Tayla Tamatoa
Melrose Park,NSW
Summary
Dynamic insurance professional with extensive experience, excelling in claims resolution and client relations. Proven ability to enhance customer satisfaction through effective communication and complaint handling. Skilled in claims auditing and Microsoft Excel, consistently achieving compliance and operational efficiency while mentoring junior staff.
Overview
2
2
years of professional experience
Work History
Claims Administrator
Bentino PTY LTD
Sydney, NSW
09.2024 - Current
- Assess and triage insured customer's/policy holders to identify property damage, then coordinate and schedule the appropriate building assessor to conduct onsite inspections.
- Manage work orders and allocations for various trades required to identify non claim related maintenance and claim related repairs.
- Review and approve trades invoices, ensuring accuracy and proper submission.
- Oversee overall business compliance across administrative functions and company wide operations to ensure regulatory and internal standards.
- Managing incoming calls, respond to customer inquiries via email and insurance portals, and perform a range of in-office administrative duties.
- Prepare and send contracts/scope of work to clients, and review excess invoices for approval.
Insurance Claims Specialist
Woolworths Group
Sydney, NSW
02.2023 - 09.2024
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Maximized client retention by addressing concerns promptly and professionally, consistently demonstrating empathy and understanding during difficult situations.
- Followed up with customers on unresolved issues.
- Upheld a high level of accuracy by consistently double-checking figures, data entries, calculations, before finalizing any settlement documents or payments.
- Developed a strong knowledge of various insurance products to provide comprehensive guidance during the claims process for diverse clientele.
- Improved overall efficiency of the department by mentoring junior staff members on best practices in insurance claims handling and resolution techniques.
- Enhanced customer satisfaction by providing timely and empathetic responses to inquiries and concerns about claim statuses.
Skills
- Call center experience
- Complaint handling
- Payment processing
- Microsoft Excel
- Customer satisfaction measurement
- Professional telephone demeanor
- Claims auditing
- Microsoft office
- Excellent communication
- Verbal and written communication
Timeline
Claims Administrator
Bentino PTY LTD
09.2024 - Current
Insurance Claims Specialist
Woolworths Group
02.2023 - 09.2024