Experience

CAPRICORN MUTUAL MANAGEMENT PTY LIMITED

• Italy
• Insurance
• 1 - 100 Employee

• Claims Team Leader

  • Jun 2015 - Present



Arthur J. Gallagher & Co.

• 1 - 100 Employee

• Claims Manager WA Region

  • Jul 2012 - Feb 2015

  - Lead and engage the WA claims team, continually looking for ways to improve efficiency and client outcomes. - Build and manage long term relationships with insurers, loss adjusters and other external bodies. - Maintain appropriate representation with clients during renewals and key claims. - Negotiate with and influence a range of stakeholders. - Manage PI claims and provide solutions in conjunction with Risk & Compliance. - Oversee and review all large and potentially complicated claims, assisting claims personnel in the negotiation of equitable claims settlements on behalf of clients. - Liaise with the Branch Manager and broking staff providing relevant claims information, advice and structured solutions to their claims management issues. - Interpret policy wording, review claims circumstances and liaise with clients, insurers and other external parties to seek timely resolution of claims. - Provide regular feedback, reports and statistics on claims. - Actively participate in the Performance Management Process of the claims team, coaching and mentoring to improve business methods and practices. - Review client feedback regarding the claims service, provide feedback and resolution where necessary. - Monitor industry, market and legal trends, providing recommendations for change strategies.



AustralianSuper

• Australia
• Financial Services
• 700 & Above Employee

• Project Coordinator

  • Dec 2011 - Jun 2012

  This role supports the Project Manager and requires the formulation and upkeep of the project plan, the completion of the due diligence process, the smooth running of the workstreams over various areas of the businesses and the accomplishment of all phases and deadlines. This encompasses relationship building and communication with internal departments and externally with the different administrators, insurers, custodians, auditors and other parties involved in the merger.

• Insurance Claims Manager

  • Jul 2011 - Feb 2012

  Westscheme has now successfully merged with AustralianSuper.



Westscheme Superannuation

• Insurance Manager

  • Feb 2007 - Jul 2011

  -Responsible for maintaining the relationship between Westscheme and the Insurer. -Key contact for all insurance matters both externally and internally. -Responsible for ensuring Westscheme has a competitive insurance offering by liaising and working with the Insurer and other external and internal parties regarding new benefit designs, products, processes, policy documents and communications. -Negotiate the insurance contract between Westscheme and the Insurer, liaising with all relevant internal and external parties to achieve optimal benefits for members. -Monitor the Administrator’s and Insurer’s performance and ensure compliance with the insurance contract. Provide and implement recommendations to improve the member experience. -Oversee the Insurance Claims team (comprising of 3 members of staff) and the day to day running of the team, providing support and guidance as required. -Communicate expectations and provide regular feedback to optimise organisational, team and individual achievements and performance. -Ensure that all files and correspondence are kept up-to-date and accurate at all times by the Insurance Claims team and recommendations are made on death and disability claims in accordance with legislation, the insurance contract and the trust deed. -Correspond with and obtain advice from lawyers in relation to claims and insurance matters. -Identify issues and recommend solutions and improvements to claims and insurance related procedures, processes and documents. -Communicate changes regarding insurance and claims matters to all relevant employees; provide training where necessary and ensure all documentation is up to date. -Be mindful of risk minimisation and compliance, ensuring potential risks are identified, monitored and managed and documentation is kept up to date and compliant. -Prepare reports for the Board of Directors relating to claims and insurance matters.



AXA PPP healthcare

• United Kingdom

• Third Party Recovery Case Manager

  • Aug 1997 - Mar 2006

  -Responsible for over 700 personal injury cases ranging from road traffic accidents to medical negligence, of various monetary values. -Pursue the recovery of monies from negligent third parties for medical benefits paid. -Correspond and negotiate with solicitors and insurance companies to settlement of the case. -Liaise with members and employer groups in respect of their case or their employee’s case. -Recover debts sent direct to the member. -Reach monthly individual targets as well as annual team targets -Complete monthly reports for internal departments. -Organise and run meetings and training sessions with the team, internal departments and new team members.