Sharna Evans Email & Phone Number

Western Australia, Australia

Perth, Western Australia, Australia

Perth, Western Australia, Australia

- Analyse and assess existing and proposed future processes and system design ensuring overall effectiveness and efficiency.- Review and analyse competitor and industry processes and trends to ensure proposed solutions are competitive and/or market-leading.- Develop a strong technical understanding of the functionality and design of new technology systems. With a focus on OHI - Claims Module but also integration with OHI - Policy, Oracle Fusion Financials & Salesforce.- Maintain an in-depth understanding of existing technology systems and associated business processes, procedures, capabilities and tools. With a focus on Claims processing in the CORE system, STP, ECLIPSE, HICAPS, iSoft and other integrated systems.- Use SQL to run queries on existing business data to provide insight into the development of Future State processes. Use of Excel, Tableau and PowerBI to present findings to the wider business in a meaningful way.- Organise and facilitate fact-finding, discovery workshops across multi-disciplinary teams.- Development of User Stories and Acceptance Criteria.- Co-ordination and facilitation of squad development within an Agile delivery model, including organisation of key ceremonies, management of work items in Jira etc.

Perth, Australia

- Develop and socialize technical documentation. Including user manuals, troubleshooting guides, FAQ's, supporting documentation, diagrams & process maps.- Identifying and engaging relevant Internal & external stakeholders from all levels of the business. Including frontline staff, heads of departments, legal, partners & governmental bodies.- Facilitate cross-departmental workshops to assist in shaping solutions to meet business objectives and requirements elicitation.- Act as an SME for Health Insurance/General Insurance products, services, systems, policies, regulations & business rules.- Provide input to business decisions at a variety of levels from both customer and staff perspectives while also reflecting the needs and goals of the wider business.- Identify and analyze data flow through the end to end of all systems. Understanding how the data is transformed and the impacts on the use of data by all areas of the business.- Development and improvement of department reporting dashboards using Excel and Tableau. BAU & ad-hoc reporting generated via e5, HiLight, Siebel, SAS, Tableau & Excel.- Communicate complex technical and legislative concepts to audiences from diverse backgrounds in a way that is easily understood.- Provide context of the business and user's needs for system functionality.- Collect and analyze data from a variety of sources to identify opportunities for Fraud, Waste, Abuse or Error (FWAE) prevention.

Perth, Australia

- Manage inbound and outbound communication with Providers via phone and email within SLA's- Utilize analytical skills and business knowledge to identify or anticipate problems and make recommendations on options for resolution- Effectively manage multiple tasks and respond to continuously changing demands, whilst ensuring accuracy and attention to detail are maintained at all times.- Organize and prioritize workloads to meet deadlines & SLA's. Including re-prioritizing as required due to changes in the wider business.- Assess the quality and adherence to relevant legislation, internal policies, procedures, and industry codes by staff.- Report on incidents, breaches & risk events. Providing feedback to relevant staff members and business areas for resolution.- Investigate data integrity issues and provide feedback with impact analysis, required actions to rectify and proposal for prevention in the future.- Provide regular technical training to staff to ensure up to date knowledge of policies and procedures- Action daily reporting on overrides, authority limits, exceptions, ex-gratia payments- Navigate and utilize multiple business systems proficiently and efficiently while ensuring the integrity of data entry

Perth, Australia

- Ensure accurate and efficient data entry of accounts received from providers and members. - Exceptional telephone manner and ability to communicate effectively with Providers, Members & Governmental Agencies. - In-depth understanding of public and private health care billing practices and systems for both Medical and Allied Health professionals.- Process claims utilizing the Medicare Simplified Billing process. Including raising Later Day Adjustments, Late Lodgment Claims & Clinical Notes submissions.- Knowledge of Medicare, APRHA & AHSA provider registration, billing processes and requirements- In-depth knowledge of MBS item numbers, associated rules & benefit calculations- Self-management of daily tasks and the ability to take ownership of any issues to ensure they are corrected in a punctual manner while achieving daily SLA's

Perth, Australia

- Respond to email and website contact form enquires and processing requests from members- Man the Digital Web-chat function provided on the HBF website- Making outbound calls as needed to resolve member enquires and requests.- Receive Inbound calls to aid Inbound Contact Center teams during periods of high traffic- Knowledge of HBF products, processes and business rules in both the Health Insurance and General Insurance departments. - Self-organization with other team members to ensure the maintenance of SLAs across various communication channels.

Perth

- Assist members with Sales and Service relating to Motor Vehicle/Building & Contents/Travel/Trailer/Boat/Caravan/Private Health Insurance products via Inbound calls - Educating and explaining policy cover, limits, and exclusions. - Arranging payments and assisting in queries about claims. - Problem-solving member issues in a timely and effective manner

Perth Area, Australia & Hope Downs Mine Site

- Complete Geotechnical Soil testing to NATA standards. - Collection of samples from site observing site OHS, processing, labeling & sample storage requirements- Input and analysis of data for the completion of reports.

Bentley, Western Australia

- Assist Customers with Service issues relating to purchases including but not limited to: faulty products, arranging repairs, organizing deliveries, advising of any delays in orders.- Provide assistance to the Marketing Manager with the upkeep of the Company website.- Arranged details relating to photo shoots including working with an interior Designer and completing some photography myself.

Bentley, Western Australia

Rockingham & Mandurah

Bachelor Of Computer Science, Computer Software Engineering

Currently undertaking studies, with the following units completed: - Computer Fundamentals (CR) - System Analysis (HD) - Programming.

Certificate Ii In Information Technology (Applications)

Certificate Iii In Customer Contact, Customer Service Support/Call Center/Teleservice Operation

Diploma Of Photography, Design And Visual Communications, General

Certificate I In Seafood Industry (Aquaculture)

Units Towards Certificate Iv In Laboratory Techniques

Education record

Cert Iv In Small Business Managment