Sophie Walker
Specialist Claims Consultant
- Location
- Byfleet, Surrey, United Kingdom (Kingston upon Thames, United Kingdom)
- Industry
- Insurance
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Sophie Walker's Overview
- Past
-
- Group Head of Claims at InterGlobal
- Claims Manager at InterGlobal
- Project Manager/Management Team Co-ordinator at InterGlobal
- Claims Manager at InterGlobal
- Claims Assessor at Allianz Insurance PLC
- PMI Quote Administrator at Allianz Insurance PLC
- Care Assistant at Various Care Homes and NHS
- Education
-
- University of Surrey
- Recommendations
-
5 people have recommended Sophie
- Connections
-
216 connections
Sophie Walker's Summary
Specialist claims consultant - IPMI and Travel.
15 years Private Medical Insurance (PMI) experience, 12 of which are in the International PMI market. Gained excellent knowledge of the medical insurance industry globally at a senior management level. Responsible for the running of a 120 strong claims team, across 4 operational centres in Dubai, Shanghai, Singapore and UK. An excellent communicator. Highly motivated and have a passion for excellent customer service delivery and fair claims handling, ensuring that regulatory and internal procedures and services are met and adhered to through quality auditing, assessment of operational reporting and customer feedback.
Skills/Knowledge
- Managing a multi-site operational claims platform
- Quality auditing of internal and external (TPA) claims operations
- Technical IPMI and Travel claims management incl. assistance claims
- Extensive reserve management
- High cost and complex claims management
- Business portfolio reviews
- Process and operational structural reviews and implementing changes
- Complex complaint handling and resolution
- Collation and review of meaningful claims data to assess business
- Hospital network experience
- Plan wording reviews
- SLA contract implementation and reviews
- Due diligence
- Claims system design, implementation and UAT experience
- Excellent understanding of medical terminology and concepts
Sophie Walker's Experience
Project Manager/Management Team Co-ordinator
InterGlobal
July 2004 – November 2005 (1 year 5 months) Farnham
Claims Assessor
Allianz Insurance PLC
May 1998 – November 1999 (1 year 7 months) Guildford, United Kingdom
PMI Quote Administrator
Allianz Insurance PLC
December 1997 – April 1998 (5 months) Guildford, United Kingdom
Sophie Walker's Courses
-
Nursing Midwifery
University of Surrey
- Diploma (HE) Midwifery Studies
-
Independent Coursework
- Cert Cii
Sophie Walker's Education
University of Surrey
Nursing Midwifery
1994 – 1996
Grade: 120 credits in Diploma (HE) Midwifery Studies
Grade 2 in Midwifery Practice.
Grade 1 in Nursing Practice.
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