Summary
Overview
Work History
Education
Skills
Certification
Timeline
Training
Other Qualifications
Generic

Tome Jovanovski

Blackbutt,Australia

Summary

Experienced with evaluating insurance claims to ensure compliance with policies and regulations. Utilizes strong analytical skills to identify discrepancies and facilitate accurate resolutions. Track record of maintaining detailed records and providing exceptional customer service.

Professional claims analyst with proven track record in evaluating, processing, and resolving insurance claims. Strong focus on team collaboration and adaptability, ensuring seamless operations and optimal outcomes. Highly skilled in data analysis, risk assessment, and customer service, consistently delivering reliable and efficient results. Known for excellent problem-solving abilities and maintaining high standards in all tasks.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Senior Medical Review Analyst

Mercer
10.2007 - Current
  • Police Superannuation Advisory Committee (PSAC)
  • Managing invalidity and death matters for current and former members of the Police Superannuation Scheme (PSS) in accordance with the Police Regulation (Superannuation) Act 1906 on behalf of SAS Trustee Corporation (STC)
  • Writing and preparing complex reports to be submitted and considered by a NSW state government committee (PSAC), and/or STC CEO
  • Liaising with medical specialists; vocational and health professionals; committee members, trustee, NSW Police, solicitors (internal and external) and police union representatives
  • Regularly updating and implementing new procedures and guidelines in accordance with case law
  • Analysing and assessing complex medical and vocational specialist reports
  • Provided mentorship to junior analysts, enhancing team productivity and knowledge sharing.
  • Generated and maintained statistical data related to medical records.

Account Executive

MBA Insurance Services Pty Ltd
06.2005 - 10.2006
  • Managing insurance portfolios for all members operating within the following regions of NSW: Broker Hill, Central West Sydney, Cronulla, Illawarra, Murray, Shoalhaven, St George, Southern Highlands, Albury/Wodonga.
  • Maintaining and developing client and business relationships
  • Streamlined account management processes for increased efficiency and improved client retention rates.
  • Participated actively in networking events and trade shows, representing the company professionally and expanding its reach within target markets.
  • Enhanced team performance, sharing best practices and mentoring junior account brokers.
  • Identified new business opportunities through cold calling, networking, marketing and prospective database leads.
  • Computer, Internet and Broking System support liaison for NSW insurance offices

Account Broker

Jardine Lloyd Thompson Pty Ltd
09.2001 - 05.2005
  • Seeking out new business and retaining insurance portfolio of builders with a turnover between $5M to $100M
  • Negotiated complex insurance contracts to optimize client coverage and minimize risks.
  • Developed tailored insurance solutions aligned with client objectives and industry standards.
  • Established strong relationships with insurers to facilitate effective negotiations on behalf of clients.
  • Negotiated competitive renewal terms with carriers, retaining clients and maintaining a high level of customer satisfaction.
  • Servicing clients with the following professional insurance products:

Contract Works

Public & Product Liability

Home Warranty Insurance

Personal Accident & Sickness

Plant, Tools and Equipment

Workers Compensation

Business Packages

Industrial Special Risks

Professional Indemnity

Education

Diploma - Financial Services

Association of Superannuation Funds of Australia (ASFA)
01.2010

Certificate IV - Business Management

Illawarra Institute of Technology
Wollongong, NSW
01.2009

Certificate IV - Frontline Management

Illawarra Institute of Technology
Wollongong, NSW
01.2009

Insurance Broking Certificate Tier 1 Qualification - FSRA

National Insurance Broking Association (NIBA)
01.2005

Statement of Attainment - Industry Studies Metal and Engineering

NSW Vocational Education & Training
01.1998

High School Certificate - undefined

Illawarra Senior College
Port Kembla, NSW
01.1998

Statement of Attainment - National Engineering Program - Engineering Computing, Robotics

Illawarra Institute of Technology
Wollongong, NSW
01.1997

Statement of Attainment - National Engineering Program - Electrical, Welding/Thermal Cutting

Illawarra Institute of Technology
Wollongong, NSW
01.1997

School Certificate - undefined

Illawarra Senior College
Port Kembla, NSW
01.1996

Skills

  • Claims management
  • Complex report writing
  • Interpersonal and written communication
  • Policy interpretation
  • Due diligence
  • Documentation skills
  • Critical thinking aptitude

Certification

  • AIE - Accredited Insurance Examiner

Timeline

Senior Medical Review Analyst

Mercer
10.2007 - Current

Account Executive

MBA Insurance Services Pty Ltd
06.2005 - 10.2006

Account Broker

Jardine Lloyd Thompson Pty Ltd
09.2001 - 05.2005

Certificate IV - Business Management

Illawarra Institute of Technology

Certificate IV - Frontline Management

Illawarra Institute of Technology

Insurance Broking Certificate Tier 1 Qualification - FSRA

National Insurance Broking Association (NIBA)

Statement of Attainment - Industry Studies Metal and Engineering

NSW Vocational Education & Training

High School Certificate - undefined

Illawarra Senior College

Statement of Attainment - National Engineering Program - Engineering Computing, Robotics

Illawarra Institute of Technology

Statement of Attainment - National Engineering Program - Electrical, Welding/Thermal Cutting

Illawarra Institute of Technology

School Certificate - undefined

Illawarra Senior College

Diploma - Financial Services

Association of Superannuation Funds of Australia (ASFA)

Training

  • JLT Training Seminars:
  • - CGU Product Disclosure Statement
  • - CGU Industrial Special Risks
  • - Directors & Officers Liability
  • - Broking System Training Update Text Processing Techniques
  • - Client Declarations Why do we need them
  • - Financial Services Reform
  • - JLT Quality Procedures
  • - Contract Works
  • - Improving Audit Debrief
  • - Home Warranty
  • - Introduction to JLT Learning

Other Qualifications

  • WorkCover OH&S Ticket (Green Card)
  • RTA Traffic Controller Ticket (Blue Card)
Tome Jovanovski