Microsoft Office
Lipi Sood
Senior Claims Manager
Auckland
Summary
Accomplished Senior Claims Manager with a proven track record at Partners Life, enhancing claims resolution efficiency and stakeholder satisfaction. Expert in risk assessment and claims management, achieving a 95% client satisfaction rating. Skilled in team leadership and process improvement, demonstrating exceptional problem-solving and relationship management abilities.
Overview
11
11
years of professional experience
5
5
Certifications
Work History
Senior Claims Manager
Partners Life
04.2019 - Current
- Consistently met or exceeded key performance indicators in areas of customer satisfaction, cost containment, and claims resolution timeframes.
- Improved overall claims accuracy by conducting regular quality and process audits and providing feedback.
- Analyzed complex loss scenarios to determine appropriate coverage limits, fostering informed decision-making across organization.
- Facilitated collaboration between departments for more efficient resolution of interrelated claims issues.
- Established strong relationships with key stakeholders, including insurance providers, attorneys, and medical professionals.
Case Manager
Fidelity Insurance Services
04.2018 - 03.2019
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Conducted thorough assessments of client`s situations, identifying issues, goals, and necessary interventions.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
Case Manager
Accident Compensation Corporation, ACC
02.2016 - 04.2018
- Managed a diverse portfolio of injury claims, focusing on rehabilitation and recovery
- Developed and implemented individualized recovery plans for claimants
- Collaborated with healthcare providers to ensure optimal treatment and support for claimants
- Achieved consistently high client satisfaction ratings (95%+) through empathetic and efficient service
- Participated in cross-functional teams to improve claims management processes
Case Manager
Ministry Of Social Development
06.2013 - 02.2016
- Managed a high-volume caseload of complex social welfare cases, including disability support and financial assistance across 121 clients
- Developed and implemented tailored support plans for clients with diverse needs
- Utilized strong empathetic skills to navigate sensitive situations and resolve conflicts effectively
- Collaborated with various government agencies and community organizations to provide comprehensive support to clients
- Achieved a 30% increase in positive case resolutions through innovative problem-solving approaches
- Received commendation for exceptional client service and conflict resolution skills
- - Facilitated employment skill and recruitment seminars
Education
Bachelor of Arts - Economics
University of Delhi
Delhi, India 04.2001 -
Skills
Claims Management Expertise
Risk assessment proficiency
Stakeholder relationship management
Process improvement strategies
Insurance Policy Understanding
Regulatory Compliance Knowledge
Claims Processing Efficiency
Technical Insurance Knowledge
Team Management
Claims Processing
Policy Interpretation
Software
Microsoft Windows
Web Browser and Tools
Certification
Mental Health: Diagnostics and Treatment Outcomes
Timeline
Senior Claims Manager
Partners Life
04.2019 - Current
Case Manager
Fidelity Insurance Services
04.2018 - 03.2019
Case Manager
Accident Compensation Corporation, ACC
02.2016 - 04.2018
Case Manager
Ministry Of Social Development
06.2013 - 02.2016
Bachelor of Arts - Economics
University of Delhi
04.2001 -
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