Zolile Goniwe

Dedicated and detail-oriented professional with over 15 years of experience in administrative, financial, and claims processing roles, seeking to leverage expertise in procurement at Mediclinic. Proven ability to manage administrative functions, ensure compliance, and liaise with stakeholders. Possesses strong organizational skills, meticulous attention to detail, and proficiency in SAP systems, transferable from extensive experience in financial administration and medical record management to effectively support procurement operations and contribute to efficient healthcare service delivery.

HR Services Coordinator - Carnival Cruise Line - Miami, USA

(2023-11)

• Represent the Shipboard HR Department in a professional manner.
• Assist the HR Service Manager with all administrative functions.
• Efficiently oversee team accommodation and employee space management.
• Maintain a high level of confidentiality regarding sensitive information.

Medical Administrator - Carnival Cruise Line - New Orleans, USA

(2022-02 - 2022-09)

• Conduct health screenings, surveillance testing, and vaccination campaigns.
• Administer patient files while ensuring global compliance.
• Participate in fire drills, audits, and staff training.

File Assessor SAP System - Netcare Hospital Group - Kuils River, South Africa

(2020-04 - 2022-01)

• Scrutinized patient files to ensure accurate billing.
• Finalised account authorisations with meticulous attention to detail.
• Oversaw associated administrative tasks to enhance operational efficiency.

Back Office Consultant / MHRS Hospital Assessing - Medscheme Administration and Managed Care - Woodstock, South Africa

(2018-11 - 2020-02)

• Ensured legal and regulatory compliance within operations.
• Contributed to departmental cost savings through strategic initiatives.
• Evaluated and rectified incorrect payment discrepancies.

Claims Administrator (Medical Aid Gap Cover) - ZestLife Investments PTY (LTD) - Claremont, South Africa

(2016-07 - 2018-10)

• Processed and validated individual life claims efficiently.
• Maintained and updated the claims register with precision.
• Liaised with medical aids, hospitals, and practitioners to ensure smooth claims processing.

Claims Supervisor - Samwumed Administration Organisation - Athlone, South Africa

(2016-01 - 2016-06)

• Supervised staff and monitored their performance to ensure excellence.
• Ensured quality service delivery within the claims processing team.
• Accurately processed staff claims while adhering to protocols.

Claims Specialist (Bankmed Medical Aid Scheme) - Metropolitan Health Group - Cape Town, South Africa

(2015-01 - 2015-12)

• Analyzed medical claims from doctors and assessed for inaccuracies.
• Liaised with medical advisors and providers to clarify claims.
• Provided comprehensive feedback to resolve claims queries.

Clerk 03: COID Claims Practitioner - City of Cape Town - Cape Town, South Africa

(2009-01 - 2013-05)

• Processed COID claims documentation with accuracy.
• Liaised with service providers to gather necessary documentation.
• Collaborated with Occupational Health and Safety units to ensure compliance.

Motor Vehicle Accident Consultant (MVA/IOD) - Metropolitan Health Group - Cape Town, South Africa

(2006-02 - 2008-12)

• Processed accounts related to accidents efficiently.
• Liaised with the Road Accident Fund to facilitate claims.
• Prepared detailed reports for scheme managers for review.

Debtors Clerk: Scheme Finance Department - Sigma Healthcare Funders - Bellville, South Africa

(2003-07 - 2006-02)

• Prepared savings and contribution refund cheques accurately.
• Resolved customer service inquiries promptly and professionally.
• Maintained and filed relevant documents to ensure compliance.

National Diploma (ND) - Occupational Health & Safety Management - University of South Africa (UNISA) (2012-02)

Course in Insurance Preparation (INSPREP) - Insurance Sector Education and Training Authority (INSETA) (2002-01 - 2002-12)

Senior Certificate (Grade 12/Matric) - Luhlaza Senior Secondary School (1996-01 - 2001-11)