Jane Mashabela

I am a claims Assessor with 9 years experience in the long term insurance industry. I have the following insurance related certificates, RE5, NQF4 Long Term Insurance, and Life claims Assessor(ASISA). I am passionate about serving those in need with sympathy and compassion. Always eager to learn new ways of improving service delivery while keeping customers satisfied.

Information Assistant at University of Pretoria (2012-03 – 2012-03)

• Issuing reserve collection books to students.
• Explaining the time limit for the book and penalties involved for late submission.
• Scanning the student card and the book from the client.
• Assisting students with searching of books on the library's website.

Intern at Department of Higher Education and Training (2012-04 – 2013-03)

• Process all incoming and outgoing correspondence.
• Assist in the effective implementation of electronic filing systems by capturing information on the database.
• Scanning documents and filing electronically.
• Assist with the updating of information from new applicants on the database.
• Assist in the effective implementation of the hard-copy filing systems by creating box files and labelling them properly.
• Updating information in the box files.
• Managing filing by storing, retrieving and distribution of documents.
• Keeping proper track record of file movements.
• Issue application forms for registration and amendment of registration to prospective applicants.
• Checking the registration status of Private FET Colleges for clients.
• Collecting clients from reception to relevant officials.
• Photocopying, faxing and emailing complain letters to both colleges and students.
• Respond to telephone enquiries from both internal and external clients.
• Record enquiries and responses.
• Route calls to relevant officials.
• Perform any other related duties assigned.

IL Claims Administrator at Assupol Life (2014-12 – 2016-01)

• Capturing and processing valid investment claims (school funds, cash backs, cash providers, and maturities).
• Collecting claims documents from walk in clients.
• Taking removals to Finance department.
• Compiling daily SMS report.
• Compiling daily statistics report on claims worked on.
• Doing follow up on outstanding claims by calling clients, sending emails, and drafting outstanding letters.
• Providing of feedback on Complaints whenever requested.

Senior Clerk: IL Claims Liaison at Assupol Life (2016-01 – 2017-05)

• Receiving and allocating death claim documents to the correct policies.
• Validate if all required claim documents are received.
• Requesting outstanding documents for claims received from branches and clients.
• Forwarding all policies from 6 months to 9 years to Censeo for validation or further investigation as per the service agreement level.
• Compiling death claim checklist and handing to capturers.
• Compiling daily SMS and sending to the relevant official.
• Compiling removal and cash back checklists, and handing to captures.
• Attending to telephone queries.
• Providing of feedback on Complaints whenever requested.

IL Claims Senior Assessor at Assupol Life (2017-05 – 2020-05)

• Capturing and processing of death (funeral and life cover) claims up to R300 000.00.
• Capturing and processing of Health+ claims.
• Liaising with the Reinsurers on life cover claims and Health+ claims.
• Capturing and processing of Retirement claims.
• Capturing and processing of maturity claims on investment policies.
• Preparing of claims for declines.
• Compiling daily SMS report.
• Capturing and processing group funeral claims as per the policy provisions and service level agreement.
• Liaising with the groups on outstanding documents, sending decline letters on declined claims, and proof of payments on approved claims.
• Compiling of Offsite groups payment request.
• Attending to Telephone queries.
• Providing of feedback on Complaints whenever requested.
• Training of new personnel and assisting with complex claims assessment.
• Doing follow up claims on outstanding claims.
• Assisting with testing of new systems where required.

IL Claims Specialist at Assupol Life (2020-06 – 2024-01)

• Capturing and processing death claims above R300 000.00.
• Capturing and processing retrenchment, disability and critical illness benefits.
• Capturing and processing Retirement claims (early maturities, death, divorce and ill health).
• Preparing and presenting claim resolutions on Retirement death claims on the weekly meeting with the Principal Officer for Board of Trustees approval.
• Capturing and processing of Preservation fund, Ultimate retirement income, Guaranteed income single premium, and Guaranteed return single premium claims.
• Preparing checklists for obtaining signatures on claims above set limits as per claims processes.
• Capturing and processing monthly income benefits.
• Assessing disability, critical illness and income benefit claims received from the groups.
• Liaising with the Reinsurers on claims that needs to be referred (RGA, Genre, Munichre, and Hannover).
• Liaising with the Chief Medical Officer and other relevant departments on complex claims.
• Referring claims for docfox verification where amount is above R125 000.00 as per claims processes.
• Assisting with VOPD reports and ITC reports for the department.
• Communicating with clients on claims received.
• Providing of feedback on Complaints whenever requested.
• Liaising with the external institutions (doctors, hospitals, Investigating officers, Attorneys, employers, and medical aid schemes) for obtaining of required documents for assessment.
• Preparing and discussing complex claims for both approval and decline with the Claims committee.
• Referring suspicious claims to XTND or Forensics department for further investigation.
• Training new personnel and assisting with complex claims queries.
• Compiling daily stats and updating registers for disabilities, Critical illness claims.
• Testing of new systems whenever required.
• Performing any other administration duties assigned.

Grade 12 – Phokanoka High School (2004)

B.Admin in Public Administration, Business Management & Marketing Management – University of Pretoria (2008)