Sophie Dunning
Newcastle,NSW
Summary
Well-qualified case management professional skilled at directing clients and staff through steps to help empower people in need. Well-organized and hardworking planner looking for a challenging position. Background includes successfully managing documentation and daily living support needs for disabled clients. Good organizational skills with a hardworking mentality and caring approach. Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Advisor
Suncorp
Newcastle, NSW
04.2024 - Current
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Collaborated closely with colleagues across different departments such as finance or sales teams when required.
- Attended meetings with external stakeholders such as solicitors, medical professionals or insurers to discuss individual cases.
- Participated in conference calls with insurers or other stakeholders to discuss complex cases involving multiple parties.
- Determined liability, compensability, and benefits due on each claim.
- Monitored payment schedules for overdue payments from insurance companies or third-party administrators.
- Discussed current cases and issues in claim committee meetings.
- Processed incoming mail, emails and telephone calls relating to claims.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Team Leader, Disability Client Services
BelleJoy
Newcastle, New South Wales
10.2021 - 03.2024
- Supported clients' social, physical and emotional needs to help integrate into local community.
- Tracked client behaviors, daily activities, new skills and notable incidents for documentation purposes.
- Helped clients develop coping mechanisms, technical abilities and job skills.
- Worked with leadership, parents and volunteers to establish clear goals and guidelines for group meetings.
- Facilitated weekly group meetings, listened, offered compassion and supported members.
- Provided emotional and practical support to vulnerable adults.
- Monitored client wellbeing and reported any changes or concerns to relevant staff members.
- Attended regular reviews of service user's care plans to ensure the best outcomes for each individual.
- Facilitated individualized client assessments to identify strengths, needs and resources.
- Developed individual plans of care that address the unique needs of each client and their families.
- Coordinated with other health professionals to develop comprehensive treatment plans for clients with disabilities.
Coaching Staff Member/SLSO
Hunter Sports High School
Newcastle, NSW
03.2021 - 10.2022
- Working at Hunter Sports High as coach in their netball program, I not only and helping them improve their abilities on the court but how they perform off the court. I have close relationships with the girls and they feel comfortable enough to come to me with any issues they hare having.
- Mentored and encouraged youth to develop strong work ethic by being positive role model and practicing skills regularly.
- Developed training and exercise programs to meet individual requirements and team play strategies.
- Talked with individuals, sharing positive life experiences to encourage improved self-esteem and boost socialization.
Educational Assistant
Community Kids Valentine
Newcastle, NSW
03.2021 - 10.2021
- Helped students master learning concepts through one-on-one and small group tutoring.
- Monitored students in class and outdoor areas supervise, enforce rules and support lead teacher.
- Assisted teachers with lesson preparation
- Cleaned and organized classrooms, materials and supplies.
- Modeled and taught basic and advanced social skills, conflict management techniques approaches to students.
- Prepared lesson materials and visual aids to reinforce lesson concepts.
- Applied positive reinforcement to redirect negative behaviors.
- Customized small group and individual classroom activities based on differentiated learning needs.
- Supported students in developing strategies for individual and group learning.
Assistant Store Manager
ALDI Gunnedah
Gunnedah, NSW
11.2018 - 03.2021
- Set schedules and delegated assignments based on team strengths to optimize floor coverage and service levels.
- Recruited and hired individuals demonstrating passion, dedication and added value to team.
- Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
- Assisted in overall day-to-day operations of store, including continuous development of effective store associates to achieve desired sales and results.
- Provided mentorship for employees to generate sales, promote effective upselling and cross-sell to improve retail productivity.
- Completed frequent walk-throughs and directed team members to correct issues impacting store appearance or professionalism.
- Fielded customer complaints, resolved disputes and answered questions to promote store engagement and effectiveness.
- Oversaw aspects of maintenance, inventory and daily activity management to provide optimized retail environment .
- Organized and updated schedules to optimize coverage for expected customer demands.
- Counted and balanced registers.
Early Childhood Educator Assistant
Kindy Patch Maryland
Newcastle, NSW
05.2013 - 10.2018
- Implemented hands-on, play-based strategies such as games and crafts for experiential learning.
- Collaborated with parents to develop and maintain strong support networks and build rapport to foster seamless communication.
- Organized and led activities to promote physical, mental and social development.
- Maintained tidy and clean classroom consistent with safety and health standards.
- Tracked each child's progress and reported progress to parents.
- Organized classroom to keep areas well-maintained and organized.
- Kept students safe inside and outside classrooms by proactively monitoring behaviors and tracking student movements, safety hazards and visitors.
- Controlled classroom environments with clearly outlined rules and positive reinforcement techniques.
Education
Certificate IV in Disability - Disability Studies
Essential Skills Training And Recruitment
Warabrook NSW01-2024
Certificate III in Child Services
NSW Tafe
Newcastle05.2014
Certificate II in Community Services
NSW Tafe
NSW 07.2013
High School Diploma -
Whitebridge HIgh School
Whitebridge10.2012
Skills
- Decision-making
- Supervision
- Organized
- Calm in high pressure situations
- Educational support
- First aid and CPR certified
- Individual instruction
- Patient
- Appointment organization
- Team collaborating
- Relationship Building
- Case Management
- Client Needs Assessment
- Individual Support Plans
- Risk Assessments
- Technology proficiency
- Program development
- Adaptability
- Goal setting
- Support clients
- Active listening
- Problem-solving aptitude
Certification
- Certificate IV in Disability Services
- Certificate III in Community & Child Services
- First Aide, CPR & Anaphylaxis Certificate
- Working with Children Check
References
Sarah Gilbertson
Area Manager Aldi Australia
0438 986 750
Kellie Rose
Teacher Hunter Sports High School
0414 302 216
Keely Andrews:
BelleJoy Support
0478 019 944
Timeline
Claims Advisor
Suncorp
04.2024 - Current
Team Leader, Disability Client Services
BelleJoy
10.2021 - 03.2024
Coaching Staff Member/SLSO
Hunter Sports High School
03.2021 - 10.2022
Educational Assistant
Community Kids Valentine
03.2021 - 10.2021
Assistant Store Manager
ALDI Gunnedah
11.2018 - 03.2021
Early Childhood Educator Assistant
Kindy Patch Maryland
05.2013 - 10.2018
Certificate IV in Disability - Disability Studies
Essential Skills Training And Recruitment
Certificate III in Child Services
NSW Tafe
Certificate II in Community Services
NSW Tafe
High School Diploma -
Whitebridge HIgh School
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