Kgaugelo Marcus
Claims administrator
Talent
Pretoria, City of Tshwane Metropolitan Municipality40 ZAR/hourMember since November 16, 2023
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About
Experience
POSITION HELD: ADMINISTRATOR (SANDF GLIS/SOUTH AFRICAN ARMY FOUNDATION)
Company Name: South African army foundation
PERIOD: April 2013-28february 2021
MOVEMENT CLERK- Collecting claims from Army headquarters daily.
- Register the incoming post.
- Record receiving data in company database.
- Submitting payment schedule of claims paid to HR AND MAINTANANCE for filing and audit.
- Registration of claims.
- Assist clients with claims related problems and report all deviations to reporting level.
- Dealing with clients and processes in line with company procedures.
- Handling all information on basis of trust.
- Gathering all the relevant supporting documents to further the claims process.
- Ensure adherence to claims and underwriting guidelines.
- Attend to walk-in clients to complete claim forms (funeral, life cover and disability).
- Management of calls in a professional and efficient manner.
- Follow up calls where and when necessary.
- Load claims information onto claims system.
- Creating a client file.
- Ensure that claims item is deleted with insurer after finalization of claim.
- Compile and submit outstanding claims report as per set standard.
- Improving turn-around times on claims by delivering service excellence
- Ensure data integrity on all system.
- Data collection and processing of transactions.
- Recon the batch paid, courier claims to the underwriter of the scheme.
- Attend to general correspondence and e-mails to insurer’s according to company standards.
- Attend to client queries where it is required.
- Ensure confidentiality of database information.
- Any other instruction from Management.
- Meeting and greeting clients /visitors to the office.
- Operating office equipment including printers, copiers, fax machine and multimedia instruments.
- Check incoming paperwork (correspondence, claims etc.).
- Sort all papers alphabetically and according to content, dates, significance.
- Create or update records with new files and information.
- Store all paperwork in designated places securing the important document according to POPIA.
- Enter paperwork into an electronic system either by data entry or by using optical scanners.
- Setting up appointments, distributing reports and managing correspondence between the office and external bodies.
- Answering phone calls and calling clients to follow ups on appointments and payments.
- Answering customer question, providing information regarding the status of claims.
- Data capturing
- Taking minutes during meetings when appropriate.
- Respond to customer enquiries via telephone, internet (emails) and in person applying TCF principle.
- Switchboard operation when appropriate.
- Preparing board packs when appropriate.
- Monthly recon for officer’s fund scheme.
- Assisting with reservations for rainbow holiday club when appropriate.
- Generate reports from information system as required.
- Minimize or ZERO cancellations through regular and pro-active dealings with clients.
Skills
- Planning and organizing
- Computer literacy (word, excel, power point, outlook, access)
- Communication skills
- Database
- POPIA ACT
- TCF principles
- Record keeping, filing and maintenance of database.
- System A knowledge
- Q link knowledge
- Mainframe knowledge
- Fund managers knowledge
- Customer service
- Fica act
- Problem solving
- Services knowledge
- Received awards
- Recognition letters and thank you cards
- Responded to customers daily and solved 90% of their concerns.
- Contributed to good customer service.
- Incentive bonus from management every year
- Contributed in SANDF GLIS SCHEME account growth.
Experience
Experience
POSITION HELD: ADMINISTRATOR (SANDF GLIS/SOUTH AFRICAN ARMY FOUNDATION)
Company Name: South African army foundation
PERIOD: April 2013-28february 2021
MOVEMENT CLERK- Collecting claims from Army headquarters daily.
- Register the incoming post.
- Record receiving data in company database.
- Submitting payment schedule of claims paid to HR AND MAINTANANCE for filing and audit.
- Registration of claims.
- Assist clients with claims related problems and report all deviations to reporting level.
- Dealing with clients and processes in line with company procedures.
- Handling all information on basis of trust.
- Gathering all the relevant supporting documents to further the claims process.
- Ensure adherence to claims and underwriting guidelines.
- Attend to walk-in clients to complete claim forms (funeral, life cover and disability).
- Management of calls in a professional and efficient manner.
- Follow up calls where and when necessary.
- Load claims information onto claims system.
- Creating a client file.
- Ensure that claims item is deleted with insurer after finalization of claim.
- Compile and submit outstanding claims report as per set standard.
- Improving turn-around times on claims by delivering service excellence
- Ensure data integrity on all system.
- Data collection and processing of transactions.
- Recon the batch paid, courier claims to the underwriter of the scheme.
- Attend to general correspondence and e-mails to insurer’s according to company standards.
- Attend to client queries where it is required.
- Ensure confidentiality of database information.
- Any other instruction from Management.
- Meeting and greeting clients /visitors to the office.
- Operating office equipment including printers, copiers, fax machine and multimedia instruments.
- Check incoming paperwork (correspondence, claims etc.).
- Sort all papers alphabetically and according to content, dates, significance.
- Create or update records with new files and information.
- Store all paperwork in designated places securing the important document according to POPIA.
- Enter paperwork into an electronic system either by data entry or by using optical scanners.
- Setting up appointments, distributing reports and managing correspondence between the office and external bodies.
- Answering phone calls and calling clients to follow ups on appointments and payments.
- Answering customer question, providing information regarding the status of claims.
- Data capturing
- Taking minutes during meetings when appropriate.
- Respond to customer enquiries via telephone, internet (emails) and in person applying TCF principle.
- Switchboard operation when appropriate.
- Preparing board packs when appropriate.
- Monthly recon for officer’s fund scheme.
- Assisting with reservations for rainbow holiday club when appropriate.
- Generate reports from information system as required.
- Minimize or ZERO cancellations through regular and pro-active dealings with clients.
Skills
- Planning and organizing
- Computer literacy (word, excel, power point, outlook, access)
- Communication skills
- Database
- POPIA ACT
- TCF principles
- Record keeping, filing and maintenance of database.
- System A knowledge
- Q link knowledge
- Mainframe knowledge
- Fund managers knowledge
- Customer service
- Fica act
- Problem solving
- Services knowledge
- Received awards
- Recognition letters and thank you cards
- Responded to customers daily and solved 90% of their concerns.
- Contributed to good customer service.
- Incentive bonus from management every year
- Contributed in SANDF GLIS SCHEME account growth.
Education
Education
GRADE 12(FULL EXEMPTION)
Tubake secondary school
2003-2007
Subject passed: Sepedi
English
Afrikaans
Mathematics
Physical science
Geography
NATIONAL HIGHER CERTIFICATE (NATED) BUSINESS MANAGEMENT
Capricorn College for FET
2011-2012Modules passed N4: Management communication
Financial accounting
Entrepreneurship and business management
Computer practice
Modules passed N5: Financial accounting
Entrepreneurship and business management
Computer practice
Sales management
Modules passed N6: Sales management
