Adelaide Abrahams
Collection and Client Service
Talent
Cape TownMember since March 19, 2026
Claims ProcessingDebt CollectionCustomer ServiceQuality ControlTeam ManagementFirst Call ResolutionData CaptureHealthcare ComplianceHome Base CareGeriatric Care
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Claims ProcessingDebt CollectionCustomer ServiceQuality ControlTeam Management
About
Dedicated worked
Early bird
Go the extra
Team player
Experience
Client Service Consultant at Metropolitan Health Group (2014-03 – 2024-03)
Processing of claims and managing service provider relationships
- Processing of claims according to predetermined standards and rules
- Deal with Bureaus & Service providers claims
- Indicate QES / MES rejection
- Provide clinical rejections / feedback to Service Providers
- Ensuring that duplicate claims are rejected
- Route claims to varies departments
- Review tariff combinations rejections and advice to Providers
- Assisting other departments with claims related queries
- Quality control to ensure error rate is minimised
- Escalating of queries where necessary for further investigation
- First call resolution for resolving member and service provider queries
- Ensuring the Scheme and in particular Metropolitan Health is not unnecessarily exposed to financial risk as a result of incorrect information being provided to members and service providers
- Client retention and goodwill by effectively resolving queries from members, employer groups, service providers.
Debt Collector at Edcon Financial Services (2003 – 2013)
Debt collection and arrear account management
- 10 years' experience being an Arrear Account Counsellor
- Debt collector
- In and outbound
- Rehabilitate customers' accounts
- Negotiate payment plans
- Capture data of customers
- Work on a basis of talk and type
- Assist with queries
- Tracing for possible contact
- Was second in command
- Management of a team of collection agents
- Target setting and measurement of key results
Home Base Care Assistant at Goodwood Frail Care (2024-07 – 2024-09)
Practical home base care experience
- Two months practical experience at Goodwood Frail Care
Education
Further Education and Training Certificate in Generic Management: General Management – Services SETA (2020 – 2020)
HR Practise Certification in HR Practise: Learning Facilitation – Edcon (2011 – 2011)
Senior Certificate in General Education – Garlandale High School (1995 – 1995)
Skills
Collection and Client Service
