Summary
Overview
Work History
Education
Skills
References
Hobbies and Interests
Timeline
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PRERNA PANDYA (PIA)

BRISBANE,QLD

Summary

Results-driven professional with extensive experience in leadership, customer success, and operations. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.

Overview

12
12
years of professional experience

Work History

Claims Manager

Suncorp Group
04.2025 - Current
  • Handled Portfolio of over 500 claims,managing escalated and sensitive matters with discretion, confidentiality, and accuracy
  • Assess, process, and resolve complex insurance claims in alignment with Product Disclosure Statement (PDS) policies and regulatory guidelines.
  • Provided end-to-end claims support,incorporating vulnerability assessment, clear PDS explanations, and personalised claim handling to achieve fair outcomes.
  • Managed insurance claims for older customers experiencing vulnerability, applying empathy-led communication, additional support measures, and tailored claim solutions.
  • Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.
  • Implemented fraud detection measures, minimizing financial losses due to fraudulent activities.
  • Identified and escalated vulnerable customer cases, ensuring timely intervention, appropriate referrals, and fair claim outcomes.
  • Collaborated across departments to streamline processes, improving turnaround time and enhancing customer satisfaction.
  • Identified trends and contributed to process improvements, driving enhanced service outcomes through targeted initiatives.
  • Interpret complex information and deliver practical, timely resolutions
  • Ensure accuracy in data entry, documentation, and claims assessment within compliance frameworks.
  • Maintain accurate records and system updates across multiple digital platforms
  • Served as key point of contact for employee and stakeholder queries, providing clear guidance aligned with policy and process to ensure understanding and compliance.

Customer Success Manager

Spectrum Consulting
11.2022 - 02.2025
  • Managed diverse business accounts, serving as primary liaison for key clients.
  • Directed a portfolio of 5 key accounts, resulting in strategic upselling and cross-selling initiatives.
  • Optimised customer journey by implementing risk management strategies that improved client satisfaction.
  • Served as first point of contact for client and internal queries, achieving first-call resolution whenever possible.
  • Coordinated workflows, escalations, and handovers across specialist teams to enhance communication and efficiency.
  • Supported system onboarding, user education, and self-service capability
  • Analysed data and reporting to support accurate decision-making

Operations Manager

Black Eyewear
04.2020 - 10.2022
  • Ensured accuracy of workforce data and operational documentation, supporting informed decision-making
  • Facilitated employee lifecycle processes from onboarding to compliance, enhancing overall workforce engagement
  • Collaborated with leaders to proactively address and resolve employee-related issues, fostering a supportive work environment
  • Spearheaded process improvements within the organization by sharing best practices learned from completed projects across various departments.
  • Pioneered new project management tools, streamlining workflows and enhancing team collaboration. Reduced project turnaround time significantly.
  • Developed and executed creative marketing strategies (Social Media and Collaborating with different mall management) to boost brand visibility and footfall.

Multi-Site Manager

OPSM
02.2017 - 03.2020
  • Oversaw multi-site operations, driving performance consistency and operational excellence across locations.
  • Coordinated workforce planning and scheduling across multiple sites to align staffing with customer demand and utilize individual strengths.
  • Achieved and exceeded company, regional, and individual KPIs through effective leadership, collaboration, and customer-centric strategies.
  • Implemented strategic people and operational initiatives that contributed to revenue growth, improved customer experience, and stronger team capability.
  • Designed and implemented structured staff training, incentive programs, and career progression initiatives to identify, coach, and develop 25+ high-performing employees and management trainees, resulting in a 22% reduction in staff turnover.
  • Led end-to-end recruitment and onboarding processes, ensuring smooth induction, compliance, and early engagement for new hires.
  • Resolved employee and customer relations issues as escalation point, enhancing satisfaction and engagement levels.

Store Manager

Specsavers
06.2014 - 02.2017
  • Implemented targeted business strategies, enhancing revenue and expanding market reach.
  • Negotiated price and service with customers and vendors to decrease expenses and increase profit.
  • Oversaw inventory and cash controls while streamlining store opening and closing procedures.
  • Maintained proper product levels and inventory controls for merchandise and organized backroom to facilitate effective ordering and stock rotation.
  • Pioneered innovative customer service approaches, transforming in-store experience.

Education

Graduate Diploma - Human Resource Management

Southern Institute of Technology
NZ
06-2026

Certificate - Fashion Journalism

University of The Arts
London
02-2025

Bachelor of Science -

Mumbai University
India

Skills

  • Microsoft Suite (Word, Excel, PowerPoint)
  • ADP
  • Genesys
  • ConnectWise
  • Microsoft Office
  • Employment Hero
  • Risk Management
  • Relationship Management
  • Communication & Collaboration
  • Time Management
  • Strategic Planning
  • Customer management
  • Claims assessment

References

Available upon request

Hobbies and Interests

  • Blogging
  • Acting and Theater
  • Bolly Dance Fitness and zumba Instructor

Timeline

Claims Manager

Suncorp Group
04.2025 - Current

Customer Success Manager

Spectrum Consulting
11.2022 - 02.2025

Operations Manager

Black Eyewear
04.2020 - 10.2022

Multi-Site Manager

OPSM
02.2017 - 03.2020

Store Manager

Specsavers
06.2014 - 02.2017

Graduate Diploma - Human Resource Management

Southern Institute of Technology

Certificate - Fashion Journalism

University of The Arts

Bachelor of Science -

Mumbai University
PRERNA PANDYA (PIA)