Bronwyn Maisey
Jimboomba,QLD
Summary
Results-driven Claims Manager adept at managing high caseloads with optimal productivity and efficiency. Possesing specialised skills in claims processing, regulatory compliance, and dispute resolution. Excel in communication, leadership, and problem-solving to navigate complex situations and deliver favorable outcomes.
Skilled in navigating complex insurance claims and providing thorough investigations to ensure fair settlements. Have experience coordinating with legal teams, policyholders, and insurance companies to manage claims efficiently. Known for strong analytical skills, ability to interpret policy details accurately, and effective communication that results in resolved disputes. Made significant impacts by streamlining claims processing procedures, enhancing customer satisfaction through timely resolutions.
Overview
6
6
years of professional experience
Work History
Claim's Manager
Suncorp
Brisbane, QLD
02.2022 - Current
- Developed procedures to streamline the claims process, improving overall efficiency.
- Implemented risk mitigation measures such as quality assurance reviews of high-risk cases.
- Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
- Created processes for tracking open cases, monitoring progress towards resolution goals.
- Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
- Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
- Negotiated settlement agreements between claimants and insurance companies when necessary.
- Maintained accurate records of all claim activities including payments, denials and appeals.
- Identified potential fraud cases by conducting investigations into suspicious activity.
- Collaborated with other departments to investigate potential coverage disputes or discrepancies.
- Analyzed claims data to identify patterns, fraud risks, and areas for process improvement.
- Managed team members effectively to meet high production standards with accurate results.
Secretary - Event Organisation
Flagstone Community Association
Jimboomba, QLD
01.2021 - 06.2022
- Provided administrative support to the Office Manager and other staff members.
- Responded to customer inquiries via email or telephone in a polite and professional manner.
- Created agendas and took minutes during meetings; distributed notes in a timely manner afterwards.
- Reviewed billing statements for accuracy prior to submitting them for payment processing.
- Processed invoices for payment; tracked payments received from vendors and clients.
- Performed data entry into computer systems; ensured accuracy of all entered information.
- Compiled data from various sources into clear, concise reports that could be used by management for decision-making purposes.
- Facilitated meetings between vendors and clients in order to discuss overall project scope and timeline.
- Developed promotional materials such as flyers, brochures or posters for marketing purposes prior to each event.
- Monitored budgeting process for each event to ensure cost efficiency.
- Sourced venues for events in accordance with client needs and preferences.
- Provided on-site support during the day of the event including problem solving if necessary.
Dairy Supervisor
Christoffel's Dairy
Cedar Grove, QLD
01.2019 - 06.2022
- Trained new hires on proper use of equipment, safety protocols and company policies.
- Supervised and coordinated the daily activities of dairy production personnel.
- Maintained accurate records of production data such as batch numbers, yields.
- Participated in meetings with other departments to discuss strategies or brainstorm solutions to problems.
- Assisted in developing annual budgets based on projected sales volumes or demand forecasts.
- Provided guidance on product specifications and quality control measures to ensure compliance with regulations.
- Performed regular audits of the facility's FSMS program in accordance with applicable regulations.
- Evaluated performance of employees and provided feedback to ensure quality standards were met.
- Scheduled maintenance activities for dairy processing machinery to maintain optimal working conditions.
- Addressed customer questions and explained key information about newly stocked dairy offerings.
- Managed daily operations, client relations and IT.
- Directed and supervised staff performance.
Education
Open Foundation Intensive - Social Sciences & Australian History
University of Newcastle Ourimbah Campus
Ourimbah, NSW10-2005
High School Diploma -
Beverley Hills Girls High School
Beverly Hills, NSW11-1993
Skills
- Personnel Training
- Quality Assurance
- Claims Evaluation
- Settlement Negotiations
- Policy Interpretation
- Customer Expectations Management
- Decision-Making
- Critical Thinking
- Problem-Solving
- Investigation Management
- Fraud identification
- Problem-solving aptitude
- Legal Compliance
- Team Management
- Expense Control
- Claims Processing
- Team motivation
Affiliations
- I enjoy swimming, picnics and spending time with my older children.
- Reading and watching crime series on netflix.
Accomplishments
- I have successfully organised christmas events for the community along with Easter and Halloween events.
- I volunteered for the Flagstone mens sheds in a secretarial role (2yrs). We held community events and raised funds for the organisation.
References
Suncorp
Sheree Davis
0424 854 469
Flagstone Community Association
Sarina Monoghan
0434 374 920
Timeline
Claim's Manager
Suncorp
02.2022 - Current
Secretary - Event Organisation
Flagstone Community Association
01.2021 - 06.2022
Dairy Supervisor
Christoffel's Dairy
01.2019 - 06.2022
Open Foundation Intensive - Social Sciences & Australian History
University of Newcastle Ourimbah Campus
High School Diploma -
Beverley Hills Girls High School
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