Dominik Zalcman
Killara,NSW
Summary
Resourceful Claims Team Leader known for high productivity and efficient task completion. Possess specialised skills in claims processing, dispute resolution, and regulatory compliance. Excel in communication, leadership, and problem-solving to navigate complex situations and achieve optimal outcomes.
Overview
7
7
years of professional experience
Work History
Claims Team Leader
CBHS Health Fund
Parramatta , NSW
08.2024 - Current
- Originally managed the hospital and AGC team, then changed to leading the hospital, medical, ancillary, and international team.
- Conducted regular meetings with the team to review workloads and ensure any potential risks were identified and addressed.
- Scheduled training sessions for new staff members on company policies, systems and procedures related to claims handling.
- Reviewed existing policies and procedures for claims handling, making recommendations for changes as necessary.
- Monitored team's performance against set targets and objectives, providing feedback as needed.
- Collaborated with other departments within the organisation to ensure seamless communication between teams.
- Implemented MODE framework to the team and provided assistance in navigating the new processes.
- assisted in developing and implementing the operational excellence framework.
Claims Assessor
CBHS Health Fund
Parramatta , NSW
10.2023 - 08.2024
- Assessed claims for ancillary, medical, international, and hospital claims.
- Assessed a high quantity of claims without reducing accuracy.
- Determine the appropriate course of action, including whether to pay a claim, adjust the payment amount, or deny the claim.
Phone Consultant
CBHS Health Fund
Parramatta , NSW
02.2023 - 10.2023
- Assisted customers with account set-up, billing questions, technical support issues and other inquiries.
- Utilized problem solving techniques to resolve customer complaints quickly and effectively.
- Transferred calls to appropriate departments when necessary and followed up on callers' requests for additional information or assistance.
- Maintained up-to-date knowledge of company products, services, policies, procedures, and pricing structures.
Assistant Store Manager
EB Games
Erina Fair, NSW
11.2021 - 12.2022
- Conducted regular performance reviews with staff members to assess individual progress and set goals for future development.
- Prepared detailed reports summarizing sales activity, customer feedback, and other relevant information.
- Maintained accurate records of all transactions, stock levels and employee performance metrics.
- Provided training to new employees on company policies and procedures.
- Monitored sales activities to ensure that customers receive satisfactory service and quality goods.
Retail Sales Associate
EB Games
Erina Fair, NSW
03.2018 - 11.2021
- Maintained a clean work environment by sweeping, dusting, vacuuming and mopping floors.
- Greeted customers upon entering the store and provided assistance.
- Offered suggestions for additional items that may be of interest to customers.
- Demonstrated knowledge of store products and services.
- Stocked shelves with merchandise according to company standards.
- Inspected purchased items for defects before handing them over to customers.
Education
High School Diploma -
Lisarow Highschool
Lisarow11-2014
Skills
- Claims assessment
- Team leadership
- Performance monitoring
- Employee training
- Cross-department collaboration
- Conflict resolution
- Data analysis
- Risk assessment
- Process improvement
- Time management
- Effective communication
- Workload management
References
References available upon request.
Timeline
Claims Team Leader
CBHS Health Fund
08.2024 - Current
Claims Assessor
CBHS Health Fund
10.2023 - 08.2024
Phone Consultant
CBHS Health Fund
02.2023 - 10.2023
Assistant Store Manager
EB Games
11.2021 - 12.2022
Retail Sales Associate
EB Games
03.2018 - 11.2021
High School Diploma -
Lisarow Highschool
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