Diplomatic and measured Major Loss and complex Claims Consultant/Techical Support Officer with extensive expertise in providing Technical Advice and the development and implementation of tailored training solutions with an emphasis on fostering an environment of continual learning and growth.
Adept at navigating complex claims assessment and complaint escalations whilst maintaining strict adherence to Policy Guidelines.
With a strong strong sense of social justice and I am able to maintain excellent call control to bring about fair and non-biased resolutions for both the client and company. As part of a multicultural society I endeavour to always respond in a culturally sensitive manner and treat all customers with respect and dignity. This has produced a high success rate of complaint resolution.
I am always eager to contribute to Team success by maintaining customer satisfaction and a commitment to ongoing learning and Professional Development.
Technical Support Officer
• Coach, support and mentor Claims Managers across a variety of specialised Teams including Aged/complex and Major Loss.
• Conduct Quality audits including call listening and full file reviews to identify knowledge gaps, compliance issues, and breaches. Responsible for escalating systemic issues and reportable breaches upline where appropriate.
• Development of both group and individual training programs to educate and empower Claims Consultants
• Primary escalation point for customer complaints. I have well developed conflict resolution skills allowing me to respond to high pressure situations with professionalism and composure generally negating the need for further complaint escalation
Claims Manager Major Loss
• End to end management of a large portfolio of high quantum claims through effective task prioritization and excellent time management. From assessment through to repair completion, claims are managed in a timely and efficient manner whilst acting within my delegated authority and maintaining accurate reserves.
• Developed strong working relationships with both internal and external stakeholder such as Adjusters, Legal, SIU and specialised industry experts to facilitate accurate claim assessment, scope development and compliant and efficient management of restoration, repair and rebuild works.
• Utilise critical thinking and negotiation skills to settle complex claims in a fair and empathetic manner
•Thorough understanding of GICoP requirements and Policy Guidelines which is used as the basis for all claims decisions and actions
Sound knowledge of internal Policy Guidelines and General Insurance Code of Prractice obligations
Exceptional empathetic listening skills and ability to individually tailor customer care
Thorough and efficient Claims Handler with strict adherence to code requirements
Ability to foster a positive and collaborative Team environment with a focus on continual growth and improvement of technical skills