I am a professional insurance claims consultant with 8 years experience in the management of Personal and Commercial insurance claims. I have a solid background in the management of complex litigated and disputed claims. A highly skilled communicator, I am proficient in self managing a portfolio while building and developing strong relationships with both internal and external stakeholders
Overview
21
21
years of professional experience
Work History
Senior Claims Consultant
Citycover Insurance Brokers
Fortitude Valley, Brisbane
01.2015 - Current
Lodge, assess, and manage a broad range of General Insurance Claims
Specialties:
Commercial & Domestic Motor and Property
Personal Injury and Personal Accident
Public Liability
Management Liability
Contract Works
Industrial Special Risk
Travel
Ensure claims are paid in accordance with the policy wording and managed in compliance with The General Insurance Code of Practice
Build and develop strong internal and external stakeholder relationships through effective communication and negotiation
Provide a strong customer service focus Manage complex legal and disputed claims
Successfully manage high volumes of claims ensuring service levels are met
Responsible for developing a new Home Catastrophe Claims initiative following the Australia Day storm event
Successful in developing effective claims resolution strategies in order to deliver high levels of service
Identify process improvement to assist in meeting claims targets
Effective in managing complex claims on major client portfolio’s Provide constructive feedback and address any service issues with the relevant underwriters
Attended 2013 CQIB training.
Internal Dispute Resolution Officer
Suncorp Insurance
Brisbane
04.2011 - 05.2012
Assess and manage all claim decisions in accordance with the General Insurance Code of Practice and the Insurance Contracts Act Maintain sound knowledge of regulatory requirements, company processes, systems, products and brands Manage claim investigations relating to complex liability and fraudulent claims Ability to identify and report on systemic internal trends Demonstrate experience in managing customer and business partner relationships Strong verbal and written communication skills Respond to first line claim and policy complaints Provide general advice in relation to process, service, policy and the General Insurance Code of Practice Clear focus on customer service and service effectiveness to deliver a strong KPI performance Interpret policy coverage to ensure that coverage is correctly applied to the claim Strong ability to build and influence key internal stakeholder partnerships Effective time management capabilities Ability to work autonomously while being a key team member Excellent technical aptitude and ability to manage multiple systems Facilitated weekly interstate teleconferences Attended 2012 Financial Ombudsman Service Conference.
Litigation Claims Officer
Suncorp Insurance
Brisbane
11.2008 - 04.2011
Review and manage a portfolio of litigated and uninsured claims nationwide Reduce unnecessary claims complexity and sought expeditious resolution of claim conflicts Display sound decision making skill and commercial acumen when balancing risk Establish and build strong stakeholder partnerships with third party insurers, self- insurers, loss adjustors, panel lawyers, Statutory authorities and government Demonstrate a working knowledge of the Australian legal processes and procedures Understanding negligence in law Ability to work autonomously while being a highly regarded team member Demonstrate excellent written and verbal communication Strong attention to detail and system management Attend direction conferences, mediations and court appearances Responsible for quality auditing a panel of 7 legal firms Introduced a new legal firm onto the panel in 2010 Consistently exceeded in meeting all KPI’s.
Claims Recovery Officer
Suncorp Insurance
Brisbane
01.2007 - 11.2008
Manage high volumes of Personal and Commercial motor, property and liability claims Demonstrate a working knowledge of legislation, regulation, company policies and procedures Understand the elements of negligence and contributory negligence Negotiate and formulate offers in relation to costs Assess and prepare supporting documentation for recovery Implement delegations of authority Demonstrate effective negotiation capabilities Display a high level of system knowledge Excellent customer service and communication skills Effective team member with the ability to work autonomously Successful in obtaining Range 5 Certification within first year.
Collections Officer
Axcess Group
Brisbane
03.2005 - 01.2007
Collection of outstanding debt through outbound telephone calls Perform investigation functions for the purpose of locating debtors Assess and manage delinquent accounts Effective in negotiating payment and putting in place debt agreements Manage legal and bankruptcy accounts.
Collections Officer
Repcol Pty Ltd
Brisbane
10.2004 - 03.2005
Fire Warden and OH&S Officer
Quality Assurance Officer
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Collections Officer
Axcess Group
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Manage a high level of delinquent accounts Perform debt collection activity through outbound telephone calls Exercise strong negotiation skills in relation to repayment and setting up individual agreements Demonstrate effective verbal and written communication Ability to perform skip trace functions Understand the ACCC‘s debt recovery guidelines and National Privacy Principles Maintain accurate records and repayment reconciliation System capability.
Education
Certificate in Business Administration (Microsoft Word, Excel and Access) Morton -
Institute of Tafe
Bachelor of Arts Degree - Sociology
University of Canterbury
Skills
Conflict Resolution
Legal Claims
Analytical
Fraudulent Claims
Results-oriented
MS Office
Investigator
Process
Writing processes
Policy coverage expert
Underwriting knowledge
Accomplishments
Personal Information
I’m a real ‘foodie’, I have a mountain of celebrity chef books and I love cooking for my
family and friends. I enjoy photography, dress making and learning about interior design.
Interests
My family are ‘great outdoors’ people, so camping and kayaking are always on the agenda in
the warmer months I also enjoy walking, reading and watching a good thriller I’m a big
Training
CQIB
Insurance Contracts Act - Barry Nilsson Lawyers
Sales & Development - Craig Leany
Liability - QBE
Timeline
Senior Claims Consultant
Citycover Insurance Brokers
01.2015 - Current
Internal Dispute Resolution Officer
Suncorp Insurance
04.2011 - 05.2012
Litigation Claims Officer
Suncorp Insurance
11.2008 - 04.2011
Claims Recovery Officer
Suncorp Insurance
01.2007 - 11.2008
Collections Officer
Axcess Group
03.2005 - 01.2007
Collections Officer
Repcol Pty Ltd
10.2004 - 03.2005
Fire Warden and OH&S Officer
Quality Assurance Officer
.1 -1 - .1 -1
Collections Officer
Axcess Group
.1 -1 - .1 -1
Certificate in Business Administration (Microsoft Word, Excel and Access) Morton -
Account Manager at Fitzpatrick & Co Insurance Brokers now Aviso Specialty Insurance BrokersAccount Manager at Fitzpatrick & Co Insurance Brokers now Aviso Specialty Insurance Brokers
Regional Business Development Manager at Good insurance brokers private limited(Heart beat brokers)Regional Business Development Manager at Good insurance brokers private limited(Heart beat brokers)