Summary
Overview
Work History
Education
Skills
Referees
Timeline
Generic

Kelly Brophy

Palmerston North,MWT

Summary

Resourceful Claims Consultant known for high productivity and efficient task completion. Specialize in claims analysis, risk management. Excel in communication, problem-solving, and adaptability, ensuring seamless operations and client satisfaction.

Overview

25
25
years of professional experience

Work History

Claims Consultant- BAU

FMG Insurance
, Palmerston North
04.2024 - Current
  • Portfolio management- looking after general BAU claims as well as , disability, Equine. , milk
  • Declinature letters
  • Worked on External Assessor claims e.g Sedgwick
  • Helping team members with their work when they are away.
  • Assisting with Lodgement calls when required
  • Problem Solving
  • Maintained accurate records of all interactions with customers in a timely manner.
  • Assessed claims to determine eligibility and verify accuracy of information provided by customers.
  • Provided advice on the claims process, including policy coverage and benefits.
  • Providing Technical Help to Lodgment when required

Material Damage Claims Adjuster- Secondment

FMG insurance
, Palmerston North
10.2023 - 03.2024
  • Managed Cyclone Gabrielle Claims at desktop assessor level- Secondment
  • Working with Vulnerable Clients
  • Managed heavy workload of ongoing claims thanks to strong organizational, time management, and collaboration skills.
  • provided loss adjustor reports
  • Used scoping tool to compare costs against quotes to ensure the costs are fair and reasonable .
  • Developed relationships with internal departments such as the Recovery Technical Leads, mobile assessors, Recovery Team claims consultants
  • Provided advice to Recovery Claims Consultants when required for Building Claims

Claims Consultant - Recovery Team- Secondment

FMG Insurance
, Palmerston North
03.2023 - 10.2023

Secondment role - working on Cyclone Gabrielle Claims.

  • Reviewed and processed high-volume of complex insurance claims to ensure timely resolution.
  • Help desk - answer any queries coming through the Gisborne office for Clients.
  • Paying out emergency payments.
  • working with Vulnerable clients
  • Assessed claims to ensure accuracy and completeness of documentation.
  • Reviewed documents such as police reports, bills, invoices, photographs. related to claim processing.
  • Resolved customer inquiries promptly while ensuring compliance with applicable laws and regulations governing the insurance industry.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Input claim information and payments into company database.
  • Assist team members with their portfolio or activities when required
  • Communicated effectively with clients throughout the entire claims process from initial filing through resolution.
  • Advised customers on claim status, eligibility, and coverage
  • Picked up other jobs that needed immediate attention from the Recovery Manager when required and completed these within a timely manner

Claims Consultant

FMG Insurance
, Palmerston North
08.2021 - 02.2023
  • Portfolio management- looking after general BAU claims as well as , disability , Equine. , milk
  • Helping team members with their work when they are away.
  • Assisting with Lodgement calls when required
  • Problem Solving
  • Maintained accurate records of all interactions with customers in a timely manner.
  • Assessed claims to determine eligibility and verify accuracy of information provided by customers.
  • Provided advice on the claims process, including policy coverage and benefits.

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Claims Lodgment

FMG Insurance
, Palmerston North
02.2021 - 08.2021
  • Taking Inbound calls
  • Lodging claims for clients
  • helping out in the new claims inbox

Team Leader

Ezibuy
, Palmerston North
02.2000 - 08.2020
  • Managed team of 18 customer service representatives, providing guidance and coaching to ensure quality standards were met.
  • Resolved escalated customer issues in a timely manner, utilizing problem solving skills to provide solutions that satisfied customers' needs.
  • Collaborated with other departments such as IT or HR when needed.
  • Established strong relationships with external stakeholders such as vendors or suppliers.
  • Monitored call volumes and adjusted staffing schedules accordingly during peak periods.
  • Motivated and encouraged team members through positive communication and feedback.
  • Ensured compliance with company policies and regulatory requirements within the call center.

Education

Some College (No Degree) - General Insurance

Open Polytechic

General Insurance

ANZIFF

Skills

  • Insurance knowledge
  • Policy Interpretation
  • Claims Investigation
  • Decision-Making
  • Problem-Solving
  • Self Motivation
  • Organizational Skills
  • Relationship Building
  • Effective Communication
  • Problem-solving abilities

Referees

  • Karwa Dwyer- Manager of Transactional Claims 027 1800 1035
  • Amanda Mulchay- Team Leader Claims Advisers 027 227 9195
  • Mark Ashby- Senior Loss Adjustor - 027 577 623

Timeline

Claims Consultant- BAU

FMG Insurance
04.2024 - Current

Material Damage Claims Adjuster- Secondment

FMG insurance
10.2023 - 03.2024

Claims Consultant - Recovery Team- Secondment

FMG Insurance
03.2023 - 10.2023

Claims Consultant

FMG Insurance
08.2021 - 02.2023

Claims Lodgment

FMG Insurance
02.2021 - 08.2021

Team Leader

Ezibuy
02.2000 - 08.2020

Some College (No Degree) - General Insurance

Open Polytechic

General Insurance

ANZIFF
Kelly Brophy