Refilwe Letsoalo

Dedicate and detail-oriented Claims Consultant with extensive experience in the financial services and insurance industries. Proven ability to investigate, evaluate, and settle claims while consistently delivering a remarkable customer experience. Possessing strong communication, leadership, and analytical skills, combined with the ability to perform effectively under pressure and meet stringent targets.

A conscientious and reliable professional, eager to contribute to a reputable and forward-thinking organisation while continuing to develop and advance a rewarding career.

Claims Specialist (Home Owner) - Standard Bank

(2012-11 - 2026-07)

• Handle telephone queries from clients suppliers and capturing new claims.
• Appoint assessors and loss adjusters on claims.
• Cost claims and request payments.
• Advise clients on claim settlements and rejected claims.
• Validate client insurance history. Conduct desktop investigations on claims.
• Manage claims from start to finish while meeting service level agreements (SLAs).
• Identify and escalate potentially fraudulent, complex, or high-risk claims in accordance with company procedures.

Funeral Claims Consultant - Standard Bank

(2009-08 - 2012-10)

• Assess and process the payment of funeral claims accurately.
• Meet and exceed claim authorization targets consistently.
• Use the workflow system effectively to enhance daily productivity.
• Repudiate invalid and fraudulent claims in line with policy requirements.
• Compiled daily, weekly, and monthly reports for management.
• Manage open and pending claims reports to ensure timely finalization.

Document Management Officer - Standard Bank

(2007-04 - 2009-07)

• Arrange and organise files in order within the strong room.
• Scan and file documents accurately.
• Capture information for staff members, including leave, sick leave, and exits.
• Assist at reception by answering telephone calls.
• Print pay slips as per client requests.

Admin Consultant - Truworths

(2005-02 - 2007-03)

• Execute cash and related transactions, balancing and managing the cash float.
• Provide customer service and advice on cash and transaction processes.
• Identify and action sales leads and cross-selling opportunities.
• Ensure compliance with legislative requirements and internal processes.
• Maintain accurate control for the teller station throughout each day.
• Support the smooth flow of daily transactions.

Higher Certificate - General Business Management - Cornerstone College (2024)

Certificate - Short-Term Insurance Level 5 - Octomate Education (2022)

Certificate - Supply Chain Management - IQ Academy College (2019)

Diploma - Office Administration - Rosebank College (2007)

Matric Certificate - Saulridge Certificate (1998)