Summary
Overview
Work History
Education
Skills
Voluntary And Community Interests
Timeline
Generic

Tracey Wilson

Bentley,WA

Summary

Experienced personal injury claims professional with a strong background in managing and reducing complex claims involving various stakeholders. Skilled in providing technical expertise to ensure consistent delivery of claims outcomes aligned with industry best practices and legislative guidelines. Proficient in leading and mentoring multidisciplinary workers' compensation specialists to achieve optimal results. Adept at utilizing data analysis to identify trends and cost drivers, enabling employers to make informed decisions and contribute to effective claims outcomes.

Overview

15
15
years of professional experience

Work History

Manager, Workers Compensation and Injury Managemen

Department of Justice
03.2024 - Current

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  • Designed, updated, and implemented processes and procedures ensuring compliance with Workers Compensation and Injury Management Act 2023.
  • Guided line managers on psychosocial and physical support protocols for injured staff.
  • Directed, guided and provided mentorship to multidisciplinary team comprised of claims officers as well as injury management consultants.
  • Designed strategies leveraging a bio-psychosocial model to optimize injury recovery processes.
  • Developed and upheld significant stakeholder partnerships, particularly with the insurer and WorkCover WA.
  • Performed trend analysis to align with Work Health and Safety priorities.
  • Implemented and monitored injury management systems.
  • Directed strategic initiatives to address complicated claim issues.

Team Leader, Workers Compensation

Insurance Commission of WA
09.2017 - 03.2024


  • Company Overview: The Insurance Commission is a State owned Government Trading Enterprise that provides Compulsory Third party Insurance to Western Australian motorist and manages the self-insurance arrangements of Western Australian Public Authorities on behalf of the Government
  • Leads and Coaches a team of Workers Compensation Claims Officers managing claims on behalf of The Department of Education by ensuring the effective and efficient delivery of self-insurance services to minimise the cost of claims to the agency and government as a whole
  • Coaching and development of claims staff to optimise claims outcomes and to educate agencies on tends adversely effecting claims lodgement and duration
  • Sharing knowledge with the Claims Division to assist in identifying opportunities for Continuous Improvement that align with best practice and excellent claims outcomes
  • Key achievements:
  • Project Lead delivering a contemporary Claims Management Model to the public sector to align with Private Insurance Claims Models and WorkCover WA Best Practice Guidelines for Insurers
  • Delivery of a Memorandum of Understanding between ICWA and The Dept of Education to replace the existing Service Model
  • Successful accelerated progression of 3 Claims Officers in my team to leadership roles
  • Input into development of Claims Datamart Dashboard
  • Initiated process improvement suggestion of and BA for automation of legislated letters within the Worker Compensation Claims Division
  • Implemented the use of a 'New Claims Liability Assessment' Officer across the 2 Education Dept Teams
  • Tender Panel Member for 2021 Legal Provider Tender process
  • Member of the Talent Identification Committee 2021 to 2023

Acting Claims Service Manager, Motor Injury Insurance

Insurance Commission of WA
09.2019 - 12.2019
  • Responsible for leading and managing multi-disciplinary Claims Teams under my control to ensure that people, productivity and performance targets are achieved
  • Key achievements:
  • Implementation of a 6 Month Claims review Template to ensure regular and transparent review of a claims progress
  • Implementation a pilot allowing Level 4 claims officers to determine liability for simple 2 car crash claims
  • Monitoring of claims lodged from 'claims farming' including review of liability decision to decline claims
  • Implementation and review of the use of a team mailbox function to monitor workflow

Team Manager, Workers Compensation

IAG Australia t/as SGIO/CGU Insurance
01.2012 - 01.2017
  • Company Overview: Insurance Australia Group are Australia’s leading General and Business Insurer with Insurance Arms extending to Asia and New Zealand
  • SGIO Insurance were the public insurance arm of the privatized State Government Insurance Office now known as ICWA
  • CGU Insurance brand is nationally recognised as one of Australia’s largest Intermediated Insurers
  • Recruits, Coaches and Leads a team of multi-disciplinary claims professionals including Injury Management Advisors and Technical Advisors to collaborate and provide exceptional claims outcomes for a variety of direct and intermediated clients, including Large National Entities such as Serco and Spotless Services and St John Ambulance and various Mining Clients in WA
  • Ensure compliance with internal and external procedures through auditing and reporting on KPI’s
  • Relationship manager for clients and brokers within my portfolio
  • Insurance Australia Group are Australia’s leading General and Business Insurer with Insurance Arms extending to Asia and New Zealand
  • SGIO Insurance were the public insurance arm of the privatized State Government Insurance Office now known as ICWA
  • CGU Insurance brand is nationally recognised as one of Australia’s largest Intermediated Insurers
  • Key achievements:
  • Project Officer for development of and implementation of Segmented Claims Model for Workers Compensation Claims in WA
  • Project Officer for development of and implementation of move from GIS to Claims Centre IT system nationally across all personal injury claims
  • Claims Lead for attaining Serco as a new client, including the development of a Service Level Agreement for claims management with that client and their broker
  • Claims Lead for attaining Spotless Services as a new client, including the development of a Service Level Agreement for claims management with that client and their broker
  • Project Lead implementing a time based claims management model as part of the IAG Leadership Fundamental Course

Technical Advisor, Workers Compensation

IAG Australia t/as SGIO/CGU Insurance
01.2010 - 01.2012
  • Provide mentoring and technical advice to claims teams in regards to complex Common Law and Industrial Disease matters
  • Attend WorkCover WA and the District Court representing the insurer and employer
  • Oversee the claims being managed on behalf of ICWA as part of the Supplementation Fund
  • Represent CGU at various WorkCover WA and other industry bodies meetings and forums
  • Conduct Audits and identify training requirements for the division, including putting together training modules and delivery of training
  • Review and advise the business unit in regards to likely legislative changes and changes to claims procedures as a result
  • Deliver training to employers in regards to the claims process
  • Regular review and update of Operational Claims Procedures, Relationship Manager responsible for Legal and Investigation Panel Members
  • Key Achievements:
  • Review the Privacy Act requirements and develop claims procedures to ensure compliance with the legislation including the development of 3 point identification of callers
  • Development of a 'Flags' based Case Management Model to identify claims into risk categories
  • Development of an Injury Management and estimating claims model
  • Automation of Legislated Letters
  • Development of a OCP for the management of Industrial Disease Claims
  • Member of the Tender Panel for the review of Workplace Rehabilitation Providers
  • Development of process for partnering with an in house Occupational Physician to provide desktop medical opinions

Education

Leadership Foundations Training -

IAG
01.2012

Cert II - Training and Assessment

AIM
01.2008

High School -

Cecil Andrews Senior High School
01.1985

Skills

  • Technical claims knowledge
  • Leadership
  • Coaching and Mentoring
  • Change management
  • Project management
  • Excellent Communication
  • Negotiation Skills
  • Claims management solutions
  • Data Analysis
  • Relationship Management

Voluntary And Community Interests

  • Netball Coach, Junior Coach Willetton Netball Club, 01/01/17, 12/31/20, Premiership Coach 2018
  • Netball Coach Palmyra Rebels Netball Clib 2019 to current
  • Ballroom Dancing Teacher, Mandurah Dance World, 01/01/19, Current, Adults Bronze Level
  • Member of the WA Masters Ballroom Dancing Formation Team

Timeline

Manager, Workers Compensation and Injury Managemen

Department of Justice
03.2024 - Current

Acting Claims Service Manager, Motor Injury Insurance

Insurance Commission of WA
09.2019 - 12.2019

Team Leader, Workers Compensation

Insurance Commission of WA
09.2017 - 03.2024

Team Manager, Workers Compensation

IAG Australia t/as SGIO/CGU Insurance
01.2012 - 01.2017

Technical Advisor, Workers Compensation

IAG Australia t/as SGIO/CGU Insurance
01.2010 - 01.2012

Leadership Foundations Training -

IAG

Cert II - Training and Assessment

AIM

High School -

Cecil Andrews Senior High School
Tracey Wilson