Shukur Shikhaliyev
Baku City,BA
Summary
Dynamic Senior Claims Specialist with extensive expertise in claims analysis and negotiation at PASHA INSURANCE. Proven track record in fraud detection and regulatory compliance, delivering swift resolutions and enhancing customer satisfaction. Adept at critical thinking and team collaboration, consistently achieving efficient claims processing and maintaining high standards of service excellence.
Overview
11
11
years of professional experience
Work History
Senior Claims Specialist
PASHA INSURANCE
BAKU
12.2022 - Current
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Handled modification and updating of policies.
- Evaluated financial information provided by claimants in order to process payments quickly and accurately.
- Assessed property damages and coordinated with repair professionals for estimates.
- Assessed and conducted negotiations within authority limits to settle claims.
- Maintained up-to-date knowledge of insurance laws and regulations.
- Documented all claim activities in a clear and concise manner.
- Analyzed and interpreted policy terms to apply appropriate coverage.
Claims Specialist
QALA INSURANCE
BAKU
12.2020 - 11.2022
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Assessed property damages and coordinated with repair professionals for estimates.
- Planned and conducted investigations of claims to confirm coverage and compensability.
- Generated weekly reports summarizing progress made on active cases.
- Analyzed and interpreted policy terms to apply appropriate coverage.
- Handled modification and updating of policies.
- Evaluated financial information provided by claimants in order to process payments quickly and accurately.
- Maintained up-to-date knowledge of insurance laws and regulations.
Customer Service Representative
AZERCONNECT
BAKU
04.2019 - 11.2020
- Assisted customers with price checks, lifting heavy items and addressing other inquiries.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Answered inbound calls, chats and emails to facilitate customer service.
- Provided exceptional customer service to ensure customer satisfaction.
- Implemented innovative methods for streamlining the customer service process.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Coordinated with internal teams to ensure timely and successful delivery of solutions according to client needs.
- Maintained a high level of professionalism when dealing with difficult customers.
Claims Adjuster
ZAMAN INSURANCE AND REINSURANCE
BAKU
10.2017 - 02.2018
- Communicated with personnel and legal counsel on claims involving litigation.
- Contacted banks to acquire credit information.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Assisted in fraud detection and prevention efforts by identifying suspicious claim activities.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Identified and obtained evidence to ascertain claim value.
Claims Representative
Standard Insurance
BAKU
06.2014 - 10.2017
- Reduced loss ratios through fair and prompt processing of claims.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Provided technical support to staff members regarding system upgrades or changes in procedure.
- Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
Education
Bachelor - Finance
Aerbaijan State Economic University
Baku, Azerbaijan05.2013
Skills
- Claims analysis
- Fraud detection
- Claims negotiation
- Regulatory compliance
- Customer service
- Problem solving
- Attention to detail
- Team collaboration
- Critical thinking
- Claims management expertise
Languages
IELTS, 6.5, 02/01/13, Əla, Ana dili
Training
- ACADEMIC IELTS (British Council), 6.5, 02/01/13
- ACCA - Financial Accounting (F3), 08/01/19
- Plus opinions - international finance, 08/01/19
- PSS-2 Professional Insurer, 03/01/2022
- Coursera - USA/Finance, 12/01/13
- Coursera - US/Marketing, 10/01/13
Personal Information
Date of Birth: 04/21/92
Languages
AZERBAIJANI
First Language
English
Advanced (C1)
C1
Russian
Advanced (C1)
C1
Turkish
Proficient (C2)
C2
Timeline
Senior Claims Specialist
PASHA INSURANCE
12.2022 - Current
Claims Specialist
QALA INSURANCE
12.2020 - 11.2022
Customer Service Representative
AZERCONNECT
04.2019 - 11.2020
Claims Adjuster
ZAMAN INSURANCE AND REINSURANCE
10.2017 - 02.2018
Claims Representative
Standard Insurance
06.2014 - 10.2017
Bachelor - Finance
Aerbaijan State Economic University
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