Experience

EML

• Australia
• Insurance
• 700 & Above Employee

• Case Manager

  • Jan 2016 - Present

  o Identified cases in need of medical management. o Coordinated claims case management with physicians and other health care professionals. o Enforced injured workers compliance and legal obligations. o Identified and removed barriers to ensure highest quality claim outcomes. o Assisting employers with return to work management. o Prepare and attend case conferences to identify high cost, treatment outcomes and management of the claim. o Maintain high standard of file documentation to ensure attention to detail and file accuracy. o To oversee the management of a portfolio of Work Cover claims and set key strategies in line with business objectives. o Formulating estimates, weekly benefit payments and work capacity assessments. o Strong understanding of state Workers Compensation legislation and the associated regulations and guidelines. Show less



BT

• Australia
• Financial Services
• 700 & Above Employee

• Case Manager

  • Jan 2012 - Jan 2016

  o Perform all service tasks related to the processing of claims in a timely manner with the highest level of efficiency and accuracy. o Building effective relationships with all stakeholders. o Ensuring all legislative requirements and guidelines are being adhered to. o Perform all service tasks related to the processing of claims in a timely manner with the highest level of efficiency and accuracy. o Building effective relationships with all stakeholders. o Ensuring all legislative requirements and guidelines are being adhered to.



QBE Insurance

• Australia
• Insurance
• 700 & Above Employee

• Claims Consultant

  • Oct 2005 - Jan 2012

  Claims Consultant / Motor and Property Claims o Managing claims using the appropriate external and internal specialists to achieve an efficient and effective settlement. o Ensuring the delivery of high quality customer service and develop a good working relationship with all customers and service providers. Senior Claims Consultant / Personal Accident and Health o Assessing, reviewing and processing all types of medical claims within Service Level Agreements and fund rules. o Resolving member enquiries to ensure exceptional customer service standards are achieved. o Assisting with the transition of claims from QBE Personal Accident and Health to Marsh International. Show less