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Tsepi Palime

Tsepi Palime

Group Insurance Pricing Specialist

Talent
Cape TownMember since June 7, 2026
Group Insurance Pricing SpecialistCompass
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Group Insurance Pricing SpecialistCompass

Experience

Group Insurance Pricing Specialist - Momentum Metropolitan Life Ltd - Cape Town

(2025-07)

The role is based in the Momentum Corporate division.

  • Assessing and calculating the risk rate and underwriting requirements for the products requested, utilising the current pricing tools.
  • Determining suitable terms and conditions in order to effectively manage risk.
  • Extracting data from existing systems, as well as validation and manipulation of the data.
  • Accurate recording of data for business intelligence and reporting.
  • Consider wider topics of risk management such as occupational and industry risks.
  • Build and improve current models and internal processes.
  • Build a strong relationship with the sales channel so that existing business is retained at profitable rates while new business is secured with appropriate margins.
  • Build and maintain relationships with relevant organisation's to ensure in-depth knowledge of all related acts, regulations and regulatory framework.

Disability Claims Payments Assessor - Discovery Health (Pty) Ltd - Sandton

(2022-07 - 2025-06)

The role is based in the Corporate and Employee Benefits business unit under Group Risk division.

  • Accurate assessment, investigation, and validation of payments for claims admitted for the Income Continuation Benefits.
  • Assessing claims in line with the Life Plan Guide.
  • Ensuring that claims are paid within the Free Cover Limits and Underwriting guidelines.
  • Processing and payment of claims within the established SLA.
  • Data validations and reconciliation of payments.
  • Reinsurance data remediation.
  • System testing for the developers and systems team.
  • Ensuring all risks are mitigated and escalated, this includes the identification of fraudulent activity and non-disclosure.
  • Analyse processes to identify risks and opportunities for enhancements or innovations to continuously improve claims processes.
  • Managing quality audits to ensure high levels of service are adhered to, including root cause analysis, implementation of preventative measures and corrective action.

Junior Operations Analyst (Internship) - Discovery Health (Pty) Ltd - Sandton

(2021-10 - 2022-06)

The role was based in the Corporate and Employee Benefits business unit within the Umbrella Funds (Pension and Provident) division.

  • Analysing the schemes that would require a Compass configuration to Config 3 and implement the conversion, based on the SOP/checklist.
  • Applying the applicable rate increases to schemes provided by business within the month of Renewal.
  • Completing the conversion and rate increases within the established SLA.
  • Creating and maintaining the required documentation for Management on the completed conversions and rates increases.

Student Supervisor - Eunice High School - Bloemfontein

(2018-01 - 2019-12)

  • Helping children settle into school life.
  • Keeping parents informed about their children's health and wellbeing.
  • Taking children to medical and dental appointments and calling for emergency treatment if necessary.
  • Keeping children's records up to date.
  • Carrying out inventories of fixtures and fittings and reporting the need for repairs and replacements.

Economics Tutor - University of the Free State (UFS) - Bloemfontein

(2017-01 - 2018-12)

The role was at the Economic and Management Sciences Faculty.

  • Compiling lesson plans.
  • Assisting in developing students' skills.
  • Helping students to improve their learning process.
  • Detecting specific needs of each student.
  • Teaching supplementary lessons.

Student Supervisor - St. Michael's School for Girls - Bloemfontein

(2017-01 - 2017-12)

  • Assisting the House Mistresses with the daily operations in the Hostel.
  • Providing an authoritative presence in the absence of the House Mistresses.

Student Front Desk Assistant (Receptionist) - Graca Machel Hall, University of Cape Town (UCT) - Cape Town

(2015-01 - 2015-12)

  • Assisting with the management of access control around the residence by ensuring that the residents adhere to the signing in and out procedures.
  • Assisting with basic administrative tasks within the residence. Dealing with student related queries relayed via reception.
  • Answering telephone calls.
  • Operating the intercom to make calls around the residence and operating other reception equipment such as the fire alarm system.

Vacation Front Desk Assistant (Receptionist) - Graca Machel Hall, University of Cape Town (UCT) - Cape Town

(2015-06 - 2015-07)

  • Carrying out duties and tasks delegated by the Vacation Assistant and/or the Residence Facilities Officer.
  • Registering and de-registering guests.
  • Providing a professional reception and information service to guests.
  • Ensuring that the reception area is staffed 24 hours.
  • Assisting with the provision of security and access control.

Education

Bachelor of Science - Actuarial Science - University of Free State (UFS) (2016-02 - 2019-12)

Bachelor of Business Science - Analytics - University of Cape Town (UCT) (2014-02 - 2015-12)

National Senior Certificate - St. Michael's School for Girls (2013-01 - 2013-12)

Skills

Group Insurance Pricing Specialist

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