MITHUN PATHAKAMURI
Brisbane,QLD
Summary
Experienced insurance and healthcare professional specializing in CTP, personal injury, liability, motor, and property claims. Skilled in managing complex claim portfolios and analyzing medical evidence to reduce organizational risk. Leverages clinical insight and analytical skills to negotiate optimal outcomes. Holds a Master of Public Health and a Bachelor of Pharmacy, enhancing expertise in customer-centered case management.
Overview
14
14
years of professional experience
Work History
Case Manager – Personal Injury
Allianz Australia
Brisbane
01.2025 - Current
- Manage end-to-end CTP injury claims.
- Interpret medical reports and coordinate rehabilitation.
- Assess treatment requests against legislation.
- Established trusted relationships with claimants, solicitors, and clinicians to facilitate effective communication and support throughout the claims process.
- Negotiated settlements to align with quality standards and key performance indicators, ensuring fair outcomes for all parties involved.
- Closed 15 claims in one month.
- Monitored client progress and adjusted care strategies to optimize outcomes.
- Conducted comprehensive risk assessments to identify potential barriers to service delivery.
Senior Legal Liability Consultant
Auto & General
Brisbane
03.2024 - 05.2025
- Managing an extensive portfolio of liability and legal files up to 300 claims.
- Assess liability and settlement outcomes.
- Negotiate with third parties, insurers and legal representatives including recovery agents and credit hire organisation
- Manage relationships with our panel of legal suppliers
- Follow settlement methodology ensuring company procedures and relevant legislation is adhered to
- Consult with external solicitors on claims requiring defence or settlement offers
- Obtaining a suitable and quick outcome through effective negotiation
- Application of Insurance Contracts Act, Code of Practice and other regulatory authorities
- Achieving KPIs Consistently and achieved a double accelerator on settlement rate bringing in a tremendous saving for the company.
Senior Claims Officer
WNS Global Services (Suncorp)
Remote
01.2022 - 01.2024
- Effectively set up and processed insurance claims, ensuring compliance with relevant legislation and frameworks.
- Determined coverage through expert analysis and policy interpretation, making informed decisions.
- Accountable for financial outcomes impacting claims costs through application of correct policy limits, applicable laws and leveraging preferred suppliers/repair methods.
- Responsively handled customer, supplier, and repairer correspondence and complaints within agreed timeframes and obligations.
- Had been a key contributor in designing one of Suncorp’s flagship projects to minimize leakages.
- Accountable for decision making within policy guidelines and delegations of authority to deliver best outcome for customer and organization.
- Consistently achieved KPI targets and received rewards for technical excellence.
- Communicating to various stakeholders including customers, suppliers, vendors and internal staff via telephone and email utilizing strong interpersonal communication skills and responding appropriately to customer needs and expectations
Retail Store Manager
Liberty
Albury
01.2017 - 04.2022
- Directed a team of 10 members to ensure efficient project execution.
- Managed WHS, inventory, and financial performance to ensure store compliance and profitability.
- Led daily operations to ensure optimal customer service and store performance.
- Developed and implemented training programs for staff to enhance product knowledge and sales techniques.
- Streamlined inventory management processes, reducing stock discrepancies and improving turnover rates.
- Analyzed sales data to identify trends, adjusting merchandising strategies accordingly for increased revenue.
- Executed visual merchandising standards to maintain appealing store presentation aligned with brand guidelines.
- Managed budgeting and financial forecasting processes, ensuring profitability while minimizing operational costs.
- Maintained a clean and organized store appearance to enhance the overall shopping experience for customers.
- Completed routine store inventories.
- Coached employees and trained on methods for handling various aspects of sales, complicated issues, and difficult customers.
Project Coordinator
Western Sydney University
Sydney
02.2016 - 05.2016
- Lead in the planning, coordination and defining of the project scope, work breakdown structure, financial oversight development of project schedule related to challenges faced by international students focused on mental health and disability.
- Conducted work in a systematic and objective manner, demonstrated critical analysis on existing policies and programs evaluating the mental health and well-being. Recommendations to the delegate were consistently underpinned by thorough evidence-based assessments.
- Conducted extensive literature search for papers presented with help of professional supervisor.
- Developed project plans and schedules for a three-month project, scrutinizing costs and meeting deadlines with no budget or time overruns.
- Implemented budget and financial strategies within the project, achieving cost reduction while increasing efficiency.
- Collaborated and engaged with various international student communities for analysis for broadened approach.
- Performed detailed research utilizing medical databases, search engines, e-books, journals, articles, and newspapers.
- Designed qualitative methods to improve wellbeing of international students through designing semi-structured interview guide consisting of open-ended and trigger questions.
- Curated a structured analysis for international students with special abilities through discussions in a creative way.
- Designed quantitative methods to drive wellbeing of international students and international students with disability through designing questionnaire consisting of close-ended questions.
Medical Transcriptionist
M*Modal
Bangalore
03.2012 - 06.2013
- Transcribed medical dictations with high accuracy and attention to detail.
- Mentored junior staff on best practices in medical transcription processes.
- Reviewed and edited drafts prepared by speech recognition software ensuring transcriptions were correct, complete, and consistent.
- Accurately translated medical abbreviations and jargon into appropriate long form
- Identified inconsistencies, errors and missing information within reports that may compromise patient care, following up with healthcare providers to ensure report accuracy.
- Ensured compliance with patient confidentiality guidelines and legal requirements.
- Demonstrated strong knowledge of medical terminology and anatomy.
- · Transferred transcribed materials into electronic health records system.
- Dictated and rectified inconsistencies, errors, and missing information in reports to enhance patient care.
- Conducted quality assurance checks to maintain high standards of transcription output.
Education
Diploma - Leadership And Management
IIBM
Sydney, NSW2017
Master of Science - Public Health
Western Sydney University
Sydney, NSW2016
Graduate Diploma - Public Health
Western Sydney University
Sydney, NSW2015
Bachelor of Science - Pharmacy
Rajiv Gandhi Univeristy of Health Sciences
Bangalore, Karnataka2010
Skills
- Case Management
- Personal Injury
- Medical Evidence Analysis
- Risk Assessment
- Liability
- Rehabilitation
- Return to Work
- CTP
- Regulatory Knowledge
- Policy Interpretation
- Negotiation
- Stakeholder Management
- Continuous Improvement
- Team Collaboration
- Customer Advocacy
Languages
English
Full Professional
Hindi
Native or Bilingual
Telugu
Native or Bilingual
Credentials
- Australian Citizen
- Full Australian driver's licence
Timeline
Case Manager – Personal Injury
Allianz Australia
01.2025 - Current
Senior Legal Liability Consultant
Auto & General
03.2024 - 05.2025
Senior Claims Officer
WNS Global Services (Suncorp)
01.2022 - 01.2024
Retail Store Manager
Liberty
01.2017 - 04.2022
Project Coordinator
Western Sydney University
02.2016 - 05.2016
Medical Transcriptionist
M*Modal
03.2012 - 06.2013
Diploma - Leadership And Management
IIBM
Master of Science - Public Health
Western Sydney University
Graduate Diploma - Public Health
Western Sydney University
Bachelor of Science - Pharmacy
Rajiv Gandhi Univeristy of Health Sciences