Locum ICU Registered Nurse - Legend Medical Solutions (Agency)
(2025-03)
- Provide holistic patient care, including wound management, medication administration, and chronic condition monitoring.
- Perform ICU nursing duties, including ventilator management, advanced life support, and continuous monitoring of critically ill patients.
- Conduct phlebotomy, IV therapy, and specimen collection, ensuring timely diagnostics and treatment adjustments.
- Respond to emergencies, providing first-line support in trauma and critical care scenarios.
- Support patient families, offering education on recovery protocols and long-term care plans.
- Uphold infection prevention and control standards, ensuring compliance with medical regulations and best practices.
Claims Specialist - SwissRe
(2022-08 - 2025-02)
Reason for Leaving: To pursue educational opportunities and an in-person training program to develop new competencies.
- Managed treaty and facultative claims, ensuring seamless processing by reinsurance policy frameworks.
- Conducted risk assessments on income protection, disability, retrenchment, and life claims, ensuring regulatory compliance.
- Oversaw data management, maintaining accuracy in reinsurance claims processing systems.
- Generated claims experience reports, analysing trends and providing strategic recommendations to underwriting teams.
- Liaised with clients, underwriting team, medical officers, legal team, and senior management, supporting high-level claims negotiations.
- Led fraud detection audits, implementing measures to mitigate fraudulent activity and financial risk exposure.
- Provided input on claims processing enhancements, streamlining workflow efficiency, and system functionality.
Claims Assessor - ABSA Group Life
(2020-10 - 2022-07)
Reason for Leaving: Transitioned to Swiss Re in August 2022, to expand expertise in specialized disability and occupational disease claims, gaining exposure to complex assessments and fraud investigations within a global insurance framework.
- Processed funeral, disability, and life claims, ensuring accuracy and policy adherence.
- Conducted disability risk evaluations with a focus on workplace-related health conditions.
Ill Health Claims Assessor - Motor Industry Fund Administrators
(2020-03 - 2020-10)
Reason for Leaving: Completion of contract in October 2020 and transition to a broader claims assessment role at ABSA Group Life, leveraging my expertise in disability and health-related claims
- Led disability assessments, including occupational disease assessments, ensuring regulatory compliance
- Worked with medical review panels, ensuring evidence-based decision-making.
Senior Claims Specialist - Discovery Life
(2013-03 - 2019-07)
Reason for Leaving: Took a career pause to provide care and support for a parent with a serious medical condition.
- Supervised claims assessing teams, mentoring junior assessors, and driving best practices in claims processing.
- Conducted data-driven claim exception analysis, identifying risk trends and fraud mitigation strategies.
- Collaborated with senior leadership, underwriting teams, and legal departments to resolve complex disputes.
- Developed claims analytics reports, providing insights on policy performance and regulatory compliance.
- Played a key role in claims committee discussions, advising on policy amendments and operational refinements.
- Managed end-to-end claims assessment, ensuring compliance with financial and medical underwriting standards.
- Led fraud investigations, analyzing financial and medical documents to detect inconsistencies and anomalies.
- Provided product enhancement input, refining claims processing frameworks for improved efficiencies.
- Delivered coaching sessions for administrators and pre-assessors, strengthening claims evaluation expertise.
Occupational Health Nurse - Life Occupational Health Care
(2011-02 - 2013-02)
Reason for Leaving: Transitioning to a role that integrates my clinical and analytical expertise into the claims assessment field, joining Discovery Life as a Claims Specialist in March 2013.
- Developed and implemented occupational health programs, ensuring workplace wellness and disease prevention.
- Conducted medical examinations and screenings, identifying early signs of workplace-related conditions.
- Provided primary healthcare services, focusing on chronic disease management and workplace injuries.
- Led workplace wellness campaigns, educating employees on occupational health risks and prevention strategies.
Clinic Manager Registered Nurse - South African National Blood Services
(2009-03 - 2011-01)
- Managed daily clinic operations, ensuring seamless service delivery and adherence to healthcare protocols.
- Led staffing functions, including recruitment, training, and supervising multidisciplinary teams.
- Ensured regulatory compliance, maintaining standards in occupational health and clinic administration.
- Oversaw budget management, optimizing resource allocation, and procurement of medical supplies.
- Addressed donor concerns, implementing strategies to enhance patient satisfaction and service experience.
- Analysed performance metrics, presenting operational reports and recommendations to senior management.
Night Shift Team Leader - Flora Clinic
(2007-08 - 2009-02)
Reason for leaving: Pursued an opportunity to gain hands-on experience in clinic management, transitioning into a full-time role at South African National Blood Services in Mar 2009.
- Led nursing teams, ensuring seamless patient care delivery during overnight shifts.
- Developed nursing care plans, ensuring personalized treatment protocols for post-operative recovery.
- Managed medication administration, ensuring adherence to hospital regulations and patient safety guidelines.
- Provided emergency response support, assisting in critical interventions and patient stabilization.
Occupational Health Nurse - Unilever Brothers
(2007-05 - 2007-08)
Reason for Leaving: Completion of contract in August 2007, followed by a seamless transition into hospital-based nursing to further expand my clinical expertise as a Registered Nurse
- Conducted pre-employment assessments & medical surveillance, ensuring fitness-to-work compliance through medical history reviews, audiometry, spirometry, and physical examinations.
- Delivered primary health care services, diagnosing and managing workplace-related conditions.
- Provided emergency medical care and handled workman's compensation cases, ensuring swift interventions for occupational injuries.
Senior Claims Assessor / Supervisor - Standard Bank
(2001-12 - 2007-04)
Reason for Leaving: Transitioned to an occupational health role in May 2007 at Unilever Brothers to apply my clinical expertise in workplace health and employee wellness.
- Supervised claims assessors, overseeing disability claims validations and workflow management.
- Managed cross-functional collaboration, liaising with underwriting teams, medical professionals, and compliance officers.
- Provided staff training and procedural updates, enhancing accuracy in claims processing.
- Developed audit review metrics, reporting claims trends, fraud risks, and policy efficiency improvements
Registered Nurse - Johannesburg Hospital
(1996-04 - 2001-11)
Reason for Leaving: Advanced my career by transitioning into claims assessment, leveraging my clinical expertise to support medical and insurance processes.
- Administered medications and monitored patient conditions, ensuring adherence to treatment protocols.
- Provided advanced life support, assisting physicians during critical procedures and emergency interventions.
- Educated patient families, offering counselling and guidance on recovery management.
- Collaborated with hospital teams, contributing to multi-disciplinary healthcare planning and case management.
