Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jeorgia Stanton

North Richmond ,NSW

Summary

My name is Jeorgia Stanton and I have worked as a Case Manager, Senior Case Manager, Quality Assurance Specialist and Return to Work Specialist for the last 10 years in both Life Insurance and Workers Insurance.

I am determined, hard-working, dedicated, and have a passion for helping injured workers get back to work in a timely, safe and durable manner.

I have excellent resource management and allocation skills, outstanding communication, organizational and time management skills. I am extremely proficient in Microsoft Word, Outlook, Excel and have experience using multiple claims systems such as Case Navigation, Solv, Vinci and Figtree.

Overview

15
15
years of professional experience

Work History

Return to Work Consultant - Part Time

Procare
Sydney
01.2024 - Current
  • Evaluate injured worker needs and expectations, establishing clear goals for each worker with regards to their treatment plans and return to work timeframes.
  • Collaborate with cross-functional teams to successfully deliver comprehensive solutions for injured workers.
  • Manage client relationships through regular check-ins and updates on their recovery.
  • Write return to work plans in line with an injured workers current capacity and as supported by their treating healthcare professionals.
  • Support injured workers with their rehabilitation and create sustainable gradual return to work plans for them to ensure a timely, safe and durable return to work.

Quality Assurance Specialist

Employers Mutual
Sydney, NSW
11.2019 - 01.2024
  • Educated employees on specific QA standards and confirmed maintenance of standards.
  • Provided monthly updates to team leadership on quality metrics by communicating consistency across the business unit and also highlighting areas within the business unit requiring further improvement.
  • Monitored product standards and quality-control programs.
  • Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
  • Fixed identified issues to increase productivity and boost workflows.
  • Developed monthly statistical reports and present in an open forum to the leadership team and quality improvement programs which outlines the trends within the business unit over the previous 3 months.
  • Collect and analyse activity data and initiated, developed and recommended improvements to systems, processes and procedures to increase productivity and reduce cost.
  • Provided analytical, planning and coordination support on projects as assigned, reviewing, interpreting, analyzing and illustrating data to stimulate and support enlightened decision making.

Senior Case Manager

TAL
Sydney, NSW
01.2018 - 08.2019
  • Working in the Life Insurance space- managing Mine Super Psychological claims. Managing a smaller portfolio of only 60 claims as the senior case manager role was to support and assist the case managers and role out training to any new case managers who joined the team.
  • Completed claim file reviews on more complex claims. Gave approvals on case management strategies and any large payments - such as total and permanent impairment payouts.
  • Liaised daily with with nominated treating doctors, psychologists and psychiatrists to ensure that everyone is on the same page with regards to claimant’s health requirements.
  • Identify care needs of individual claimants and coordinated responses based on the advice of medical professionals, insurance policy guidelines and limitations, as well as procedural costs.
  • Attending medical case conferences with claimants, medical professionals and employers to assist and improve the return to work process.
  • Developed Injury Management Plans and Return to Work Plans to assist with getting claimants back to work in line with their medical capabilities.
  • Evaluated treatment plans against individual goals and healthcare standards.

Case Manager- Psychological Claims

AIA Australia
Sydney, NSW
02.2015 - 12.2017
  • Working in the Life Insurance space- managing Psychological and Terminal Illness claims. Managing a portfolio of 110 claims.
  • Completed start to end claims management- dealing with new claims from notification until claim closure (where possible). Including initial assessments to determine liability, benefit estimates and claims costing, weekly benefit entitlements, communication with all main stakeholders etc.
  • Liaised daily with with nominated treating doctors, therapists, psychiatrists and case managers to ensure that the most appropriate treatment plan and return to work outcomes are being worked towards for the claimants to ensure that claimants return to work in a timely, safe and durable manner.
  • Identify care needs of individual claimants and coordinated responses based on the advice of medical professionals, insurance policy guidelines and limitations, as well as procedural costs.
  • Attending medical case conferences with claimants, medical professionals and employers to assist and improve the return to work process.
  • Developed Injury Management Plans and Return to Work Plans to assist with getting claimants back to work in line with their medical capabilities.
  • Evaluated treatment plans against individual goals and healthcare standards.

Case Manager

Employers Mutual
Sydney, NSW
03.2010 - 09.2013
  • Evaluate injured worker needs and expectations, establishing clear goals for each worker with regards to their treatment plans and return to work timeframes.
  • Collaborate with cross-functional teams to successfully deliver comprehensive solutions for injured workers.
  • Manage client relationships through regular check-ins and updates on their recovery.
  • Write return to work plans in line with an injured workers current capacity and as supported by their treating healthcare professionals.
  • Support injured workers with their rehabilitation and create sustainable gradual return to work plans for them to ensure a timely, safe and durable return to work.

Education

Bachelor Of Psychology - Psychology

Southern Cross University
Coffs Harbour, NSW
04.2010

Skills

  • Problem-Solving Skills
  • Project Management
  • Productivity Benchmarks
  • Customer Service
  • Sound Decision-Making Abilities
  • Quality Assurance
  • Standards Interpretation
  • Establishing and Enforcing Policy
  • Testing Processes
  • Team Leadership
  • Public Speaking
  • Test Result Analysis
  • File Management
  • Technical Documentation
  • Quality Improvement
  • Verbal and Written Communication
  • Analytical Thinking
  • Remote Video Conferencing
  • Support Audits
  • Word Processing
  • Monitor Quality Control
  • Report Writing
  • Claims Management
  • Injury Management Planning
  • Learning and Development
  • Coaching and Mentoring

Timeline

Return to Work Consultant - Part Time

Procare
01.2024 - Current

Quality Assurance Specialist

Employers Mutual
11.2019 - 01.2024

Senior Case Manager

TAL
01.2018 - 08.2019

Case Manager- Psychological Claims

AIA Australia
02.2015 - 12.2017

Case Manager

Employers Mutual
03.2010 - 09.2013

Bachelor Of Psychology - Psychology

Southern Cross University

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Jeorgia Stanton