Experience

EML

• Australia
• Insurance
• 700 & Above Employee

• WHS & Employee Care Manager

  • Jul 2020 - Present

  Manage all workers compensation claims lodged by EML employees nationally, focusing on reducing claim duration and claim frequency• Develop and implement a national return to work strategy for EML that promotes the positive aspects of returning to work, is in line with the EML values• Work closely with the Head of Employee Relations and Senior Management to develop a clear strategy when managing claims with employee relation issues• Communicate with key stakeholders across EML to make sure there is a coherent return to work strategy for each injured employee that is in line with EML’s operational requirements• Effectively lead and develop the junior RTW co-ordinator’s workers compensation and injury management knowledge• In conjunction with IT, develop a functioning claims system that enables relevant stakeholders access to claims information while also adhering to the required privacy standards• Develop reporting for CEO, General Managers and Senior Management demonstrating current performance against previous months/years• Identify suitable legal, investigation, rehabilitation and ergonomics providers that• Maintain relationships with and monitor performance of EML’s preferred external providers (legal, investigation, rehabilitation and ergonomics)• Assist in the development of initiatives related to employee care and employee mental health• Review requests for ergonomic assessments and equipment to determine suitability or identify alternative solutions• Utilize EML workers compensation and insurer data to track and forecast premium, work with finance to ensure smooth renewal process Show less

• RTW/Employee Care/WHS Specialist

  • Mar 2019 - Aug 2020

  • Manage all workers compensation claims lodged by EML employees nationally, focusing on reducing claim duration and claim frequency • Develop and implement a national return to work strategy for EML that promotes the positive aspects of returning to work, is in line with the EML values • Work closely with the Head of Employee Relations and Senior Management to develop a clear strategy when managing claims with employee relation issues • Communicate with key stakeholders across EML to make sure there is a coherent return to work strategy for each injured employee that is in line with EML’s operational requirements• Effectively lead and develop the junior RTW co-ordinator’s workers compensation and injury management knowledge • In conjunction with IT, develop a functioning claims system that enables relevant stakeholders access to claims information while also adhering to the required privacy standards • Develop reporting for CEO, General Managers and Senior Management demonstrating current performance against previous months/years• Identify suitable legal, investigation, rehabilitation and ergonomics providers that• Maintain relationships with and monitor performance of EML’s preferred external providers (legal, investigation, rehabilitation and ergonomics) • Assist in the development of initiatives related to employee care and employee mental health• Review requests for ergonomic assessments and equipment to determine suitability or identify alternative solutions • Utilize EML workers compensation and insurer data to track and forecast premium, work with finance to ensure smooth renewal process Show less



Hospitality Industry Insurance

• Australia
• Insurance
• 1 - 100 Employee

• Team Leader

  • Jan 2015 - Mar 2019

  • Through the performance review framework assist team members to identify their development goals and the steps required to reach these goals• Develop a high performing team of individuals with differing experience levels and backgrounds • Identify high performing team members and develop leadership skills as well as delegating some leadership responsibilities to them once they been deemed to have the sufficient leadership skills• Review progression of team members through probation and into the senior case manager pathway• Encourage recognition of team members through Hospitality R&R program. Assist in presentation of R&R awards etc.• Complete interviews for case manager, senior case manager and claims assistant roles• Analyse workload of team members and allocate work based upon the resources available in the team• Complete coaching with case managers on best practice injury management, customer service (including motivational interactions), time management etc. • Review complex medical claims through the completion of the NCMM framework as well as ad hoc requests from case managers. Through these reviews promote the case manager using a holistic, supportive and empathetic approach to case management• Analyse claims and claims data to identify opportunities to improve adherence to SIRA guidelines and legislation, customer service, injury management and ultimately the overall performance of the business unit• Develop and implement strategies to address opportunities for performance improvement • Present findings from claim analysis and the accompanying strategies to address findings to EML CEO and Hospitality Employers Mutual board members during quarterly claims performance meetings• Complete service recovery calls for NPS ranging from 0-10 from injured workers and employers.• Manage any escalated complaints as well as manage responses to any SIRA or WIRO inquires Show less

• Senior Case Manager

  • Mar 2014 - Jan 2015

  • Manage a portfolio of claims including a mix of front end, tail and severe injury claims for large brokered policies as well as small employers • Complete case conferences to facilitate upgrades in capacity, discuss treatment and build rapport with injured workers, doctors, employer representatives and treatment providers• Attend claims reviews and work with employer representatives to develop strategies to assist injured workers return to work• Build positive working relationships with employers to assist in the retention of customers• Presenting training on worker’s compensation processes and injury management to employers• Manage time to effectively complete all compliance related tasks within the required timeframe• Coach and develop other team members, particularly new starters, in the technical and injury management aspects of case management• Assist the team leader in managing the team including the triage of claims, allocation of new claims, completing audits, NCMM reviews (both micro and panel reviews), identifying trends in claims and assist driving performance through focusing in addressing these trends• Participating in EML wide projects as Hospitality Employers Mutual’s representative Show less

• Case Manager

  • May 2012 - Feb 2014

  • Manage a portfolio of claims including a mix of front end and tail claims for predominantly small and medium employers• Attend case conferences to facilitate upgrades in capacity, discuss treatment and build rapport with injured workers, doctors, employer representatives and treatment providers• Complete claims reviews and develop strategies with the employer on how best to manage an injury• Manage time to effectively complete all compliance related tasks within the required timeframe• Work with doctors, employers, rehabilitation providers and allied health professionals to facilitate a safe and durable return to work Show less



Peak Conditioning

• Australia
• Wellness and Fitness Services
• 1 - 100 Employee

• Exercise Physiologist

  • May 2010 - May 2012

  • Develop functional exercise programs for people with both acute and chronic work related injuries • Supervising patients completing exercises to assist increase functional and facilitate a return to work • Attend case conferences with treating doctors, specialists and allied health professionals to discuss return to work timeframes and treatment recommendations • Explain medical terminology and workers compensation processes to injured workers to ensure they are able understand their injury and the steps they will be taking to return to health • Work with case managers to develop long term strategies to facilitate a return to work/health for long term injured people • Write reports detailing the patient’s current capacity, make recommendations on return to work and outline further treatment recommendations Show less