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Sample report · Austin Williamson · TPD Claims Assessor

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Reference check report

Confidential - for hiring team use only

Candidate name

Austin Williamson

Role

TPD Claims Assessor

Organisation

BGMMN Pty Ltd

Generated date

14 August 2026

3 of 3 referees completed
PN

Priya Nair

Team Leader, TPD Claims · Direct manager · Referee 1

2026-08-11

JO

James Okonkwo

Senior TPD Assessor · Colleague · Referee 2

2026-08-12

HC

Helen Crowe(amended)

Claims Operations Manager · Former manager · Referee 3

Nominated title: Team Leader

2026-08-13

At a glance

Overall consistency

84%

across all questions

Avg score

9.2/10
0510

scored questions only

Text answer depth

10 strong·2 adequate·0 thin

AI-assessed · evaluative questions only

Integrity flags

2

review before deciding

Fraud-checked integrity signals

2 items for review
Multiple referees submitted from the same network IP address. May indicate a shared office or household connection. Consider verifying independence.
Referee 2 completed the form faster than typical for this question set. Written answers are still detailed; treat speed as a prompt to read those answers, not as a finding.

Questions and responses

Written response
Describe your working relationship with this candidate, including dates, their role, and how often you worked together.
Priya Nair (Referee 1)
2026-08-11

I was Austin's direct manager from January 2024 until he left in June 2025. He joined BGMMN as a TPD Claims Assessor in March 2022 and reported to Helen Crowe before I took the pod. We sat in the same retail TPD team. I allocated his work, signed off his declines over the delegated authority, and did his mid-year and year-end reviews. I spoke with him most days, and formally on a weekly 1:1. His title the whole time I managed him was TPD Claims Assessor. He did not have direct reports. He did mentor two graduates on how to read a treating-doctor report against the policy definition.

James Okonkwo (Referee 2)
2026-08-12

Austin and I were peers on the same TPD pod from early 2023 until he left in mid-2025. I started a few months after he did. We shared a queue, covered each other on leave, and peer-reviewed files when a decline sat near the authority limit. I was not his manager. Priya was. I still saw his work several times a week: standup, file discussion, and the cases he asked me to sense-check before he wrote the letter. His role was TPD Claims Assessor on retail policies. He was not on the group-scheme desk except for overflow in late 2024.

Helen Crowe (Referee 3)
2026-08-13

I managed Austin from March 2022, when he joined as a TPD Claims Assessor, until I moved to Claims Operations in November 2023. After that Priya Nair was his line manager. I still saw his files in the monthly quality sample until he left in June 2025. While I managed him we had a weekly 1:1 and a daily huddle. I set his authority, reviewed his first six months of declines, and signed his probation confirmation. I later updated my job title on this form because I am now Claims Operations Manager. The role I held when I knew him day to day was Team Leader.

Written response
How did this candidate approach liability assessment and medical evidence? Give examples.
Priya Nair (Referee 1)
2026-08-11

Austin starts with the policy, then the occupation, then the medical. He does not write a decision from the treating letter alone. If the definition is any-occupation, he will ask for duties, hours, and whether the adviser has an alternative role on file before he accepts a total-disablement narrative. On incomplete medicals he is conservative. He would rather issue a scoped information request than guess. The trade-off is that a handful of files sat a day longer than they needed to while he waited for a specialist report that a tighter request might have unlocked earlier. That is coaching, not a quality problem. When evidence conflicted, he documented both views and said which one he preferred and why. Those files were the easiest to defend when complaints or legal asked for the rationale.

James Okonkwo (Referee 2)
2026-08-12

I sat next to him, so I saw the habit up close. He highlighted the definition in the policy schedule, then annotated the treating report against those words. If a GP used 'unable to work' he would check whether that meant this job, any job, or a temporary flare. He caught two files in 2024 where a colleague (not me) had treated a partial-capacity comment as total disablement. He also cross-checked dates. Claim notification, date last worked, and the waiting period had to line up before he would recommend admission. That sounds obvious. It is how we avoided a payment that would have been outside the waiting period. On group-scheme overflow he was slower because he did not know the deed as well as the retail wording. He asked questions rather than improvising, which I respect.

Helen Crowe (Referee 3)
2026-08-13

In his first year I reviewed every decline. Austin's files already had a clear path: definition, occupation, medical, then the decision. He did not bury the hard point in the last paragraph. One early file had conflicting IME and treating opinions. He set out both, said the IME was more recent and occupation-specific, and recommended decline with a plain-language letter. Complaints did not overturn it. He improved quickly on asking for the right medical, not more medical. By the time I left the team I was sampling him, not coaching the structure of the assessment.

Consistency86High
Answer depthStrongStrongStrong
Written response
What were this candidate's main strengths in the role? Please give specific examples.
Priya Nair (Referee 1)
2026-08-11
Austin is one of the more reliable assessors I have managed. He reads the policy wording before he looks at the medical, which sounds basic, but it is the habit that stops people paying or declining on the wrong definition. On a retail TPD file last year the treating report used language that sounded like total disablement. Austin mapped it back to the any-occupation clause, asked for the occupation description from the adviser, and the file landed as a decline that legal later used as an example of a clean rationale. He also writes letters that stand up when a file is reviewed. Claimants and brokers get a structured explanation, not a template paragraph. After

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last year he returned to a full caseload without a drop in quality. Aged claims on his desk stayed inside KPI the following quarter. I would hire him again for a TPD assessing role. He is calm under volume, he does not hide incomplete evidence, and he will tell you when a file is not ready to decide.
James Okonkwo (Referee 2)
2026-08-12

His main strength is that he treats the file as something another assessor will have to pick up. Notes are dated, the definition is quoted, and the letter matches the recommendation. I could take over his cases on leave without a handover call. He is also good under volume. In the 2024 Q3 spike he kept SLA and still asked me to look at two messy medicals instead of rushing a decline. Those two files would have come back if he had guessed. With claimants he is direct without being cold. Brokers told me they preferred his updates because he said what was missing and by when. That reduced chase emails for the rest of us.

Helen Crowe (Referee 3)
2026-08-13

Consistent SLA and KPI performance. In the year I managed him he was in the top quartile for aged claims and I do not recall a missed statutory deadline on his desk. Strong medical-report interpretation. He compared treating comments to the occupation and the definition instead of accepting a headline phrase. Decision documentation was structured enough that I used two of his letters in training for new assessors. He was also steady with graduates. He would sit with them on a file and show the mapping, not just tell them the answer. That is useful in a small team.

Consistency88High
Answer depthStrongStrongStrong
Written response
Are there any areas where this candidate could develop, or anything a hiring manager should watch? Please be specific.
Priya Nair (Referee 1)
2026-08-11

The main development area is pace on incomplete medical files. Austin will hold a case a day longer than he needs to while he waits for a specialist report. I coached him to issue a well-scoped information request earlier, close the loop with the adviser, and keep the file moving. Quality was never the issue. Cycle time on those cases was. He is also less practised on group-scheme wording than on retail TPD. If your role is mostly scheme work, give him a short induction on the deed and the typical definitions. He will ask until he is sure. He will not bluff. I do not have a conduct, attendance, or teamwork concern. I would not hold a hire for the points above.

James Okonkwo (Referee 2)
2026-08-12

Group-scheme overflow showed the gap. Retail definitions he knows cold. On the scheme desk he needed longer to find the right clause and he asked more questions. That is expected if he has not lived in that product. A week of paired files with a scheme assessor would close it. He can also over-explain in standup. The content is right; the update can be shorter. Not a hiring issue. I have not seen him cut corners, shift blame, or avoid a hard decline. I would work with him again.

Helen Crowe (Referee 3)
2026-08-13

When I managed him the development work was early-career: tightening the information request so he asked for the right medical once, and getting comfortable presenting a messy file in the huddle without reading the whole chronology. Both improved before I left the team. I did not have a performance plan on him and I confirmed probation without conditions. If I were hiring him now I would still check how much recent scheme experience he has, because my time with him was retail TPD. I would not treat that as a risk to character or quality. It is a product-knowledge gap you can close in induction.

Consistency80High
Answer depthStrongStrongAdequate
Rating
How would you rate their attention to detail?
Priya Nair (Referee 1)
2026-08-11
8/10

Context added

Strong on policy wording and medical evidence. Occasional slip on admin checklist items when the queue spiked.

James Okonkwo (Referee 2)
2026-08-12
9/10

Context added

He caught inconsistencies in treating-doctor reports that others missed. I trusted his files on peer review.

Helen Crowe (Referee 3)
2026-08-13
9/10

Context added

File quality was consistently high. Decision letters were structured and easy for a reviewer to follow.

Consistency88High
8.7/10
All 3 referees
Rating
How would you rate their SLA and KPI performance?
Priya Nair (Referee 1)
2026-08-11
10/10

Context added

Ranked among the top performers on aged claims for three consecutive quarters.

James Okonkwo (Referee 2)
2026-08-12
10/10

Context added

He cleared volume without dumping quality onto the next reviewer.

Helen Crowe (Referee 3)
2026-08-13
9/10

Context added

Reliable on turnaround. I do not recall a missed statutory deadline on his files.

Consistency94High
9.7/10
All 3 referees
Rating
How would you rate their escalation judgment?
Priya Nair (Referee 1)
2026-08-11
9/10

Context added

Escalated the right files: high-value, conflicting medical evidence, or complaint risk. Did not escalate noise.

James Okonkwo (Referee 2)
2026-08-12
10/10

Context added

He asked for a second pair of eyes before a decline when the medical picture was messy. That saved rework.

Helen Crowe (Referee 3)
2026-08-13
9/10

Context added

Good instinct for when a file needed technical advice. Not a bottleneck.

Consistency92High
9.3/10
All 3 referees
Rating
How strongly would you recommend this candidate for a similar role?
Priya Nair (Referee 1)
2026-08-11
9/10

Context added

I would hire him again for retail TPD. Give him a short scheme induction if that is the desk.

James Okonkwo (Referee 2)
2026-08-12
9/10

Context added

Yes. I would want him on my pod. Reliable, careful, and easy to work with.

Helen Crowe (Referee 3)
2026-08-13
9/10

Context added

I confirmed his probation and would recommend him. Check current scheme exposure if the role is not retail TPD.

Consistency100Perfect
9/10
All 3 referees

Summary

AI summary

Evidence at a glance: themes distilled from referee responses. Always read alongside full answers, fraud-checked integrity signals, and your own judgment.The candidate was a TPD Claims Assessor from March 2022 to June 2025. Three referees (a direct manager, a peer, and a former manager) describe the same way of working: the candidate reads the policy definition first, confirms the occupation and duties, then tests the medical evidence against those words instead of accepting a treating-letter headline. Specific examples include mapping 'unable to work' language to an any-occupation clause, catching date and waiting-period mismatches, and setting out conflicting IME versus treating opinions so a decline could be defended. Decision letters matched the recommendation, and files were written so another assessor could pick them up without a handover. Ratings for attention to detail, SLA, escalation, and recommendation sit between 8 and 10. All three would rehire the candidate for a similar retail TPD role. Development notes are limited and consistent: issue information requests earlier when medical evidence is incomplete, and give a short induction if the new desk is group-scheme rather than retail. No referee raised a conduct or hiring-blocker concern. Review the shared-network IP signal and the special-category leave mention before you decide or share this report.

Consistency notes: Dates, reporting lines, and the assessment method align across manager, former manager, and peer. Development comments differ in detail but do not contradict each other.

Confidence notes: High confidence: three completed referees, two managers plus a peer, overlapping tenure, and long written answers with specific file examples.

Per-question insights

Describe your working relationship with this candidate, including dates, their role, and how often you worked together.

Tenure lines up: the candidate was in the TPD Claims Assessor role from March 2022 to June 2025. Referee 3 managed first, then Referee 1. Referee 2 was a peer from 2023. All describe the same retail TPD desk.

How did this candidate approach liability assessment and medical evidence? Give examples.

All three describe the same method: policy definition first, then occupation, then medical. Examples include mapping treating language to any-occupation clauses and documenting conflicting IME versus treating opinions.

What were this candidate's main strengths in the role? Please give specific examples.

Shared themes: review-ready files, SLA under volume, and letters that match the recommendation. One referee also noted a return to full caseload after leave.

Are there any areas where this candidate could develop, or anything a hiring manager should watch? Please be specific.

No hiring blocker. Coaching points are earlier information requests on incomplete medicals, and a short gap on group-scheme wording versus retail TPD.

How would you rate their attention to detail?

Ratings 8 to 9. Comments focus on policy wording, medical inconsistencies, and review-ready letters.

How would you rate their SLA and KPI performance?

Ratings 9 to 10. Top-quartile aged claims and no missed statutory deadlines recalled.

Strengths

  • Effective liability assessment grounded in policy terms and medical evidence
  • Consistent SLA and KPI performance, ranked among top performers
  • Strong medical report interpretation with proactive cross-checking
  • Clear, well-structured decision documentation and rationale letters

Development notes

  • Issue information requests earlier when medical evidence is incomplete, rather than holding the file.
  • Short induction on group-scheme rules if the new role is not retail TPD.

Concerns

  • Two referees submitted from the same network IP. Confirm they are independent colleagues, not a shared household completing both forms.

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