Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Melinda Cahill

Kincumber

Summary

Progressive experience in disability benefit administration processes, claim management skills and claimant eligibility. Highly organized and efficient in a fast-paced environment, communicating effectively at all organisational levels, with clients and stakeholders. Demonstrated to build trusting relationships. Thinks critically, solve problems, plan and organise activities and deliver excellent customer service. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adapt at developing profitable and quality-focused processes. Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.

Professional with expertise in case management, prepared to deliver impactful results. Skilled in conflict resolution, risk assessment, and client advocacy. Strong focus on team collaboration and achieving tangible outcomes, adapting seamlessly to changing needs. Reliable and driven, with keen ability to manage complex cases and support clients effectively.

Knowledgeable case management with extensive experience managing complex cases and providing comprehensive support to clients. Proven track record of implementing effective solutions and achieving significant outcomes. Demonstrated expertise in client advocacy and conflict resolution.

Experienced with managing diverse and challenging case loads. Utilizes strategic planning and client assessment to create effective solutions. Track record of strong conflict resolution and advocacy skills.

Overview

7
7
years of professional experience

Work History

Senior Case Manager Level 2

Allianz
04.2023 - Current
  • Resolved customer inquiries and complaints requiring management-level escalation.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Determined liability, compensability and benefits due on each claim.
  • Prepared internal and regulatory financial reports, balance sheets and income statements.
  • Conducted reviews and evaluations for cost-reduction opportunities.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Achieved positive client outcomes by developing and implementing comprehensive case management plans.
  • Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Participated in regular professional development opportunities to stay current on best practices within the field of case management.
  • Strengthened relationships with community organizations to increase access to supportive resources for clients in need.
  • Top case manager in the business for calls.

Claim Manager

Suncorp Group
07.2022 - 04.2023
  • Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
  • Determined proper course of action for claims processing.
  • Gathered sensitive information to update customer profiles and help with appeals process.
  • Documented and communicated timely claims information while supporting accurate outcomes.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Examined claims forms and other records to determine insurance coverage.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Managed and handled over 96 claims at a time, closing and completing the task and activity in considerable amount of time.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Resolved customer inquiries and complaints requiring management-level escalation.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.

Cafe Supervisor

Belly Fish Cafe
03.2021 - 07.2022
  • Scheduled and received beverage and food deliveries, thoroughly checking delivery contents to verify product quantity and quality.
  • Resolved and investigated complaints regarding service and food quality to prevent loss of business.
  • Motivated 15 -member team to execute exceptional level of service, leading to 60% increase in repeat customers.
  • Filled in for absent employees in any position in cafe, keeping operations efficient even when short-handed.
  • Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
  • Trained cafe employees to consistently exceed customers' expectations and provide superior service.
  • Performed serving, cleaning and stocking to high standards and provided excellent customer satisfaction.
  • Replenished serving stations with fresh food and cleaned up spills.
  • Packaged menu items into bags or trays and placed drink orders into carriers.
  • Assisted other team members to achieve goals.
  • Operated cash register to ring up final bill and process various forms of payment.
  • Prepared products following restaurant, health, and safety standards and procedures.
  • Trained new team members on procedures, customer service, and sales techniques.

Lead Waitress

Avoca Surf House
04.2018 - 03.2020
  • Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
  • Handled customer complaints professionally, resolving issues through diplomatic acknowledgment and commitment to service.
  • Assigned work tasks and coordinated activities of dining room personnel to provide prompt and successful service to patrons.
  • Noted special patron requests and followed up with kitchen to confirm delivery.
  • Kept updated knowledge of menu and promotions, recommending specific items according to preferences and food allergies.
  • Applied comprehensive knowledge of wine, cider, and beer to increase daily beverage sales.
  • Kept register accurate through correct billing, payment processing, and cash management practices.
  • Supported needs of [Number]- person wait staff who attended to specific needs of countless customers daily for [Type] restaurant with social relevancy and intentionality.

Education

Diploma - Travel And Tourism

Advance Careers Collage
Newcastle, NSW

Skills

  • Claims review
  • Claims adjustment
  • Claims analysis
  • Insurance claim requirements
  • Analyzing claims
  • Verbal and Written Communication

Accomplishments

I have received Case manager of the month twice throughout the last year working at Allianz. I have recently completed my Professional Standards Framework with Icare and the only one in Allianz to have it certified. I was nominated at the Icare awards for Physical injury and was a finalist. I have one of the best Return to work stats in the personal injury space. I have assisted with budding new starters and provide them with hours of training.

Timeline

Senior Case Manager Level 2

Allianz
04.2023 - Current

Claim Manager

Suncorp Group
07.2022 - 04.2023

Cafe Supervisor

Belly Fish Cafe
03.2021 - 07.2022

Lead Waitress

Avoca Surf House
04.2018 - 03.2020

Diploma - Travel And Tourism

Advance Careers Collage
Melinda Cahill