Ahmed Ghanem Shaqer
Amman
Summary
Strategic professional in business operations known for high productivity and efficiency in task completion. Specialize in process optimization, project management, and data analysis, ensuring streamlined workflows and enhanced operational efficacy. Excel in communication, problem-solving, and leadership, leveraging these soft skills to drive team success and achieve organizational goals.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Motor claims Senior Operation Officer & Recovery
ARABIA INSURANCE CO.- JORDAN LTD
Amman
06.2016 - Current
- Responsible for performing structured reviews of claim files to assure that they meet defined file quality standards as defined by internal and external requirements, in an objective and consistent manner for the Claims Department
- Review outstanding claims and maintain department records
- Complete assigned audits accurately and within a set time period
- Participate in special events and audits as needed
- Conduct calibration discussions with managers to ensure the Claim Department has consistency in understanding and application of file handling expectations
- Respond to claim’s leadership questions and inquiries in a timely manner with accuracy
- Participate in intra-team calibration sessions to ensure necessary calibration is included in this function
- Maintain monthly and quarterly reporting with management over the assigned region and specialty, including assessment of action items and evaluation of action plans; expertise and utilization of the audit tool is necessary
- Interpret and apply coverage issues accurately with a full understanding of the requirements surrounding good faith file handling
- Communicate effectively with all levels of employees, from front line claims representatives to department and company leaders
- Oversee the recovery operations: Follow all processes related to motor recoveries, such as the recovery of amounts paid by the company due to financial compensation resulting from accidents or damage to vehicles
- Negotiate with interested parties: Negotiating with other insurance companies in order to recover the amounts paid by the company to reach the highest value that can be recovered
- Collaborate with the legal department: Coordinate with the legal department to ensure that the amounts are recovered legally and in accordance with the company's internal regulations and policies in cases of recovery from individuals (personal recourse)
- Review refund claims: Study and analyze recovery claims, and ensure that they comply with the terms and conditions of the insurance policies and applicable laws
- Analyze data and statistics: Analyze financial and statistical data related to the recoveries department to identify patterns and opportunities to improve the efficiency of recovery processes and ensure compliance with best practices
- Prepare periodic reports: Prepare periodic financial and administrative reports for senior management, related to the volume of refunds collected, and the overall performance of the department, highlighting any issues or challenges that may affect the workflow
- Manage relationships with companies: Communicate with other companies to resolve vehicle recovery issues and ensure the highest levels of satisfaction and transparency
- Prepare and implement internal policies: Develop recovery policies and procedures to ensure efficient and effective workflow, and ensure that these policies are fully implemented
- Team Management: Lead and manage the team in charge of refund operations, including the allocation of tasks, and provide the necessary support to ensure the overall performance of the department is optimized
- Financial Efficiency: Optimize internal processes to reduce costs and increase the effectiveness of chargebacks, thereby contributing to improving the company's financial position
Fraud Control Officer
NOOR TAKAFUL INSURANCE CO.(Noor BPO)
Dubai
08.2014 - 02.2015
- Detecting internal & external fraud risk
- Development and Implementation of Fraud management plan for the organization
- Developing tools and techniques for detection and deterrence of fraud
- Promoting an anti-fraud culture that encourages employees, customers, agents/advisors, vendors, service partners to act with integrity, selflessness, objectivity, openness and honesty through communication and awareness programs
- Ensuring that all suspicions of fraud and corruption are investigated and reported in a professional and consistent manner
- Complying with relevant regulatory guidelines (e.g
- Insurance Fraud Monitoring Framework), etc
- Coordinate with Ethics & Code Committee on monthly basis to finalize all actionable in Fraud Proven Cases
- Training the employees about fraud prevention and detection
Motor Underwriting - Senior Officer
OMAN INSURANCE COMPANY
Dubai
06.2008 - 07.2014
- As underwriter I was responsible for the overall effective and efficient administration, assessment and settlement of motor underwriting in accordance with the professional underwriting procedures and customer excellence standards
- Handling Motor Policies of Corporate Clients
- Create the loss ratio report for fleet policies and direct policies
- Renewal of fleet policies and providing the same to the Brokers/Customers on time
- Handling Incoming calls from policyholders, responding to inquiries, resolving problems and correcting policy errors (if any)
- Handling all administrative tasks associated with the Motor Underwriting Department
- Preparing new motor quotations and renewal quotations for corporate and individual clients
- Policy, contract, and cover-note documentation preparation where required
- Visual inspection of motor vehicles
- Attending to walk in customers
Education
BA - MANAGEMENT OF RISK AND INSURANCE
THE HASHEMITE University
AZ-ZARQA, JORDAN02-2008
Skills
- Personal interaction
- Flexibility in the working environment
- Friendly, outgoing personality
- Excellent communication skills
- Highly motivated
- Teamwork
- Investigation leadership
- Report preparation
- Suspect interrogation
- Risk assessment
- Legal knowledge
- Budgeting and finance
Languages
- English, Very Good
- Arabic, Mother Tongue
References
- Mr. Husam El Shaikh, Arabia Insurance Co. - Jordan, Motor Claims Manager
- Mrs. Laila Yousuf, Noor Takaful Insurance Co., Dubai, UAE, Senior HR Manager
- Mr. Anil C Kapadiya, Oman Insurance Co., Senior VP Sharjah Br. Manager, Sharjah, UAE
Personal Information
- Date of Birth: 06/22/86
- Nationality: Jordanian
- Marital Status: Married with 2 kids
Professionalcourses
- Quality Customer Service, Telephone Etiquette, Communication Skills & Stress Management, SANAYA Training & Consulting, 04/03/17
- Fraud & Money Laundering in Insurance Industry, Emirates Institute for Banking and Financial Studies, 10/01/14
- Corporate Risk Management, Jordan Insurance Federation JOIF, 08/01/18
Certification
- Quality Customer Service, Telephone Etiquette, Communication Skills & Stress Management
- Fraud & Money Laundering in Insurance Industry.
- Corporate Risk Management
Languages
Arabic
First Language
English
Intermediate (B1)
B1
Timeline
Motor claims Senior Operation Officer & Recovery
ARABIA INSURANCE CO.- JORDAN LTD
06.2016 - Current
Fraud Control Officer
NOOR TAKAFUL INSURANCE CO.(Noor BPO)
08.2014 - 02.2015
Motor Underwriting - Senior Officer
OMAN INSURANCE COMPANY
06.2008 - 07.2014
BA - MANAGEMENT OF RISK AND INSURANCE
THE HASHEMITE University
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