Accomplished Claims Manager with a proven track record at Elders Insurance Goldfields, ensuring customer satisfaction with a robust understanding of policy interpretation due to many years Underwriting.
After many years in Claims Management in Underwriting my sound knowledge ensures I am able to efficiently resolve claims in a timely manner to the satisfaction of company and client.
My background in these positions for many years allows for a professional written and spoken communication as well as professional conflict resolution skills.
Overview
13
13
years of professional experience
Work History
Claims Manager
Elders Insurance Goldfields
12.2019 - Current
Oversee claims handling processes from start to finish including, lodgement, handling, decision making, settlement and closure.
Managed up to 40 claims end to end simultaneously with no decline in quality as well as manage office incoming and outbound calls for policy maintenace and endorsements.
Built solid relationships with clients and external partners to achieve positive and timely claims resolutions.
Enhanced customer satisfaction with timely and accurate claims resolutions.
Streamlined communication between adjusters and clients.
Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.
Mentored new hires on claims policies/procedures enabling them to quickly become proficient in managing claims.
Established strong relationships with external partners such as builders, restorers loss adjusters and repair services for efficient case management.
Reduced claim disputes by enforcing strict adherence to policy terms and conditions.
Adhered to strict claims processing, company as well as GICOP regulations.
Underwriter
CGU Insurance
06.2012 - 12.2019
Documented underwriting decisions and provided evidence of compliance with applicable regulations.
Provided excellent customer service by addressing inquiries promptly and offering comprehensive explanations of underwriting decisions.
Made approval and denial recommendations by determining accurate risk levels.
Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwritings.
Followed strict Underwriting license guidelines.
Education
Tier 1 General Insurance
Kaplan Australia
Melbourne
01-2020
Tier 2 General Insurance
Kaplan Australia
Melbourne
01-2020
Skills
Claims analysis
Underwriting guidelines
Policy interpretation
Analyzing data
Claims investigation and research
Documentation review
Investigation techniques
Client relationship building
Claims processing
MS office suite
Legal compliance
Policy renewal
Customer expectations management
Insurance policy review
Timeline
Claims Manager
Elders Insurance Goldfields
12.2019 - Current
Underwriter
CGU Insurance
06.2012 - 12.2019
Tier 1 General Insurance
Kaplan Australia
Tier 2 General Insurance
Kaplan Australia
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