Results-driven insurance professional with a proven track record in managing complex claims and delivering high-quality service. Known for exceptional communication skills, problem-solving abilities, and a strong commitment to accuracy and compliance. Experienced in quality assurance, workflow database management, and mentoring team members in high-volume environments. Highly adaptable, with excellent time management and multitasking capabilities, consistently ensuring efficient claims handling and customer satisfaction. Currently seeking to apply this expertise in a professional indemnity claims role.
Overview
15
15
years of professional experience
Work History
Senior Claims Officer – Property Liability
Suncorp
Sydney
07.2021 - Current
Managed a portfolio of complex property and liability claims from initial validation through to resolution, ensuring timely and cost-effective outcomes aligned with service level agreements.
Assessed coverage for indemnity, legal liability, and quantum issues, making sound and defensible decisions in accordance with policy terms.
Appointed and coordinated with key external stakeholders including solicitors, brokers, investigators, and loss adjusters to support efficient and thorough claim resolution.
Maintained accurate and realistic reserves, regularly reviewing and adjusting estimates to reflect ongoing developments and mitigate financial exposure.
Applied and upheld best-practice claims handling procedures in alignment with internal policies and industry standards.
Mentored and supported a team of claims officers, fostering capability development through coaching, feedback, and technical support.
Conducted monthly quality assurance reviews on team files, ensuring compliance, accuracy, and continuous improvement in claims management practices.
Complaint handling and resolution for escalated matters, providing guidance and promoting positive customer outcomes.
Actively contributed to team meetings and technical forums, promoting knowledge sharing and continuous learning.
Identified and recommended process improvements to enhance operational efficiency and service delivery.
Claims Officer - Property Liability
Suncorp
Sydney
08.2013 - 07.2021
Managed a portfolio of claims from validation through to finalization, ensuring timely and cost-effective outcomes aligned with Service Standard requirements.
Assessed and determined appropriate coverage, including indemnity, legal liability, and quantum issues.
Appointed, instructed, and liaised with external service providers such as solicitors, brokers, investigators, and loss adjusters to facilitate efficient claim resolution.
Maintained realistic and adequate reserves on all claims, closely monitoring fluctuations in estimates to reflect ongoing claim costs.
Applied claims handling processes in accordance with liability policies, procedures, and Service Standards.
Prepared and typed correspondence related to claims activities, ensuring clear and professional communication.
Provided training and support to junior team members, fostering skill development and enhancing team capability.
Claims Officer - Commercial Property
Resilium, Suncorp
Sydney
08.2012 - 08.2013
Managed a portfolio of commercial property claims from lodgement through to finalisation, ensuring timely and cost-effective outcomes aligned with service level agreements.
Handled inbound and outbound calls with customers, suppliers, and intermediaries (including brokers), providing timely claim updates and addressing inquiries.
Collaborated with internal and external stakeholders to facilitate efficient claim resolution and maintain clear communication throughout the claims process.
Utilised product disclosure statements to determine claims acceptance and assess policy coverage, including indemnity, legal liability, and quantum issues.
Identified and resolved complaints, ensuring customer satisfaction and adherence to company policies.
Accurately recorded claims information into claims management systems, maintaining comprehensive and up-to-date records.
Insurance and Claims Officer
MTAA and HIP Superannuation Funds, Superpartners
Sydney/Perth
08.2010 - 04.2012
Administered and assessed insurance applications, including underwriting select policies with accuracy and attention to detail.
Managed policy changes such as increases, adjustments, and cancellations to maintain accurate policy records.
Administered and assessed Income Protection and Total and Permanent Disablement (TPD) claims, ensuring adherence to relevant guidelines.
Liaised effectively with members and fund insurers, promptly responding to queries and providing clear, accurate information.
Reviewed and rectified forms with outstanding or missing information in a timely manner, ensuring smooth processing and compliance.
Delivered exceptional customer service by managing expectations and providing high-quality, accurate insurance information and quotes in line with regulatory, legal, and company standards.
Conducted quality checks on work completed by other staff to ensure accuracy and compliance with Business Service and Quality Standards.
Maintained accurate data entry into internal systems, ensuring comprehensive and up-to-date records.
Handled escalated calls from the contact centre, resolving issues efficiently and maintaining positive customer relationships.
Assisted management with continuous improvement projects aimed at enhancing operational processes and service delivery.