Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nicole Graham

Barnsley,NSW

Summary

Dynamic Claims Officer with extensive experience at QBE Insurance, excelling in claims analysis and investigation techniques. Proven track record of enhancing operational efficiency and fostering teamwork. Adept at navigating insurance regulations while delivering exceptional customer service, ensuring timely and accurate claims processing. Recognized for critical thinking and effective communication skills.

Overview

16
16
years of professional experience

Work History

Claims Officer

QBE Insurance
04.2018 - Current
  • Evaluated and processed complex insurance claims to ensure compliance with policies and regulations.
  • Collaborated with clients to gather necessary documentation, enhancing claim accuracy and processing speed.
  • Provided guidance to junior staff on claim assessment procedures, fostering team development and knowledge sharing.
  • Identified trends in claims data to recommend process improvements that increased operational efficiency.
  • Experience in property management and third party insurance.
  • Identifying insurable events, applying policy wording.
  • Listening to the insured, ensuring to be empathic to their situation and trying to find the best solution to get the claim moving forward.
  • Managed relationships with external stakeholders, ensuring transparency and trust throughout the claims process.
  • Managed high caseload efficiently, prioritizing tasks based on urgency and importance to meet deadlines consistently.
  • Minimized fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies.

Claims Advisor

Suncorp Insurance
09.2017 - 04.2018

Daily communication with all stakeholders
· Action activities to manage the claim
· Providing all in and out bound calls with a high level of customer service
· Having compassion, treating all workers with respect and showing empathy
· Section 39 Team – High risk team
· Investigation within a claim to understand that the worker is not claiming outside their entitlements and what is related to the injury
· Claim management – data entry, ensuring all information is correct and up to date, all interactions are noted on the claim
· Up to date training so I understand what is expected within my role
· Understanding of the legislation
· Ensuring all Workers wages are paid correctly, on time and to the correct stakeholder
· Delivering outcomes to all stakeholders involved

Sales Associate

Optus Telecommunications
05.2010 - 09.2017

  • General Office Duties include:
    · Answering phones / directing calls
    · Assisting with customer enquiries, problem solving, complaints handling .
    · Filing, processing, data entry
    · Day to day cleanliness of our Office
    Extensive product and technical knowledge
    · Ability to and enjoy working in a fast paced environment
    · Dedicated to maintaining high quality standards and confidentiality within the work place
    · Ability to work in or lead within a team environment
    · Accurate cash handling
    · Customer sales and service skills including conflict resolution
    · Showing empathy, not robotic
    · Merchandising
    · Liaise effectively with fellow workers and management
    · Strict adherence to workplace hygiene WHS and security procedures
    · Creating contract orders
    · Invoicing
    · Applying payments and Banking
    · PRONTO
    · Attending meetings
    · Stocktake
    · Working in a team to achieve store targets
    · Top in sales
    · Outstanding customer service
    · Personal NPS score rating between 9-10
    · Store NPS 62

Education

High School Diploma -

Lambton High School
New Lambton, NSW
12-2005

Skills

  • Claims analysis
  • Investigation techniques
  • Policy interpretation
  • Insurance regulations
  • Teamwork
  • Customer service
  • Problem-solving
  • Time management
  • Reliability
  • Excellent communication
  • Critical thinking
  • Team collaboration
  • Active listening
  • Adaptability and flexibility
  • Claims processing

Timeline

Claims Officer

QBE Insurance
04.2018 - Current

Claims Advisor

Suncorp Insurance
09.2017 - 04.2018

Sales Associate

Optus Telecommunications
05.2010 - 09.2017

High School Diploma -

Lambton High School
Nicole Graham