Successful and experienced at compliance administration and dispute resolution.
Adept at managing interface between stakeholders and clients. Highly productive and meticulous attention to detail.
I welcome accountability and love working in engaged teams
Overview
16
16
years of professional experience
Work History
Claims Assessor
ACA Health & Benefits Fund
04.2019 - Current
Investigated and processed ancillary, medical and hospital insurance claims for policyholders.
Completed 73% of total ancillary claims as a part time employee
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Developed strong relationships with external partners such as healthcare providers and billing hubs ensuring timely access to necessary information for accurate assessments.
Ensured compliance with regulatory guidelines by staying up-to-date on industry standards and integrating them into daily workflows.
Reduced turnaround time for claim settlements by prioritizing tasks, effectively managing caseloads, and collaborating with cross-functional teams.
Collaborated with members, hospitals and medical professionals to obtain accurate information for precise assessments, resulting in fair claim outcomes.
Completing mandatory government reporting within allocated timeframes
Provided ongoing support to colleagues through mentorship and training sessions, fostering a cohesive team environment that improved overall productivity.
Consistently met or exceeded performance goals set by management, demonstrating commitment to excellence within the role of Claims Assessor.
Effectively managed high-pressure situations during peak periods of claims activity while maintaining professional demeanour and efficient performance levels.
Handled complaints and grievances using negotiating and problem-solving skills.
Business Development Manager- Part Time
Alfasi Hire
07.2018 - 02.2019
Completed turn-around of a portfolio of neglected client relationships from $39k/mth to $170k/mth within 6 months working P/T 3 days a week
Performed client research and identified opportunities for account growth, account penetration and market expansion.
Negotiated and closed long-term agreements with new clients in assigned territory.
Achieved sales goals and service targets by cultivating and securing new customer relationships.
Negotiated lucrative contracts with suppliers and vendors, securing favourable pricing and terms for the company.
Reached out to potential customers via telephone, email, and in-person inquiries.
Delivered compelling sales presentations to prospective clients, highlighting the unique value proposition of our products and services.
Consistently met or exceeded monthly quotas through diligent prospecting efforts, relentless follow-up activities, and expert negotiation skills.
Facilitated regular communication with clients to ensure their needs were met, fostering long-lasting relationships built on trust and mutual respect.
Engaged in product training, demonstrations, consumer awareness, branding, and acquisition initiatives to raise awareness and revenues.
Medical Administration
SAN Pathology
10.2015 - 02.2016
Provided prompt, polite and professional in-person and telephone customer service.
Managed appointment scheduling for multiple healthcare providers, ensuring optimal utilization of resources and time.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Supported administrative team members by assisting with task such as sorting mail, and organizing meeting schedules.
Extensive data entry of patient pathology test
Facilitated communication between patients and healthcare providers by serving as a liaison during phone calls or in-person meetings.
Sales & Marketing Coordinator
Evolve Lifewares
05.2014 - 05.2017
Created 2017/18 marketing strategy and media recommendations including overhauling website, introducing mobile, creating EDM's resulting in 55% increase to website traffic and above benchmark click-through rates
Developed retailer presentations and B2B selling decks
Managed consumer & customer enquiries and deployment of product samples
Optimized marketing materials with engaging visuals and persuasive copy, resulting in higher conversion rates.
Conducted market research to identify trends and competitor strategies, informing adjustments to company offerings accordingly.
Managed advertising budgets effectively while negotiating favourable rates for media placements across various channels.
Commissioned design for new range of bathroom accessories (13 SKU's).
Delivered weekly performance reports
Marketing Assistant- Internship
Sanitarium Health & Wellbeing
02.2013 - 01.2014
Commissioned research amongst Baby Boomers to develop detailed recommendations for how Sanitarium could leverage opportunities amongst Boomers
Managed a $400k Consumer Promotion for Weet-Bix
Requiring stakeholder alignment, negotiating prizes with multiple suppliers, inventory management
Working with international suppliers and retailers, sourced a promotional breakfast bowl and coordinated with our promotional agency to create a gift-with-purchase consumer promo.
Aided in budget management, tracking expenses and analyzing return on investment metrics to optimize marketing spend.
Facilitated cross-functional collaboration between marketing teams to ensure cohesive messaging across all communication channels while meeting project deadlines effectively.
Maintained documentation, detailing assignments, in-progress work and completed project milestones.
Conducted thorough research to construct creative and fresh ideas.
Proofread marketing collateral ahead of printing to eliminate errors.
Updated spreadsheets with statistical, financial and non-financial information.
Identified appropriate marketing channels and target customers for campaigns.
Collaborated with cross-functional teams to develop and implement market research strategies.
Assembled reports and presentations to share insights and recommendations with stakeholders.
Implemented and supervised market research projects from start to finish with focus groups, surveys and interviews.
Territory Manager
Sanitarium Health & Wellbeing
04.2011 - 02.2013
Improved customer satisfaction and retention through frequent visits, timely response to inquiries, and effective problem resolution.
Developed strong relationships with key decision-makers, fostering trust and loyalty in the assigned territory.
Achieved established KPI for company and individual performance through teamwork and focus on customers.
Worked with vendors and suppliers to support timely delivery of products and services.
Identified opportunities for upselling and cross-selling, resulting in increased average deal size.
Accounts Receivable
Lion Nathan
03.2010 - 04.2011
Debt collection whereby I persistently and effective cleared outstanding accounts
Managed monthly account reconciliation
Implementation of a customer care process which delivered improved cash flow
Utilising SAP when managing stakeholder accounts.
Account Manager/Sales & Admin Support
Alfasi Hire
06.2008 - 03.2010
Account Manager of top 20 civil construction builders and 1-200 smaller building contractors, including high-level negotiation with preparing and presenting detailed renewal proposals
Increased client satisfaction by building strong relationships and addressing their needs promptly.
Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
Negotiated contract terms with clients, securing favourable agreements for both parties.
Cultivated long-term relationships with key stakeholders in assigned accounts, fostering trust and loyalty among clients.
Trained new employees on customer service and organising strategies.
Quoted prices, credit terms and other bid specifications.
Educated clients on new products or services to increase customer engagement with brand.
Frequently exceeded both the business and personal monthly KPI's targets
Actively participated in networking events within the industry, expanding professional connections and generating leads.
Education
Medical Administration Training - Medical Administration
Medical Administration Training
10.2015
Diploma of Marketing -
Holmesglen Institute of TAFE, Vic
11.2014
VCE (Year 12) -
Nunawading Adventist College VIC
01.2004
Skills
Professional Ethics
Policy Interpretation
Financial Acumen
Team collaboration
Insurance knowledge
Customer service
Attention to detail
Time management
Decision-making abilities
Critical thinking
Relationship Building
Effective communication
Accomplishments
Recipient of 2023 Employee Recognition Award at ACA Health
Why Me
Successful and experienced at compliance administration and dispute resolution
Adept at managing interface between stakeholders and clients
Highly productive and meticulous attention to detail
I welcome accountability and love working in engaged teams
Hobbies and Interests
Cross fit
Church small group
Adventuring
Brunches with friends
References
Available upon request
Affiliations
Leading and teaching small study group for 10 years at Fox Valley SDA Church
Movement, I thoroughly enjoy all types
Languages
French
Limited Working
Timeline
Claims Assessor
ACA Health & Benefits Fund
04.2019 - Current
Business Development Manager- Part Time
Alfasi Hire
07.2018 - 02.2019
Medical Administration
SAN Pathology
10.2015 - 02.2016
Sales & Marketing Coordinator
Evolve Lifewares
05.2014 - 05.2017
Marketing Assistant- Internship
Sanitarium Health & Wellbeing
02.2013 - 01.2014
Territory Manager
Sanitarium Health & Wellbeing
04.2011 - 02.2013
Accounts Receivable
Lion Nathan
03.2010 - 04.2011
Account Manager/Sales & Admin Support
Alfasi Hire
06.2008 - 03.2010
Medical Administration Training - Medical Administration
Medical Administration Training
Diploma of Marketing -
Holmesglen Institute of TAFE, Vic
VCE (Year 12) -
Nunawading Adventist College VIC
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