Sample report · Austin Williamson · TPD Claims Assessor
Back to homeReference 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
Priya Nair
Team Leader, TPD Claims · Direct manager · Referee 1
2026-08-11
James Okonkwo
Senior TPD Assessor · Colleague · Referee 2
2026-08-12
Helen Crowe(amended)
Claims Operations Manager · Former manager · Referee 3
Nominated title: Team Leader
2026-08-13
At a glance
Overall consistency
across all questions
Avg score
scored questions only
Text answer depth
10 strong·2 adequate·0 thin
AI-assessed · evaluative questions only
Integrity flags
review before deciding
Fraud-checked integrity signals
2 items for reviewQuestions and responses
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.
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.
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.
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.
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.
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.
Flagged excerpt
Category: Health or disability
Why this is flagged: Referee mentioned health or leave. Special-category data. Review before sharing the report more widely.
Data Protection Notice
The content highlighted above contains information that falls within a protected category under GDPR Article 9 (Special Category Data) and equivalent provisions under applicable data protection law, including the Australian Privacy Act 1988 and the Sex Discrimination Act 1984 / Disability Discrimination Act 1992 / Racial Discrimination Act 1975 / Age Discrimination Act 2004 as applicable.
This content must not be used as a factor in any hiring or employment decision. Doing so may expose your organisation to legal liability.
For guidance on why this content is protected and what your obligations are, visit: hiveref.com/data-protection-guide#article-9
For guidance on why this content is protected and what your obligations are, visit: hiveref.com/data-protection-guide#article-9
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.
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.
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.
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.
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.
Context added
Strong on policy wording and medical evidence. Occasional slip on admin checklist items when the queue spiked.
Context added
He caught inconsistencies in treating-doctor reports that others missed. I trusted his files on peer review.
Context added
File quality was consistently high. Decision letters were structured and easy for a reviewer to follow.
Context added
Ranked among the top performers on aged claims for three consecutive quarters.
Context added
He cleared volume without dumping quality onto the next reviewer.
Context added
Reliable on turnaround. I do not recall a missed statutory deadline on his files.
Context added
Escalated the right files: high-value, conflicting medical evidence, or complaint risk. Did not escalate noise.
Context added
He asked for a second pair of eyes before a decline when the medical picture was messy. That saved rework.
Context added
Good instinct for when a file needed technical advice. Not a bottleneck.
Context added
I would hire him again for retail TPD. Give him a short scheme induction if that is the desk.
Context added
Yes. I would want him on my pod. Reliable, careful, and easy to work with.
Context added
I confirmed his probation and would recommend him. Check current scheme exposure if the role is not retail TPD.
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.
Important compliance notice.
This report is provided for hiring context only. Flagged content must not be used in automated hiring decisions. Refer to your organisation's policies and the in-app compliance guidance. Privacy.