Brett Belz
Richlands,Qld
Summary
Accomplished professional with expertise in claims leadership and operations, specialising in complex claims assessment and technical escalations. Demonstrates proficiency in complaints and IDR management, procedural fairness, and decision writing, with a strong ability to interpret policy and legislative frameworks. Proven track record in quality assurance, auditing, fraud investigations oversight, and risk management compliance. Adept at team leadership and coaching, fostering stakeholder relationships while driving operational improvement and transformation. Committed to process development that enhances efficiency within medical and travel claims sectors.
Overview
6
6
years of professional experience
Work history
Head of Claims
Go Insurance
2022.10 - Current
- Lead the day-to-day operations of the claims department for a national travel insurer.
- Manage claims operations across medical, cancellation, luggage, delay and complex travel claims.
- Provide leadership and oversight to claims staff, technical claims personnel and leadership team members.
- Handle escalated, high-value and technically complex claims matters.
- Manage complaints and internal dispute resolution matters, including AFCA escalations.
- Work closely with underwriters, external assistance providers and key business stakeholders.
- Develop and improve claims procedures, templates, workflows and operational processes.
- Lead quality assurance, audit response activities and compliance improvements.
- Support fraud and investigation referrals and oversight of complex investigations.
- Assist with claims transformation initiatives and implementation of operational improvements.
- Act as an on-call escalation contact for urgent medical and travel assistance matters.
Team Leader, Shared Services and Investigations
Cover-More Travel Insurance
2020.10 - 2022.07
- Introduced innovative solutions which maximised output without compromising quality.
- Handled employee grievances professionally, minimising potential workplace disputes.
- Streamlined workflow for a more efficient process.
- Fostered a high-performing environment to drive productivity and quality.
Education
COMPLIANCE WORKSHOP FOR INSURANCE PROFESSIONALS -
COMPLIANCE ADVOCACY SOLUTIONS
Skills
- Claims Leadership & Operations
- Complex Claims Assessment
- Technical Claims & Escalations
- Complaints & IDR Management
- Procedural Fairness & Decision Writing
- Policy & Legislative Interpretation
- Quality Assurance & Auditing
- Fraud & Investigations Oversight
- Team Leadership & Coaching
- Stakeholder Relationship Management
- Medical & Travel Claims
- Operational Improvement & Transformation
- Process Development
- Risk Management & Compliance
Timeline
Head of Claims
Go Insurance
2022.10 - Current
Team Leader, Shared Services and Investigations
Cover-More Travel Insurance
2020.10 - 2022.07
COMPLIANCE WORKSHOP FOR INSURANCE PROFESSIONALS -
COMPLIANCE ADVOCACY SOLUTIONS