Open to opportunities

Claire Ebomwonyi

@claireebomwonyi

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Compassionate insurance claims specialist skilled in claims processing, client support, and process improvement.

Canada

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What I'm looking for

I seek a role in insurance claims or operations where I can apply technical tools, improve processes, mentor peers, and deliver empathetic client support.

I am an experienced insurance claims professional with a proven record in handling high-volume inbound calls, claim coding, and regulatory compliance. I combine empathy with accuracy, maintaining strong client satisfaction while meeting strict audit standards.

At PwC and prior employers I consistently achieved high accuracy and on-time resolution rates, triaging complex cases, de-escalating sensitive situations, and contributing to measurable reductions in rework and resolution time. I have hands-on experience with Guidewire, HCAI, SharePoint and Salesforce.

I also contributed to process and data-improvement initiatives — developing file cleanup systems, creating Microsoft 365 tools for call workflows, and supporting learning and development research that met project KPIs. My background includes underwriting assistance, technical support, and claims coordination across several major insurers.

I seek to bring my combination of technical proficiency, regulatory knowledge, and compassionate client communication to a team focused on continuous improvement and excellent client outcomes.

Experience

Work history, roles, and key accomplishments

Current

Claims Support Specialist

Current

PricewaterhouseCoopers

Handled 40+ inbound calls daily and triaged 20+ support tickets per day, achieving a 95% on-time resolution rate and reducing resolution time by 15% through effective escalation and de-escalation.

Claims Management Customer Service Documentation Quality Assurance & Compliance Ticketing Systems

Accident Benefits Coordinator

CAA Insurance Company

Jul 2024 - May 2025 (10 months)

Processed 150+ healthcare disability invoice claims monthly using HCAI and Guidewire, maintaining 98% compliance and improving claims response times by 20% through proactive communications.

Invoice Processing SharePoint Client Communication File Management Accident Benefits

Technical Support Representative

LLP Insurance

Nov 2023 - Feb 2024 (3 months)

Monitored 80+ client accounts weekly and implemented a file cleanup system that reduced outdated records by 60%, improving broker access speeds by 25% and resolving 90% of issues on first contact.

Technical Support CRM File Cleanup Reporting MVR Retrieval Documentation

Underwriting Assistant

Intact Insurance

May 2021 - Jan 2023 (1 year 8 months)

Processed and escalated 30+ policy issues weekly and reviewed 25+ policies daily, correcting errors across 1,000+ documents and increasing accuracy by 35% through targeted quality checks.

Policy Reviews Hit Reports Quality Control Cross Functional Collaboration Research & Compliance

Administrative Assistant

ALS Society of Canada

Apr 2021 - May 2021 (1 month)

Supported fund development administrative tasks and office operations during a short-term placement from April to May 2021.

Administrative Support Fund Development Assistance Data Entry Office Administration

Digital Customer Service Agent

SP Data

Apr 2020 - Oct 2020 (6 months)

Assisted 70+ customers daily on pre-sales, claims, and billing, reducing escalations by 15% and creating Microsoft 365 tools used in 50+ workflows and 10 training sessions.

Customer Service Workflow Design Training Billing Support Upselling Dispute Resolution

Administrative Assistant

Adventure Canada

Jul 2019 - Nov 2019 (4 months)

Provided administrative support to operations and logistics during seasonal period, supporting program delivery and office functions from July to November 2019.

Administrative Support Scheduling Documentation Data Entry