Shane Mccarthy Email & Phone Number

Sydney, New South Wales, Au

As the Head of Claims in the Underwritten and Distribution business for Personal Injury, I lead a dynamic national team across Tasmania, Northern Territory, Western Australia and ACT. My executive role involves developing strategic direction and oversight, fostering innovation in claims (AI, Robotics/Automation, Process Mining), and collaborating with state managers and cross-functional teams to enhance customer and financial performance outcomes. Responsibilities include optimising claims operating models, operations and procedures, mitigating risks, and maintaining compliance with industry and Allianz Global standards. I drive the development and implementation of claim management strategies, contributing to Allianz's commitment to exceptional service and client-centric solutions. In addition I oversee the operation of our Specialty Claims Team which manages our XOL, Seafarers and dust disease portfolios.Some of the key achievements in my role:- Leading a transformation and modernisation national claims strategy for the business, achieving outperformance across key metrics.- Implementation of AI technologies and tools for claims management.- Part of Allianz’s global Workers Accident Compensation centre of excellence group, engaging regularly with other Allianz operational entities across the globe.- Completing Allianz’s Senior Leader Catalyst Transformational Development Program.

Rolling Meadows, Illinois, Us

During my tenure as Claims Operations Manager, I played a pivotal role in the design and transition of Gallagher Bassett into the NSW Nominal Insurer Workers Compensation Scheme, ensuring operational readiness. One of the highlights of my time in this position was being a key member of the Gallagher Bassett tender team, which secured a significant long-term contract to manage workers' compensation claims for icare.Some of the key achievements from the role:- Received the prestigious"Impact Leader" National Contribution Award from Gallagher Bassett.- Acted as the Operational Manager for the tender team, contributing to the preparation, presentations, and commercial negotiations.- Led the Gallagher Bassett Transition Project Team, successfully achieving all key milestones and stage gates on time for the company's entry into the NSW Scheme.- Played a critical role in organisational design, process development, reporting, telephony, and the implementation of the Guidewire Claims system for the new NSW Nominal Insurer Gallagher Bassett business unit.- Supported a successful recruitment campaign, ensuring that Gallagher Bassett met its operational readiness targets.- Led the sizable onboarding of new staff into the new NSW Nominal Insurer Gallagher Bassett business unit, fostering the formation of cohesive and effective teams.- Provided valuable support in process development and testing within UAT and PVT environments in collaboration with icare.- Completed Gallagher Bassett’s Impact Leadership Development Program.

Rolling Meadows, Illinois, Us

As the Claims Practice & Strategy Manager, I held a crucial role in driving continuous improvement and ensuring high-quality claims management within the Victorian Workers Compensation operations. My primary focus was on identifying risks and opportunities proactively to deliver value through best practices, optimised operations, innovative approaches, performance and strategic initiatives.Some of my key achievements from the role:- Led and provided support for various restructures and the implementation of bespoke teams, fostering efficiency and effectiveness within the organisation.- Developed a comprehensive business-wide improvement project plan for the Victorian Workers Compensation business. This encompassed initiatives such as claims triage modeling, automation, vulnerable claims programs, quality assurance initiatives, and return-to-work (RTW) business improvement plans.- Implemented performance reporting applications and databases, providing valuable insights and data-driven decision-making capabilities across the Victorian Workers Compensation business.- Conducted thorough role and process review and redesign, optimising claims roles within the Victorian business to enhance efficiency and effectiveness.These achievements were made possible through collaborative efforts and the dedication of a talented team. Together, we strived to elevate claims management practices and drive positive outcomes for both the organisation and its stakeholders.

Sydney, New South Wales, Au

In my capacity as the leader of the Workers Compensation Victorian Injury Management and RTW team at CGU/IAG, I held a pivotal role in driving exceptional health, work, and life outcomes for injured customers through best practice personal injury claims management. As a member of the Senior Leadership team, my focus was on achieving customer, staff, and financial outcomes that contribute to the overall success of IAG's Intermediated Claims Business.Some of my key achievements from the role:- Led the design and implementation of IAG's Intermediated/Long Tail Claims Injury & Recovery Management framework across all business lines in Australia, encompassing Workers Compensation Victoria, CTP, and Workers Compensation Underwritten States.- Designed and implemented CGU's highly successful Recovery Back on Track Programs for WorkSafe, generating 8.6 million of remuneration for CGU.- Spearheaded the design and implementation of CGU's comprehensive Serious Injury Claims Care process, which has since been rolled out across the Victorian Workers Compensation scheme.- Developed and implemented CGU's Person-Centred Quality Contact model, resulting in outstanding service measure results for CGU.- Designed and executed CGU's groundbreaking Recovery Assistance Program, introducing the first Social Worker in the organization to improve outcomes for complex injuries.- Regularly presented injury management project updates and received endorsements from IAG's Long Tail Claims Executive General Manager and IAG's Executive team.- Collaborated with external specialist third-party providers to deliver a complex care triage model, endorsed by the Regulator (WorkSafe Victoria) for piloting.- Developed a comprehensive triage model encompassing data profiling, ODG utilization, automation, digital screening, and consideration of psychosocial factors to stratify claims management and care needs effectively.

Sydney, New South Wales, Au

In a senior leadership capacity, I successfully led a team of claims professionals in CGU's Workers Compensation division, focusing on delivering exceptional customer service and driving optimal business performance while maintaining compliance with regulatory standards. As a member of the CGU Senior Leadership Team, I provided oversight and management for four claims teams responsible for end-to-end claims resolution. Further, I supervised the RTW services team, comprised of Allied Health Professionals dedicated to supporting customer recovery outcomes within our Victorian business.Here are some key achievements from my role:- Successfully executed the operational delivery of Claims Management Model restructures in both 2017 and 2020, optimizing efficiency and effectiveness within the claims operations.- Designed and implemented CGU's innovative Mental Injury & Secondary Mental Injury Best Practice Strategy, which included appointing CGU's first Mental Injury Specialist to enhance support for mental health-related claims.- Received recognition by winning the Victorian WorkSafe Industry Recognition Innovation Award for the design and implementation of an early intervention psychosocial screening tool, ensuring timely identification and support for customers with potential mental health needs.- Recognized again with the Victorian WorkSafe Industry Recognition Innovation Award for the design and implementation of Mental Injury Panel Reviews, improving the management and resolution of complex mental injury claims.- Led the design and implementation of CGU's Motivational Interactions training program in collaboration with a respected third-party provider, resulting in enhanced claims management and improved service outcomes.- Pioneered the business strategy for establishing CGU's first team of Return to Work Specialists, leading to 1800 face-to-face interventions and driving service improvements and successful return-to-work outcomes within the organisation.

Sydney, New South Wales, Au

During this time I was in a leadership position which entailed the management of 14 staff members within IAG/CGU's Workers Compensation business area. Ensuring business objectives and customer service was achieved through our claims management activities.

Sydney, New South Wales, Au

Whilst in this senior specialist performance role, I was responsible for improving injury management outcomes for our customers across teams in Victoria within IAG/CGU’s Workers Compensation business. Along with coaching and mentoring staff in relative to strategic interventions, policies and procedures.

Sydney, New South Wales, Au

As an Injury Management Advisor for CGU’s biggest employer, DEECD (Department of Education and Early Childhood Development) and other Government Departments (Vic Roads & Parks Victoria). I supported and advised a team of 12 (Case Managers and Return to Work Specialists) in a specialized leadership role, making clinical/liability decisions on claims, trying to get workers back to work as quick as viably possible and helping the team achieve our performance targets.

Melbourne Airport, Victoria, Au

Footscray, Vic, Au

Melbourne, Vic, Au

Master Of Business Administration - Mba

Diploma, Personal Injury & Disability Insurance Management

Master Of Applied Science, Rehabilitation/Physiology

Bachelor Of Applied Science (Basc), Human Movement/Exercise Science