Diarmuid O'Doherty
Hawthorn ,VIC
Summary
I moved to Melbourne in October and I'm planning on staying here for a long time. Im on my first year of the WHV. I am a an Enthusiastic Claim consultant/ analyst who examines claims, negotiates and processes settlements and verifies insurance coverage. I'm a attentive team player who consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment. I have accumulated much experience in my past positions and I am excited to see what the future holds for my professional growth.
Overview
5
5
years of professional experience
Work History
Claims Consultant
Defence Health (temp Job)
2023.11 - 2024.04
- My main role is to deal with Provider claim queries. A normal day for me is half the day spent on the phone to provider's problem solving and fixing their patient claims, I spend the rest of my day efficiently processing claims for administration
- Proficiency in processing public hospital,private hospital,access gap, medical eclipse and hospital eclipse claims.
- Working closely with medical provider and government organisations to process claims and reviews
- Managed large caseloads effectively, prioritising tasks to ensure prompt attention to urgent matters.
- Enhanced Provider satisfaction by providing timely updates on claim status and offering personalised support.
- Trained new hires on claims procedures, ensuring a seamless transition into their roles as Claims Consultants.(senior buddy)
Analyst
PWC
2023.05 - 2023.09
- My final project involved the handling the transfer of properties from a company entering into administration to a company purchasing its assets
- My main role on this project was the management of Landlord legal queries and legal notices in relation to the administration process of the client company.
Analyst/ Quality Control
PWC
2023.02 - 2023.05
- The next project dealt with Customer,Creditor and Supplier queries from a company that had gone into Administration, this heavily involved using the salesforce application
- Towards the end of the project I was tasked with quality checking other peoples cases to ensure the process was being followed correctly.
Analyst
PWC
2022.10 - 2023.02
- My second project was a range of admin work for a huge health industry
- Using tools and techniques to visualise data in easy-to-understand formats, such as diagrams and graphs
- Preparing reports and presenting these to management or clients
Analyst
PWC
2021.06 - 2022.10
- My first Project within PwC was a large scale
Project to facilitate a multinational Bank exiting the
Irish market. Whilst on this Project I was part of
several teams, including Queries, Securities,
Facilities and KYC. I always made sure that I was
readily available to provide assistance where
needed, especially with the many ad hoc tasks
within the Project. During time on this project I
became a gold rated analyst and gained a small
amount of experience as a quality controller.
Customer service adviser
Virgin Media
2020.09 - 2021.06
- Listen to customers’ concerns, issues and
questions - Resolve customers’ concerns and answer
customers’ questions to your best ability - Maintain a positive attitude and calmly respond
to customers’ complaints - Open new customer accounts
- Attract customers by promoting the product and
company positively, answering questions and
addressing concerns as they arise - Recommend possible products to meet the
customers’ needs
Supervisor
Trespass Clothing Store
2019.09 - 2020.09
- Setting goals for performance and deadlines in
ways that comply with company’s plans and
vision. - Organising workflow and ensuring that
employees understand their duties or
delegated tasks. - Monitoring employee productivity and providing
constructive feedback and coaching. - Receive complaints and resolve problems.
Maintain timekeeping and personnel records.
Education
History BA (Hons) -
Queens University Belfast
06.2019
GCSE's and A Levels -
Christian Brother Grammar
06.2017
Skills
- Insolvency
- Mortgages KYC and Securities
- Remediation and Redress
- Administration
- Data Reconciliation
- Data Management
- Retail Banking
- Quality Checking
- Claims Analysis
- Claims Administration
- Critical Thinking
- Policy Interpretation
- Investigation techniques
- Coverage Assessment
Languages
English
Birthdate
01/06/1997
References
- Hayley McCartan, PWC, Belfast, +447889446107, hayleymac1717@hotmail.co.uk
- Alicia Boyd, Defence Health-0386791042 alicia.boyd@defencehealth.com.au
Hobbies and Interests
- Playing sports
- Travelling and meeting new people
- Volunteering at local companies, clubs and organisations
Timeline
Claims Consultant
Defence Health (temp Job)
2023.11 - 2024.04
Analyst
PWC
2023.05 - 2023.09
Analyst/ Quality Control
PWC
2023.02 - 2023.05
Analyst
PWC
2022.10 - 2023.02
Analyst
PWC
2021.06 - 2022.10
Customer service adviser
Virgin Media
2020.09 - 2021.06
Supervisor
Trespass Clothing Store
2019.09 - 2020.09
History BA (Hons) -
Queens University Belfast
GCSE's and A Levels -
Christian Brother Grammar
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