Compliance & Claims professional with demonstrated expertise in regulatory adherence and risk management. Adept at developing and implementing compliance programs that ensure alignment with industry standards. Skilled in claims, policy development, auditing, and problem-solving, ensuring organisational integrity and trust.
Overview
30
30
years of professional experience
Work History
Claims & Compliance Specialist
Opendoor (formerly WCIG)
04.2023 - Current
Processed and evaluated claims for accuracy and compliance with company policies.
Conducted compliance audits to ensure adherence to regulatory standards.
Reviewed documentation for accuracy and compliance with Department Guidelines/Deed requirements.
Served as a point of contact for employees seeking guidance on compliance matters, instilling confidence in the organization''s commitment to regulatory adherence.
Collaborated with cross-functional teams to address compliance-related inquiries.
Conducted thorough reviews of claim files, identifying potential fraud or inaccuracies.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Evaluated claim documentation to verify eligibility and entitlement for benefits.
Disability Employment Consultant
Opendoor (formerly WCIG)
06.2021 - Current
Monitored participant's progress and provided encouragement and motivation to succeed.
Participated in community programs and events to communicate and promote development of job opportunities for participants.
Communicated and exchanged information with assigned case manager and other team members involved with assigned participants.
Interviewed participants and other supports to determine interests, desires, barriers and skills.
Partnered with departmental managers to ascertain hiring needs and subsequently provide candidate recommendations.
Pre-screened resumes prior to sending to corporate hiring managers for consideration.
Administered benefits programs, analyzed compensation and other competitive data and prepared budgets.
Called on potential employers to explain benefits of employing participants and possible training opportunities.
Assisted senior management with making key decisions by developing and submitting performance and compensation reports with status updates and improvement recommendations.
Team Leader
Qantas Airways
02.2013 - 11.2020
Directed and supervised team of up to 20 engaged in work and productivity development.
Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
Managed schedules, accepted time off requests and found coverage for short shifts.
Documented counts and sorted finished work to promote easy access for shipping or additional processing.
Took on additional job duties during unexpected backlog, resulting in meeting project target date.
Identified stock imperfections, assigned grades and noted production concerns based on regular inspections.
Continuously checked products for quality assurance according to strict guidelines.
Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
Operated production machinery safely to reduce workplace accidents.
Participated in cross-functional team-building activities.
Evaluated employee skills and knowledge regularly, training and mentoring individuals with lagging skills.
Established open and professional relationships with team members to achieve quick resolutions for various issues.
Trained new team members by relaying information on company procedures and safety requirements.
Tracked employee hours and inventory movements.
Prepared detailed reports on updates to project specifications, progress, identified conflicts and team activities.
Mentored and guided employees to foster proper completion of assigned duties.
Diploma Community Services
09.2012 - 02.2013
Customer Service, Mortgage Compliance & Processor
Commonwealth Bank - Commonwealth Bank
01.1996 - 01.2001
Was part of setting up a new call center in Tasmania as part of new contract
Developed and implemented performance improvement strategies and plans to promote continuous improvement.
Increased customer satisfaction by resolving issues.
Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
Served customers and followed outlined steps of service.
Drove operational improvements which resulted in savings and improved profit margins.
Used Microsoft Word and other software tools to create documents and other communications.
Carried out day-day-day duties accurately and efficiently.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Increased customer satisfaction by resolving issues.
MCG
03.1996 - 09.2001
Helped customers complete purchases.
Restocked and organized merchandise in front lanes.
Completed inventory counts and ordered merchandise.
Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Replenished sales floor merchandise and organized shelves, racks and bins for optimal appearance.
Worked closely with shift manager to solve problems and handle customer concerns.
Worked flexible schedule and extra shifts to meet.
Business needs.
Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
Administration Officer
Marcel Dachet
01.1995 - 02.1996
Established positive working relationships with colleagues, manager and customers through regular communication and effective anticipation of needs.
Liaised with customers to align goals and effectively manage project completion.
Managed CRM database, including troubleshooting, maintenance, updates and report generation.
Contributed to team goal-achievement by collaborating with staff to develop customer service improvement initiatives.
Screened and transferred incoming calls, took down messages and transmitted information and documents to internal personnel as point of contact for office.
Education
Some College (No Degree) - Diploma Community Services
Inspire Education
Certificate 4 Customer Contact
CBA
01.2006
Cert 2 And 3 in Information Technology
Kangan Institute
01.1996
Skills
Staff Management
Training and Development
Conflict Resolution
Bilingual in Portuguese and English
Employee coaching
Eligibility requirements
Attention to detail
Recruitment and hiring
Planning and Coordination
Self-Motivated Professional
Interpersonal Communication
Organization and Time Management
Cultural Awareness
Continuous improvements
In-Person and Telephone Interviewing
Referees
Andrew Hills Group Manager 0407 092 561
Margaret Lever Qantas Manager 0425 794 162
Johnathan Hall WCIG Manager 0406 420 992
Timeline
Claims & Compliance Specialist
Opendoor (formerly WCIG)
04.2023 - Current
Disability Employment Consultant
Opendoor (formerly WCIG)
06.2021 - Current
Team Leader
Qantas Airways
02.2013 - 11.2020
Diploma Community Services
09.2012 - 02.2013
MCG
03.1996 - 09.2001
Customer Service, Mortgage Compliance & Processor
Commonwealth Bank - Commonwealth Bank
01.1996 - 01.2001
Administration Officer
Marcel Dachet
01.1995 - 02.1996
Certificate 4 Customer Contact
CBA
Cert 2 And 3 in Information Technology
Kangan Institute
Some College (No Degree) - Diploma Community Services