Claims Consultant at Integrisure (2023-10 – Present)
Completed Higher Certificate in criminal justice and forensic investigations.
- Registration of claims Telephonically According to Internal SLA and Q&A scripting.
- Appointment of Suppliers, Assessors and Loss Adjustors according to set internal SLA and Process.
- Authorise repairs or Replacements at most cost-effective Insurer approved Suppliers. Timeous and accurate feedback to clients according to set internal claims SLA.
- Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
- Reduce risk to integrisure by monitoring, identifying and reporting trends in claims.
- Identifying possible fraud claims.
- Conduct investigations against clients and draft reports.
- Build networks with stakeholders by participating in forums.
- Identify, build and maintain relationships with stakeholders to understand their short-term insurance needs.
- Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
- Initiate and process claims to finalization by ensuring compliance to insurance policy.
- Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
- Minimize risk by complying with all Integrisure policies and procedures.
- Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters, websites and attending sessions.
- Understand and embrace the Absa vision and demonstrate the values through interaction with team and stakeholders.
Claims Consultant at ABSA Insurance (2022-06 – 2023-09)
- Registration of claims Telephonically According to Internal SLA and Q&A scripting.
- Appointment of Suppliers, Assessors and Loss Adjustors according to set internal SLA and Process.
- Authorise repairs or Replacements at most cost-effective Insurer approved Suppliers. Timeous and accurate feedback to clients according to set internal claims SLA.
- Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
- Reduce risk to Absa by monitoring, identifying and reporting trends in claims.
- Identifying possible fraud claims.
- Conduct investigations against clients and draft reports.
- Build networks with stakeholders by participating in forums.
- Identify, build and maintain relationships with stakeholders to understand their short-term insurance needs.
- Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
- Initiate and process claims to finalization by ensuring compliance to insurance policy.
- Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
- Minimize risk by complying with all Absa policies and procedures.
- Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters, websites and attending sessions.
- Understand and embrace the Absa vision and demonstrate the values through interaction with team and stakeholders.
Client Relations Officer at ABSA Stockbrokers and Portfolio Management (2021-12 – 2022-06)
Contract position
- Providing accurate investment advice to clients. Assisting with client queries regarding their trading accounts.
- Assisting with sale/purchasing of shares for local and offshore accounts. JSE-listed shares and Exchanged Traded-Funds.
- Transferring of funds to bank accounts. Transfer of share portfolios to other stockbrokers.
- Assisting new clients with the process and registration of new accounts.
- Comply with Service Level Agreement by administering and facilitating the call centre process.
- Meet client needs by ensuring the queries are processed according to service level agreement and Terms and conditions.
- Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
- Assisting with Estate late accounts and advising on the process.
- Accurately evaluating financial reports. Managing clients' investment portfolios.
- Staying abreast with the latest financial news.
- Providing regular updates to clients regarding the status of their investment portfolios.
- Informing clients of new investment opportunities within the stock market.
- Accordingly making changes in investment strategies based on market conditions.
Claims Assessor at Nedbank Insurance (2021-06 – 2021-11)
Contract position
- Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
- Reduce risk to Nedbank Group by monitoring, identifying and reporting trends in claims.
- Build networks with stakeholders by participating in forums.
- Identify, build and maintain relationships with stakeholders to understand their shortterm insurance needs.
- Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
- Initiate and process claims to finalization by ensuring compliance to insurance policy.
- Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
- Minimize risk by complying with all Nedbank policies and procedures.
- Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters, websites and attending sessions.
- Understand and embrace the Nedbank vision and demonstrate the values through interaction with team and stakeholders.
- Improve personal capability and stay abreast of developments in field of expertise by identifying training courses and career progression for self through input and feedback from managers.
- Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed, experience practiced, and certifications obtained and/or maintained within specified time frames.
Corporate Claims Consultant at Digicall Solutions – Marsh (2017-08 – 2020-04)
- Handling and managing claims efficiently and effectively for clients such as: Sars, Net1 applied solutions, CCMA, Dcd Group, Lenmed investments etc.
- Appointment of Suppliers, Assessors, Loss Adjustors according to set internal SLA and Process. Authorization of repairs or Replacements at most cost-effective Insurer approved suppliers. Managing data reports and projects for Marsh and Mclennan companies.
- Attending to daily tasks pertaining to each claim diarized. Updating weekly reports. Capturing of data. Working on aggregate, conventional policies and client funds.
- Timeous and accurate feedback to clients according to set internal claims SLA. Identifying of possible fraudulent claims. Request insurer approval on all motor claims above mandate, effectively manage and escalate.
- Finalize claims within set internal claims SOP Balancing between Insurer and client when aggregates have burnt.
- Responsible for quality assessing of claims.
- Authorize payment of all claims
- Accept accountability and take responsibility for tasks done by reporting staff.
- Devote the whole of your time, attention and abilities during working hours to the discharge of your duties with strict accuracy.
- Build and maintain relationships at all levels with reporting staff, all stakeholders and internal departments.
- Compile and provide accurate reports to the reporting manager, in the required format by the agreed deadlines, to keep management abreast of progress, delays and or backlogs.
- Ensure all claims are quality assured and processed according to policies and procedures and to avoid financial risk and PI claims.
- All escalations to be managed within 48 hours – where there is a dependency on other teams members to be engaged within 48 hours of process to follow.
- Compile and provide accurate reports to the reporting Manager, in the required format by the agreed deadlines, to keep management and external stakeholders abreast of progress, delays and or backlogs Compile and complete reports for Manager.
- Consistently ensures team reaches assigned target
- Set and agree meaningful and interactive performance areas with staff.
- Train, mentor and coach staff (complete training log)
