Summary
Overview
Work History
Education
Skills
Timeline
Generic

Dalila Laieb

Summary

Experienced operator within the workers compensation industry performing various roles at Agents, Employers and Self Insurers. Experience operating ACCTION , NOVUS, QuickClaim and Microsoft Suite ( Word, Excel, OneNote, Outlook)


Familiar with all aspects of end to end management of WorkCover Claims administration

Overview

33
33
years of professional experience

Work History

Claims Coordinator

Ambulance Victoria
02.2023 - Current
  • Manage the WorkCover administration via Ambulance Victoria's records management platforms, in accordance with Ambulance Victoria's records management requirements
  • Manage the end to end process of WorkCover claims administration, including registration of new Claims; forwarding new claims to the WorkCover Agent within relevant timeframes and issuing letters and notifying injured workers of the status of the claim
  • Review and register Certificates of Capacity. Notify injured workers and/or practitioners when a Certificate of capacity is invalid
  • Review, reconcile and notify payroll team to process weekly compensation payments and other associated WorkCover entitlements

Return to Work Coordinator

BlueCross
06.2012 - 10.2018
  • Manage end to end process of WorkCover Claims
  • Preparation, implementation and management of Return to Work plans
  • Engagement with injured workers and Management to ensure compliance with legislation and company policies
  • Implementation and use of Novus and QuickClaim


Case Manager

LKA Group Pty Ltd
07.2009 - 01.2012
  • File allocation to Investigators through provision of investigation plans
  • Liaise with Agents regarding instructions and due date compliance

Case Manager

Gallagher Bassett
11.2006 - 06.2009
  • Management of end to end process of WorkCover Claims in accordance with WorkCover legislation
  • Implementation and monitoring of Return to Work plans
  • Paying weekly compensation and medical and like invoices on ACCTION
  • Liaison with key stakeholders including but not limited to injured workers, employers, treating medical practitioners, solicitors, rehabilitation providers etc

Case Manager

QBE
08.2006 - 11.2006
  • Management of end to end process of WorkCover Claims in accordance with WorkCover legislation
  • Implementation and monitoring of Return to Work plans
  • Liaison with key stakeholders including but not limited to injured workers, employers, treating medical practitioners, solicitors, rehabilitation providers etc

Workers Compensation Administrator

Fairfax Media
02.2006 - 08.2006
  • Payment of weekly compensation and medical and like invoices
  • Maintaining in house database with Certificates of Capacity, medical invoices

WorkCover Claims Advisor

Moreland City Council
04.2002 - 11.2005
  • Liaison with Agent
  • Coordination of Return to Work process in collaboration with Rehabilitation Providers
  • Implementation and monitoring Return to Work plans
  • Representing Council at Conciliation
  • Representing Council at Agent claims reviews
  • Calculation of weekly compensation payments
  • Provision of advice to injured workers and management re injury management and compliance with legislation

Client Services Assistant

VACC WorkSafe Insurance Pty Ltd
02.1999 - 02.2000
  • Assisting Client Service Officers with end to end management of WorkCover Claims
  • Payment of weekly compensation and medical and like invoices on ACCTION

Claims Manager

The University Of Melbourne
03.1995 - 05.1998
  • Managing and renewing University's self insurance licence
  • Management of end of end process of WorkCover claims
  • Representing University at Conciliation Service
  • Providing advice to Solicitors on Common Law matters
  • Determining liability of new claims
  • Assessing General Insurance and Public Liability claims

Senior Claims Officer

CIC Workers Compensation
02.1991 - 03.1995
  • Management of end to end process of workers compensation claims in accordance with legislation
  • Implementation and monitoring of Return to Work plans
  • Paying weekly compensation and medical and like invoices on ACCTION
  • Liaison with key stakeholders including but not limited to injured workers, employers, treating medical practitioners, solicitors, rehabilitation providers etc

Education

Bachelor of Arts -

The University of Melbourne
Carlton, VIC

No Degree - Advanced Return To Work Management

Xchanging/WorkSafe
Melbourne, VIC
07.2016

No Degree - Role of The Return To Work Coordinator

Xchanging/WorkSafe
Melbourne, VIC
10.2015

Skills

  • In excess of 25 years experience in workers compensation industry
  • Experienced operator of ACCTION, NOVUS, QuickClaim, Microsoft Office including Excel, Word, Outlook and OneNote
  • Effective time management, written and oral communication skills
  • Ability to work both within a team and independently

Timeline

Claims Coordinator

Ambulance Victoria
02.2023 - Current

Return to Work Coordinator

BlueCross
06.2012 - 10.2018

Case Manager

LKA Group Pty Ltd
07.2009 - 01.2012

Case Manager

Gallagher Bassett
11.2006 - 06.2009

Case Manager

QBE
08.2006 - 11.2006

Workers Compensation Administrator

Fairfax Media
02.2006 - 08.2006

WorkCover Claims Advisor

Moreland City Council
04.2002 - 11.2005

Client Services Assistant

VACC WorkSafe Insurance Pty Ltd
02.1999 - 02.2000

Claims Manager

The University Of Melbourne
03.1995 - 05.1998

Senior Claims Officer

CIC Workers Compensation
02.1991 - 03.1995

Bachelor of Arts -

The University of Melbourne

No Degree - Advanced Return To Work Management

Xchanging/WorkSafe

No Degree - Role of The Return To Work Coordinator

Xchanging/WorkSafe
Dalila Laieb