Paul Ewan
Mordialloc,VIC
Summary
Successful Superannuation and Claims Business professional with over 25 years experience. Focusing on all aspects of Claims and Insurance for the last 15 years.
Overview
36
36
years of professional experience
Work History
Management Consultant
The Waterman Partnership
05.2020 - 05.2024
- Build and Maintain Workforce Management, Resource Forecasting and Planning tools
- Claims analysis to assist in the Optimisation of the Claims Portfolio Management Reporting
Insurance & Claims Product Owner (Project Secondment)
UniSuper
03.2019 - 03.2020
- To be the business representative for an Agile Feature team working on new government legislation and the implementation of a new Insurance module from the funds software supplier
- Work with stakeholders across the business to ensure that the team delivers short and long term goals
- Being an integral part of the feature team by working closely with IM’s, BA’s Designers and Testers to drive development ready for production delivery flow
- Interact with broader business stakeholders to improve uptake of insurance and claims solutions.
Insurance & Claims Technical Senior
UniSuper
05.2017 - 02.2019
- Provide technical support and coaching to the Insurance and Claims team
- Insurance & Claims SME on projects and any other activities requiring technical experience and knowledge
- Provide reporting and trend analysis in regards to Service Levels, Decision Times and Duration Management
- Enhance existing reporting and create new and improved reports for Key Performance Indicators
- Preparation of regulatory reporting including APRA self-insurance reports and 6 monthly statement data for on-claim members
- Prepare monthly and quarterly reporting for Management and ad-hoc reports as requested
- Working with external consultants on building a new Claims reporting tool to replace current reports which will enable greater visibility of claims and enhance data integrity across the 3 main data bases used by the Insurance and Claims team.
Product Analysist (Project Secondment)
UniSuper
12.2016 - 05.2017
- Provide SME knowledge to the Manager of Product Development with respect to potential enhancements to the Fund’s insurance offerings to members
- Analysis of potential default design solutions under review by the Product team for business usability
- Review insurance design requirements, design approach and documentation
- Conduct competitor analysis of existing products and provide recommendations for potential enhancements to be considered by the Manager of Product Development
- Prepare concepts papers for non-insurance related enhancements to pension products and death benefit payment options.
Senior Claims & Insurance Consultant
UniSuper
07.2013 - 12.2016
- Review Death Claim recommendation papers prior to lodgement for IMC meetings
- Provide Technical/SME support to the Claims & Insurance team and other departments within UniSuper
- Claims & Insurance Technical/SME representative for various Projects and conduct UAT testing
- Provide Data Analysis and production of Monthly/Quarterly Service and Ad-Hoc reporting for Claims Manager
- Data Analysis and outcomes for regulatory reporting e.g
- APRA Self Insurance reports, TAL re-rating
- Provide Ad-Hoc data reporting and trend analysis for other areas of UniSuper.
Assessment & Restoration Analyst (Project Secondment)
Unisuper
11.2011 - 07.2013
- Lead the investigation of reported data issues via root cause analysis and determine the quantity of accounts impacted
- Analyse potential linkages between data issues and rectification options
- Document the issue analysis and proposed resolution to correct it, including changes to the system(s) affected by the issue and the requirements to restore affected member accounts and any mitigation that may need to be implemented prior to a permanent fix being applied
- Stakeholder Management for the approval of proposed resolution with Legal & Compliance, Communications, Product Managers and Business Operations
- Conduct Trend Analysis.
Senior Claims & Pensions Consultant
UniSuper
09.2010 - 10.2011
- Reviewing Pension and Claims processes to determine ways of increasing quality, service & cost efficiency
- Provide subject matter expertise to project staff in regards to the Pensions & Claims team
- Acting Team Leader during periods of leave
- Escalated written & phone enquiries
- Authorising Payments for both Inbuilt/Optional Insurance and Pension products.
Claims & Pensions Consultant
UniSuper
03.2007 - 08.2010
- Processing Pension Applications
- Running monthly Pension Payroll including reconciliation
- Inbound phone enquiries and responding to written enquires
- Processing of Inbuilt & External Insurance benefits including calculating the pension arrears payments
- Authorising Superannuation and Pension Lump sum payments.
Benefit Payments Consultant
Health Super
10.2005 - 02.2007
Claims & Insurance Officer
Superpartners
01.2005 - 10.2005
Claims Officer
AMP
05.2004 - 12.2004
Senior Benefits Payments
AMP
03.2002 - 04.2004
Senior Retail Alterations
AMP
02.1999 - 03.2002
Various Insurance and Superannuation admin roles
01.1988 - 01.1999
Education
High School Diploma -
Bayswater Secondary College
Bayswater, VIC1987
Skills
- Trend modeling
- Resource Utilization
- Business Analysis
- Performance measurement
- Change Management
- Data Analytics
- Claims Assessment
- Data Restoration
Timeline
Management Consultant
The Waterman Partnership
05.2020 - 05.2024
Insurance & Claims Product Owner (Project Secondment)
UniSuper
03.2019 - 03.2020
Insurance & Claims Technical Senior
UniSuper
05.2017 - 02.2019
Product Analysist (Project Secondment)
UniSuper
12.2016 - 05.2017
Senior Claims & Insurance Consultant
UniSuper
07.2013 - 12.2016
Assessment & Restoration Analyst (Project Secondment)
Unisuper
11.2011 - 07.2013
Senior Claims & Pensions Consultant
UniSuper
09.2010 - 10.2011
Claims & Pensions Consultant
UniSuper
03.2007 - 08.2010
Benefit Payments Consultant
Health Super
10.2005 - 02.2007
Claims & Insurance Officer
Superpartners
01.2005 - 10.2005
Claims Officer
AMP
05.2004 - 12.2004
Senior Benefits Payments
AMP
03.2002 - 04.2004
Senior Retail Alterations
AMP
02.1999 - 03.2002
Various Insurance and Superannuation admin roles
01.1988 - 01.1999
High School Diploma -
Bayswater Secondary College
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