Fredirick Cornejo Email & Phone Number

Sydney, New South Wales, Australia

Provide expert technical advice on claims management issues and identify and provide training needs where necessary.Liaise with Emergency Assist and provide policy eligibility, decline/acceptance/stance letter and cover decisionOn-call roster to provide cover decision with Emergency Assistance team 24/7 Manages live cases and Finalise claims lodged with.

Sydney, New South Wales, Australia

Sydney, New South Wales, Australia

Sydney, New South Wales, Australia

• Provide leadership in claim management, monitor claims performance against the “Code of Practice” and Policy guidelines to meet Audit requirements and ensure delivery of timely and fair settlements Work with S&T.
• Provide expert Technical advice on claims management issues, and identify and provide training needs where necessary
• Ensure consistency across the board to meet compliance in accordance with the Code ofPractice
• As a part of nib’s 1st Line of Defence, ensure risks relevant to your role are identified,assessed, managed and monitored in accordance with nib’s Risk ManagementStrategy and Compliance Management Framework.
• Ability to assess and analyse technical information and assess relevance inaccordance with the Code of Practice requirement
• Conduct Monthly Audits, Claims Quarterly Audits and completion of CAT reports/>25Kreports etc.

1 Farrer Place Sydney NSW

• Manage the team to achieve targets on claims, maintaining compliance and travel service requirements
• Reference point for medical enquiries
• Work with the Head of Claims to develop key performance indicators (KPIs) for the team
• Manage escalations and complaints for the team through the Resolutions process
• Liaise with Quality Assurance and Customer Relations to develop coaching plans for each team member
• Undertake coaching and provide feedback to claims assessors, so as to assist in their ongoing development and meeting KPIs

Philippines

• Handles a team of 5 Claims Liaison officers
• Conducted full approval process with identified providers in the entire demonstration area
• Supervised a team of Claims liaison officer and monitors the claims process and submission.
• Audits over 100 claims for approval and system encoding on a weekly basis.
• Provided the leading role in delivery of education to the approved providers
• Established relationships with Host Nation Providers; Ensuring that appropriate contractual agreements are in place and provided the Induction training

Philippines

• Part of TRICARE Demonstration Project: Global 24 Network Services
• Designated area: Angeles City
• Negotiated contracts with Institutions and providers where it will be beneficial for both parties
• Effectively identified and build Network Service Providers to develop new leads.
• Established and maintained strong business relationships with the providers.
• Ensured existing and prospective providers have secured requirement certification documents in compliance

• Key achievements:109% 2011 YTD PERFORMANCE
• Recipient of Sales Excellence award for achieving the target for 2011
• Consistently aced Product Knowledge Exams (95% score average)
• Brand champion of the #1 product of our division (Glimepiride) Getryl performing 128% YTD
• 9th highest sales performance for the brand Simvastatin
• 84% call coverage rate for 2011