Wei-Ting Shacklock
Brisbane,QLD
Summary
Experienced Claims Consultant with background in managing complex insurance claims and guiding clients through resolution processes. Strengths include understanding of policy limitations, coverage analysis, and negotiation skills. Past roles demonstrate effective communication, problem-solving ability, and focus on customer satisfaction. Contributions in previous positions have led to streamlined claim procedures and improved client relationships. Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases.
Overview
6
6
years of professional experience
Work History
Claim Consultant
Crawford & Company Australia Pty Ltd
Brisbane, QLD
12.2020 - Current
- Reviewed documents such as police reports, bills, invoices, photographs. related to claim processing.
- Represented the insurer/self-insured clients at hearings or mediations when necessary.
- Input claim information and payments into company database.
- Determined liability, compensability, and benefits due on each claim.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Maintained accurate records of all claim activities in a centralized database system.
- Provided guidance to customers regarding their coverage options and procedures for filing a claim.
- Identified potential fraudulent activity in order to protect the interests of the insurer.
- Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Assessed claims to ensure accuracy and completeness of documentation.
- Prepared reports summarizing investigations and outlining recommendations for resolution of claims.
- Analyzed and interpreted policy provisions to determine coverage and liability.
- Ensured that all payments were made within established time frames outlined in the policy agreement.
- Negotiated settlements with claimants or their representatives on behalf of the insurance company.
- Negotiated settlements with claimants in accordance with company guidelines.
- Investigated complex or high-value claims by interviewing claimants, witnesses, attorneys, medical personnel, and other involved parties.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Completed day-to-day duties accurately and efficiently.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Assisted with customer requests and answered questions to improve satisfaction.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Paralegal
Phoenix law & Associates
Brisbane, QLD
11.2019 - 12.2020
- Responded to client calls and inquiries to deliver applicable information.
- Coordinated subpoena services and other support activities for legal office.
- Performed administrative duties such as photocopying, scanning, and organizing legal documents.
- Drafted correspondence, documented data and submitted materials to appropriate parties.
- Interviewed clients and obtained vital case information to support associates.
- Monitored and updated clients on case progress, including significant developments.
- Assisted in drafting and reviewing legal correspondence, including letters, emails, and faxes.
- Scheduled and coordinated depositions, hearings, trials, and meetings.
- Reviewed and organized legal documents, such as pleadings, motions, and briefs.
- Met with clients and attorneys to discuss case details and evidence.
Claims Legal Assistant
Maurice Blackburn lawyers
Brisbane, QLD
09.2018 - 11.2019
- Ensured that all paperwork was properly filed according to established procedures.
- Scanned physical documents into electronic format for storage in a secure database system.
- Drafted correspondence, documented data and submitted materials to appropriate parties.
- Processed closing documents and transactional documents for legal review.
- Handled telephone calls, meeting plans and conference organization requirements.
- Met with clients and attorneys to discuss case details and evidence.
- Provided administrative support to boost firm's document production and legal correspondence.
- Participated in client interviews, observed questioning process and documented information.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Assisted with customer requests and answered questions to improve satisfaction.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Education
Graduate Certificate in Business
University of Queensland
Brisbane, QLD07-2024
Bachelor of Law ( Honors)
Queensland University of Technology
Brisbane, QLDBachelor of Arts - Social Welfare
National Chung Cheng University
Taiwan Skills
- Claims analysis
- Policy interpretation
- Claims investigation
- Casualty and property loss
- Records review
- Liability determination
- Written communication
- Analytical thinking
- Insurance program management
- Report and records review
- Conflict resolution
- Adaptability and flexibility
- Loss assessment
- Organizational skills
- Check claims
- Legal proceedings
- Report writing
- Customer service and support
- Time management abilities
- Settlement negotiation
- Professionalism
- Professional demeanor
- Interpersonal skills
- Verbal and written communication
- Relationship building
- Decision-making
- Insurance Law Understanding
- Property adjusting
Languages
English
Native/ Bilingual
Chinese (Mandarin)
Native/ Bilingual
Timeline
Claim Consultant
Crawford & Company Australia Pty Ltd
12.2020 - Current
Paralegal
Phoenix law & Associates
11.2019 - 12.2020
Claims Legal Assistant
Maurice Blackburn lawyers
09.2018 - 11.2019
Graduate Certificate in Business
University of Queensland
Bachelor of Law ( Honors)
Queensland University of Technology
Bachelor of Arts - Social Welfare
National Chung Cheng University
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