Molebatsi Lesolami

Results-driven claims consultant with 4+ years of experience in insurance claims processing. Highly skilled in analyzing, validating, and managing insurance claims while meeting strict service level agreements. Proven ability to work under pressure and identify fraudulent claims.

Call Centre Agent (Client Services) at Motor Industry Funds Administrator (2026-03 – Present)

• Responding to inquiries from pension fund members regarding their account details and benefit options.
• Providing clear explanations of withdrawal processes, retirement age and changes in legislation
• Guiding members through the process of filing claims or requesting withdrawals.
• Addressing and resolving inquiries related to discrepancies in account statements or benefit calculations
• Maintaining accurate records of member inaction and ensuring that information updates are recorded on the system
• Ensuring that all interactions comply with legal and regulatory standards including data protection regulations.

Claims Consultant at Multichoice (2024-09 – 2025-05)

• Assessed and validated 150+ client claims per month, ensuring accuracy, compliance, and excellent customer service.
• Engaged with clients telephonically to obtain outstanding information and explain claim outcomes clearly and professionally.
• Reviewed policy documentation to determine cover, exclusions, and benefits.
• Identified potential fraudulent activity and escalated cases according to internal procedures.
• Processed claim payments within agreed SLAs, contributing to improved customer satisfaction.
• Prepared settlement correspondence and supporting documentation for approval
• Built and maintained professional relationships with internal teams and external stakeholders.

Claims Consultant at Standard Bank (2020-03 – 2024-02)

• Registered and processed an average of 120+ motor and non-motor insurance claims per month in line with company guidelines and applicable laws.
• Processed payments and ensured timely resolution of client queries.
• Appointed assessors and carefully reviewed the assessors report received.
• Authorized repairs within applicable DOA limit and agreed SLA's
• Communicated with claimants to obtain information and/or to provide updates.
• Managed salvage processes and coordinated claims with recoveries and liabilities department to maximize recoveries.
• Maintained an effective filling system for record keeping
• Managed vehicle uplifting process within the applicable SLA to reduce storage and towing costs
• Compiled reports and presenting to management on a monthly basis.
• Building and maintaining relationships with internal and external stakeholders.
• Reviewed insurance policies to determine coverage

Diploma in Management Assistant – Ekurhuleni East TVET College (2021)

Grade 12 – Dinoto Technical Secondary School (2016)