Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Nadia Cortis

Yeronga,QLD

Summary

A recognised efficient and effective claims advisor with expertise in claims management, demonstrated daily in communication to claimants. Demonstrates compassion and empathy towards injured workers when required with calibration towards being client focused, team focused, Department focused and transparent and accommodating to the requirements of clientele.

Highly professional valued member of a high functioning team who understands the core values through excellence, integrity, responsiveness and respect.

Overview

8
8
years of professional experience

Work History

Claims Advisor

WorkCover Queensland
05.2022 - Current

Proactively managing work related injuries, physical and psychological for industry specific portfolios including Queensland Police Services, Queensland Ambulance Services and Queensland Correctional Services.

  • Be accountable for claims costs, durations and claim outcomes.
  • Work together with claims determination and panel lawyers.
  • Assisting with all claims management, injured worker, employer, doctors and allied health providers.
  • Develop ways to achieve long term employment outcomes.
  • Ensuring suitable duties plans are proactively in place & being monitored.
  • Understanding claimants treatment pathway for a durable return to work outcome.
  • Making strategic decisions.
  • Liaising with various stakeholders internal and external.
  • Interpreting medical evidence.
  • Collaborating medical evidence in preparation for referrals to Permanent Impairment and Medical Assessment Tribunal.

Compensation Delegate APS5 DVA Band 2

Department Of Veterans’ Affairs
03.2016 - 05.2022
  • Implementing decisions Attorney General's Department (AAT), Reconsideration's and Veteran's Review Board (VRB).
  • Assisting in high profile claims (Top 20 List).
  • Facilitate compensation benefits/Eligible Young Person (EYP).
  • Liaise with veterans, case coordinators, advocates, lawyers & treating doctors.
  • Demonstrating empathy for individuals.
  • KPI focused managing caseload 80+ claims.
  • Recording delegate comments for processing decisions.
  • Understanding DVA policies.
  • Interpret medical reports.
  • Corresponding with internal and external emails.
  • Attending to general enquires.
  • Demonstrate high level of customer service to Veterans.
  • Arranging medical legal appointments.
  • Organising relevant paperwork for medical legal companies/treating doctors.
  • Arranging Case Coordinator referrals/Triage and Connect.

Education

Diploma - Business Administration And Management

Martin College
Brisbane, QLD
10.2011

High School Diploma -

Centenary State High School
Jindalee, QLD
12.2007

Skills

  • Highly focused, motivated, team player and contributor
  • Always willing to assist and absorb new additional tasks to advance skillsets
  • Time management and organisational skills are paramount
  • Claims Investigation
  • Claims Processing
  • Documentation Review
  • Critical Thinking
  • Customer service and support
  • Active Listening
  • Decision-Making
  • Relationship Building
  • Claims Evaluation
  • Report and Records Review
  • Payment Processing
  • Denied claims identification
  • Negotiation and mediation
  • Report Writing
  • File and Record Management
  • Expense Control

Additional Information

COURSE QUALIFICATIONS


- De- escalation and OVA & Conflict Resolutions Training (WC)
- Mental Health First Aid (MHFA) training (WC)
- Medical Advisor Education Session (DVA)
- Centenary of Anzac Centre Trauma Training (DVA)
- MRCA Permanent Impairment Course (DVA)
- Triage and Connect Training (DVA)

Timeline

Claims Advisor

WorkCover Queensland
05.2022 - Current

Compensation Delegate APS5 DVA Band 2

Department Of Veterans’ Affairs
03.2016 - 05.2022

Diploma - Business Administration And Management

Martin College

High School Diploma -

Centenary State High School

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Nadia Cortis