Philip Pereira
Summary
Experienced insurance and claims specialist with a solid background in workers' compensation, general insurance, and customer service. Skilled in claims assessment, policy interpretation, dispute resolution (including IDR & EDR), and stakeholder engagement. Known for strong communication skills, professionalism under pressure, and a solutions-focused approach. Committed to delivering fair outcomes and high-quality service across a range of industries including insurance, government, and security.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Workers' Compensation Claims Advisor
GIO Insurance
11.2024 - 08.2025
- Managed a portfolio of workers' compensation claims in accordance with the Workers' Compensation and Injury Management Act 2023 and WorkCover WA guidelines.
- Assessed and determined liability for new claims, ensuring fair and timely decision-making.
- Coordinated return-to-work plans through engagement with injured workers, employers, medical practitioners, and rehabilitation providers.
- Monitored ongoing treatment and claim progress to ensure compliance and optimal outcomes.
- Prepared and maintained accurate claim records, correspondence, and case notes.
- Delivered professional and empathetic customer service to all stakeholders.
- Identified high-risk or complex cases for escalation and referred to legal or specialist departments as needed.
- Contributed to cost containment through proactive and early intervention strategies.
Claims Executive
Gallagher
03.2024 - 09.2024
- Provided expert advice to clients, brokers, and internal stakeholders on all claims matters.
- Assessed claims and interpreted policy wordings to determine coverage and liability.
- Advocated for clients during settlement negotiations to secure the best possible outcomes.
- Investigated and negotiated complex and non-straightforward claims.
- Collaborated with Claims Leaders to develop tailored claims solutions.
- Supported clients through dispute resolution processes including IDR and EDR (AFCA).
Claims Assist Specialist
RAC
07.2023 - 03.2024
- Delivered high-quality customer service through inbound claims support.
- Processed claims efficiently across multiple systems and managed related admin tasks.
- Displayed empathy and resilience when assisting members through difficult circumstances.
- Contributed to business improvements via innovation and feedback channels.
Security Officer
ICP Group Australia
09.2022 - 07.2023
- Monitored premises to ensure safety and security for personnel and property.
- Conducted regular patrols to identify and address potential hazards or security breaches.
- Responded promptly to incidents, providing first aid and coordinating with emergency services as needed.
- Maintained accurate logs of daily activities, incidents, and security measures implemented.
- Trained new staff on security procedures and protocols for operational efficiency.
- Monitored crowd behaviour to ensure safety and compliance with venue regulations.
- Implemented effective crowd control strategies during events, enhancing guest experience.
Compliance Officer
Services Australia
02.2020 - 08.2022
- Handled inbound enquiries and managed compliance-related reviews (Early Income & Study Load).
- Processed claims and resolved complex customer complaints with professionalism.
- Delivered accurate and policy-aligned advice to customers.
- Maintained high quality standards and upheld confidentiality.
Customer Service Representative
Alinta Energy
05.2018 - 09.2019
- Managed high-volume inbound calls related to account queries, billing, and payments.
- Resolved customer complaints while maintaining a positive brand image.
- Demonstrated efficiency and empathy in a fast-paced call centre environment.
Sales and Service Consultant
CommInsure
06.2016 - 07.2017
- Facilitated client onboarding processes, ensuring seamless integration into insurance systems.
- Managed high call volumes while maintaining service quality standards and response times.
- Utilized CRM software to document interactions and streamline issue resolution processes.
- Managed customer inquiries, ensuring timely and accurate responses to enhance satisfaction.
Casino Croupier
Crown Perth
10.2007 - 12.2015
- Dealt various table games, ensuring compliance with gaming regulations and house rules.
- Monitored gameplay to detect irregularities and maintain fair play standards.
- Provided exceptional customer service, enhancing guest experience and engagement at tables.
- Assisted in managing cash transactions, maintaining accuracy during payouts and chip exchanges.
- Promoted responsible gambling practices through ongoing communication with guests regarding their play habits and limits.
- Developed rapport with regular patrons, fostering loyalty through personalized interactions and recognition of preferences.
Education
Certificate II in Security Operations - Accounting
Integrated Training Pty Ltd
Perth, WA01-2022
Bachelor of Commerce - Accounting
Murdoch University
Perth, WAAdvanced Diploma - Accounting
Swan TAFE
Perth, WADiploma - Accounting
Swan TAFE
Perth, WACertificate IV - Financial Services (Accounting)
Swan TAFE
Perth, WACertificate III - Financial Services (Accounting)
Swan TAFE
Perth, WAHigh School Diploma -
Guildford Grammar School
Perth, WASkills
- Workers’ Compensation & General Insurance Claims Management
- Return-to-Work Coordination & Stakeholder Engagement
- Policy Interpretation, Claims Assessment & Regulatory Compliance
- Customer Service, Conflict Resolution & Complaint Handling (IDR, EDR/AFCA)
- Confidentiality, Empathy & Integrity in Case Management
- Time Management, Prioritisation & Multi-system Data Entry
- Experienced in Microsoft Office applications
- Problem Solving, Attention to Detail & Independent Work
Certification
- Security Industry Licence
- First Aid certification
- Responsible Service of Alcohol Certificate
- National Police Clearance
- Current Western Australian C Class Manual Driver's License
Timeline
Workers' Compensation Claims Advisor
GIO Insurance
11.2024 - 08.2025
Claims Executive
Gallagher
03.2024 - 09.2024
Claims Assist Specialist
RAC
07.2023 - 03.2024
Security Officer
ICP Group Australia
09.2022 - 07.2023
Compliance Officer
Services Australia
02.2020 - 08.2022
Customer Service Representative
Alinta Energy
05.2018 - 09.2019
Sales and Service Consultant
CommInsure
06.2016 - 07.2017
Casino Croupier
Crown Perth
10.2007 - 12.2015
Certificate II in Security Operations - Accounting
Integrated Training Pty Ltd
Bachelor of Commerce - Accounting
Murdoch University
Advanced Diploma - Accounting
Swan TAFE
Diploma - Accounting
Swan TAFE
Certificate IV - Financial Services (Accounting)
Swan TAFE
Certificate III - Financial Services (Accounting)
Swan TAFE
High School Diploma -
Guildford Grammar School
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