate and based on standard assessments. Following up with the lawyer company and the claimant's attorneys, writing the memos for the sessions, negotiating with the third lawyer to determine for settlements Preparing reports as well as memos for all meetings weekly, monthly and annuals. Review and prepare the total loss memos by checking the police reports and reviewing the manufacturers' reports, contacting the adjustors to obtain the vehicles market values at the present time, estimating the vehicles value.
Jan 2008Sep 2010

Senior Claims Responsible For El Mohandesin Branch

AIG. Since
Senior: Job description Handling the entire branch Auto claims. Handling all clients' calls and requests. Setting appointments with clients. Inspecting and evaluating small vehicles accidents. Preparing a claim file for all vehicle accidents reported. Preparing an inspection report with the vehicles details and the clients' data. Following up on all claims with the clients'. Receiving and reviewing all invoices. Settling the claims in twenty four(24) hours from the date of receiving the invoices. Contacting clients to receive their checks. Authorizing payment for claims. Review big Motor claims and confirm the application of the policy terms and conditions. Authorize reserve for all claim files as seen appropriate and based on standard assessments. Preparing reports as well as memos for all meetings weekly, monthly and annuals. Review and prepare the total loss memos by checking the police reports and reviewing the manufacturers' reports, contacting the adjustors to obtain the vehicles market values at the present time, estimating the vehicles value and obtaining the required approvals from the acting motor claims supervisor.
Apr 2006Dec 2007

Claims adjustor(Responsible for EL MOHANDESIN Branch)

Claims adjustor(Responsible for EL MOHANDESIN Branch)
Job description: Handling the entire branch Auto claims. Handling all clients' calls and requests. Setting appointments with clients. Inspecting and evaluating small vehicles accidents. Preparing a claim file for all vehicle accidents reported. Preparing an inspection report with the vehicles details and the clients' data. Following up on all claims with the clients'. Receiving and reviewing all invoices. Settling the claims in twenty four(24) hours from the date of receiving the invoices. Contacting clients to receive their checks. Authorizing payment for claims. Review big Motor claims and confirm the application of the policy terms and conditions. Authorize reserve for all claim files as seen appropriate and based on standard assessments. Preparing reports as well as memos for all meetings weekly, monthly and annuals. Review and prepare the total loss memos by checking the police reports and reviewing the manufacturers' reports, contacting the adjustors to obtain the vehicles market values at the present time, estimating the vehicles value and obtaining the required approvals from the acting motor claims supervisor.
Sep 2003May 2005

AIG. Science

AIG. Science
Claim Adjustor:. (Act Claims Dept) Duties: claimant's Suits(Following up with the lawyer company and the claimant's attorneys, writing the memos for the sessions, negotiating with the third lawyer to determine amounts for settlements and preparing all weekly, monthly and annual reports.

Education

20132012

Diploma

Cornel College

Diploma of law in International Arbitration

19952000

Bachelor of law

Ain Shams University

Law

Certifications

20001995

Bachelor of law

law
20132012

Certification of The Association For International Arbitration

The Association For International Arbitration