Experience

EML

• Australia
• Insurance
• 700 & Above Employee

• Whole Person Impairment Specialist

  • Apr 2020 - Present

  — Analysing relevant medical evidence to make fact-based decisions regarding injured worker entitlement— Engagement of internal and external stakeholders in order to seek and manage expectations— Adhering to internal procedures, work practices, and the requirements of the Return to Work Act— Creation and management of claim records and documentation

• Lump Sum Technical Specialist

  • Sep 2018 - Apr 2020

  — Subject matter expert providing advice and recommendations to Claims Operations staff— Building and maintaining relationships with government regulator— Regular reporting to senior operational management— Identifying and implementing process improvements resulting in earlier assessment of permanent impairment

• Whole Person Impairment Specialist

  • May 2016 - Sep 2018

  — Analysing relevant medical evidence to make fact-based decisions regarding injured worker entitlement— Engagement of internal and external stakeholders in order to seek and manage expectations— Adhering to internal procedures, work practices, and the requirements of the Return to Work Act— Creation and management of claim records and documentation— Provide advice and technical assistance to a team of 12 Whole Person Impairment Specialists— Coaching new team members and providing feedback— Reviewing quality and content of team output, monitoring trends, and submitting reports to department leaders— Participation in project team looking at optimisation and simplification of processes— Suggestion and implementation of process improvement that reduced process timeframe by approximately 28 days

• Claim Specialist – Medical Management

  • Feb 2016 - May 2016

  — Reviewing claim files and requests for medical services in line with the clinical framework— Obtaining relevant information to allow for fact-based decision-making— Monitoring medical expenses and implementing strategy to decrease scheme liability

• Redemption Specialist

  • Sep 2015 - Feb 2016

  — Project role responsible for managing a portfolio of more than 100 claims for a potential redemption of liabilities— Calculation of potential settlement decisions based on a factual analysis of medical evidence— Negotiation with stakeholders to agree on settlements in the best interest of all parties— Providing advice on redemption eligibility to the wider business— Ensuring documentation was completed and registered accurately and appropriately



Gallagher Bassett

• United States
• Insurance
• 700 & Above Employee

• Impairment Benefits Specialist

  • Oct 2013 - Aug 2015

  — Working within the Impairment Benefits Team managing a portfolio of more than 200 permanent impairment claims— Reviewing Permanent Impairment Assessment Reports and ensuring compliance with guidelines and legislative requirements— Calculation and determination of lump sum entitlements in line with medical evidence— Providing requests and documentation to accredited assessors — Mentoring of less-experience colleagues

• Case Manager

  • Jan 2013 - Oct 2013

  — Making fact-based decisions in relation to claim liability and treatment— Engaging with stakeholders around expectations and concerns— Implementing medical and cost management strategies— Adhering to the requirements of the Workers Rehabilitation and Compensation Act and other relevant legislation

• Claims Consultant

  • Jun 2010 - Dec 2012

  September 2011 – December 2012Earthquake Commission Customer Service Team & Complex Claims Team— Heavily involved in stakeholder relations, and complaint management and resolution— Calculating settlements of home, contents, and land claims based on factual analysis of assessment reports and other supporting documentation— Adhering to Earthquake Commission Act and Regulations— Adapting to continually changing processes due to the magnitude of the event— Computer-based management and administration of claimsJune 2011 – September 2011Suncorp Event Team (Queensland Floods)— Claims processing role managing building and contents claims in line with established practices— Using discretion to settle claims based on factual analysis of assessment reports— Managing stakeholder expectations and ensuring that customers are aware of processesJune 2010 – May 2011Buzz Insurance Claims Team— Claims processing role managing motor vehicle and property claims in line with established practices— Managing flow of information to ensure that stakeholders had access to assessment reports, valuations, and policy documents— Mentoring of less-experienced colleagues and providing assistance with task completion



EB Games Australia

• Australia
• Retail
• 500 - 600 Employee

• Sales Consultant

  • 2008 - Nov 2010