Olivia Celejowska
Altona Meadows,VIC
Summary
Experienced Senior Claims Consultant with expertise in various insurance products, providing training and coaching to new starters. Proven track record in leading teams during manager absences. Well-versed in understanding policies and legislation for effective claims management.
Overview
13
13
years of professional experience
Work History
Senior Claims Consultant
TAL
Melbourne, 3000
06.2023 - Current
- Assessing complex superannuation claims, including Total and Permanent Disablement, Income Protection, Death, and Terminal Illness, ensuring adherence to policy terms and regulatory requirements. Delegated Authority, $400,000.00 for Lump Sum Payments, and $20,000.00 Income Protection per month.
- Providing comprehensive assessment decisions, working closely with medical professionals, legal teams, and trustees to gather all necessary information.
- Mentoring and training junior assessors, ensuring consistent high standards of claims management across the team through coaching and completing senior sign-off recommendations. Upskilling to ensure the junior assessors obtain delegated authority.
- Communicating claim outcomes clearly and empathetically to claimants, providing detailed reasoning and next steps where required.
- Maintaining up-to-date knowledge of legislative changes, APRA guidelines, LICOP, and industry best practices to ensure full compliance and optimise claims processes.
- Contributing to process improvements that reduce claim turnaround times and enhance customer satisfaction.
- Acting Team Manager, when manager is on leave. Temporary Delegated Authority, $800,000.00 Lump Sum Payments, and $25,000.00 Income Protection per month.
Technical Consultant
LINK GROUP
Melbourne, 3001
07.2019 - 06.2023
- Implemented and led continuous improvement initiatives while serving as a Technical Consultant for AustralianSuper.
- Provided training and guidance to New Starters.
- Managed Incidents, containing, and providing resolutions.
- Performed quality control checks by thoroughly reviewing claims for accuracy of their strategies.
- Provided detailed reports on data analysis and trends, actively seeking opportunities for improvement.
- Managed the implementation of new starter training programs and revised training materials.
Claims Assessor/Senior Claims Assessor
LINK GROUP/Superpartners
Melbourne, 3000
05.2015 - 07.2019
- Assessed claims for Total and Permanent Disablement, Terminal Illness, and Income Protection within the AustralianSuper Portfolio.
- Provided coaching and assistance to team members.
- Managed escalations effectively and efficiently.
Law Clerk
Victorian Compensation Lawyers
Melbourne, VIC
05.2011 - 05.2015
- Preparation of legal documents for personal injury claims for TAC and Worker's Compensation matters.
- Supported clients through the applications of superannuation insurance claims.
- Conducted research on relevant statutes, case law, regulations, and legal articles.
- Assisted with the preparation of court briefs and opinions.
Education
Bachelor of Social Science: Legal And Dispute Studies -
RMIT University
Melbourne, VIC12-2010
Skills
- Critical Thinking
- Decision-Making
- Claims file management processes
- Coaching and Mentoring
- Reliability
- Time Management
- Problem-solving abilities
- Claims resolution
- Conflict Management
- Team Leadership
- Team Training
- Professionalism
Languages
Polish
Native/ Bilingual
Accomplishments
- End of Financial Year Review Rating 4 -2019 onwards (Exceeding Requirements) for excelling in all KPIs and going above and beyond to support other Teams.
Timeline
Senior Claims Consultant
TAL
06.2023 - Current
Technical Consultant
LINK GROUP
07.2019 - 06.2023
Claims Assessor/Senior Claims Assessor
LINK GROUP/Superpartners
05.2015 - 07.2019
Law Clerk
Victorian Compensation Lawyers
05.2011 - 05.2015
Bachelor of Social Science: Legal And Dispute Studies -
RMIT University
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