Summary
Overview
Work History
Education
Skills
Accomplishments
Achievements
Timeline
Generic

Alastair Hamilton

Melbourne,VIC

Summary

Devoted Senior Claims Specialist with proven experience managing complex commercial property and construction claims from inception to finalisation. Provides world class customer and partner claims experiences with strong work ethic and exceptional interpersonal skills.

Overview

28
28
years of professional experience

Work History

Senior Claims Specialist

CGU
Melbourne, Victoria
08.2009 - Current
  • Extensive experience managing portfolio of complex commercial property claims including;
  • Industrial Special Risk Claims
  • Large and Commerical/Business Claims >$250
  • Contract Works
  • Machinery / Fusion
  • Agri / Large Farm losses >$250k
  • Commercial/Residential Strata losses >$250k
  • In depth knowledge of policy wordings and insurance coverage
  • Consulting with relevant adjusters and experts to determine validity of insurance claims
  • Travelling to customer sites to evaluate extent of damage for the purposes of formulating claim strategies to mitigates losses and build customer relationships
  • Managing relationship during entire claims process with customers and brokers
  • Properly manage applicable co-insurance whether as lead or a follow line
  • Reduced loss ratios through fair and prompt processing of claims
  • Coordinate emergency repairs to optimize claim handling and mitigation of loss.
  • Instructing and assisting legal providers on policy and indemnity issues
  • Identifying potential recoveries and liable parties at early stages of claim.
  • Develop and maintain effective relationships with key internal and external stakeholders to optimise outcomes, resolve complex issues, customer enquiries, escalations and complaints.
  • Working collaboratively with underwriting and risk services
  • Managing claims costs and trends to mitigate risk
  • Quality audits and bulk reviews
  • Mentoring and coaching junior claims staff

Senior Commerical Claims Consultant

CGU
Melbourne, Victoria
08.2008 - 08.2009
  • Authorise claims payments
  • To evaluate and appraise claims and ensure that they are dealt with promptly and efficiently
  • Manage, determine and negotiate claims settlements with authorities
  • Completion of large loss notifications
  • Signing off and maintaining of denials letters
  • Preparing a submission of claims to be referred to IDR
  • Auditing of claims for purpose of quality reviews
  • Point of contact for staff questions and queries
  • Advise claims manager of trends and issues in regards to specific claims

Commercial Claims Consultant

CGU
Melbourne, Victoria
07.2003 - 08.2008
  • To evaluate and assess claim and ensure that they are dealt with promptly
  • To ensure legitimate claims are settled accordance with policy conditions
  • Manage, determine and negotiate claims settlements with authorities including draft denials
  • Pro-actively manage and regularly review claim files and ensure they are adequately reserved

Domestic Claims Consultant

CGU
Melbourne, Victoria
03.2000 - 07.2003
  • Effective & courteous customer service
  • Manage claims within CGU claims handling guidelines
  • Prompt & accurate settlement of claims
  • Contribute to continuous improvements within the claims unit

Customer Service Officer

CGU
Melbourne, Victoria
09.1997 - 03.2000
  • Strong customer service focus
  • Answer enquires & provide Information on products & services offered by CGU
  • Resolve complaints & concerns
  • Handle a high volume of calls with efficiency & accuracy

Education

High School Diploma -

Trinity Grammar School
Kew, VIC

Skills

  • Proactive and confident decision making
  • Strong written and verbal communication skills
  • Excellent time management skills
  • Ability to work autonomously
  • Strong negotiation skills
  • Analytical Thinking
  • Active Listening
  • Report Writing
  • Coverage Determination
  • Policy Analysis
  • Settlement Determinations
  • Settlement Negotiations
  • Complex Indemnity Disputes
  • Claims Processing
  • Claims File Management Processes
  • Estimate Review Preparation
  • Reserves Adjustment
  • Payment Processing
  • Fraudulent Claims Investigation
  • Litigation Support
  • Compliance Management
  • Coaching and Mentoring
  • Team Collaboration
  • Relationship Building

Accomplishments

  • CGU Excellence in Claims Awards 2011 - Winner
  • CGU Excellence in Claims Awards 2009 - Victorian Bushfire Response Team
  • CGU Excellence in Claims Awards 2007 - Winner - Customer Excellence Assisting People

Achievements

  • Senior Claims Consultant of Emergency Response Team for 2009 Black Saturday Bushfires

Timeline

Senior Claims Specialist

CGU
08.2009 - Current

Senior Commerical Claims Consultant

CGU
08.2008 - 08.2009

Commercial Claims Consultant

CGU
07.2003 - 08.2008

Domestic Claims Consultant

CGU
03.2000 - 07.2003

Customer Service Officer

CGU
09.1997 - 03.2000

High School Diploma -

Trinity Grammar School

Similar Profiles

CREATE PROFILE
Alastair Hamilton