Clancy Nabaiki

Claim processing:

· In this role I combine customers service skills with healthcare knowledge to create a seamless experience for customer.

· I assist customers with the claims process by helping them submit claims, tracking their progress, resolving issues, and ensuring payments are made accurately and on time.

· A large part of the role is about building trust with customers, so personalisation is key. This means listening to customers unique situations, remembering details of past interactions, and ensuring each customers feels valued

Data collection and preparation:

· Gathering, cleaning and organising customers documents from multiple platforms, ensuring accuracy when assessing claim eligibility. This foundation step allowed me to build reliable data and information that can be effectively analysed.

· Gained experience in reading over customer documents to make sure they were accurate and not manipulated. This is essential to ensure continuity of the service and make sure that documents fall within legal or policy requirements.

Problem solving and Customer Services:

· Demonstrated high levels of problem-solving to ensure effective and compliant solutions for customers.

· Resolving complex customer inquiries and efficiently, collaborating with cross-functional teams and adapting strategies to meet diverse customer needs while upholding service standards and regulatory requirements.

Regulatory compliance and Security:

· Gained experience working with external teams such as hospitals, specialist, brokers and sales to maintain a high level of company efficiency.

· Maintained robust information security protocols and procedures to safeguard sensitive data, ensuring compliance with GDPR.

Data Analysis and Reporting:

· Utilising data analysis skills to identify trends, patterns, and correlation within customer records and displaying findings to customers and managers.

· Assessing customers health outcomes, claims data or operational efficiencies, which offers insights that enhance decision-making.