City of Johannesburg, Gauteng, South Africa
Highly skilled and analytical Life Insurance Claims Assessor. I have experience in Funeral, Death, , Retrenchment , Call Centre in-outbound and Credit Life claims assessments.
Manage portfolio of claims, • Manage initial and ongoing assessment • Liaise with claimants and all parties involved to ensure all information is correct and accurate. • Provide quality service and assistance to members with all enquiries. • Consistently apply medical, legal, claim assessment knowledge to assess the merits of a claim. • Build meaningful relationships with clients, insurers, internal service providers, external service providers and reinsurers. • Drafting of decision letter to claimants. • Provide exceptional customer service to all parties involve. • Handling telephone and email enquiries. • Liaising with our Forensic team. • Provide support to other department with claims related enquiries • Investigate and gather all facts with regards to non-disclosures • Investigate and gather all fact with regards to fraudulent claims • Assess all claims according to service agreements • Prepare and obtain all authorizations on claim decisions • Prepare and submit claims for payment • Assisting the client with their FNB life products. This includes maintaining the client’s policy details. • Investigate and follow up on customer queries. Update customer files and databases. • Ensuring that all policy limitations, waiting periods, exclusions are appropriate and in line with the policy terms and conditions. • Providing efficient administrative support function for senior claims assessors
Assisting with submitting funeral claims • Data Capturing, Validations, Forensic referrals • Assisting with follow ups, Monthly Reports • Understanding the terms and conditions of 13 products • Assist with general queries • Assist with escalating claims out of TAT • Provide efficient customer service • Unclaimed Preemptive Tracing • Assessing Death/Credit life Inbound and outbound calls
Overseeing an office to make sure that the organization runs smoothly •Provides operational support and quality administrative services to the area of operation •Execution of operations initiatives across multiple platforms. •Continual improvement of platforms through enhancements, integrations, process improvement while maintaining simplicity and appropriate documentation Fica verification Team player Attention to detail Multi tasking Problem solving Planning and organisational Receive FICA documents Confirm and Label verified FICA documents Receive document and checking correctness Tracking,updating and monitoring of documents Scanning,Filling,Printing ,Copying Customer service, Help achieve project objectives Meeting performance targets
Greetings customers and taking their order. Hosting birthday parties and doing face painting. Making sure the lobby and restrooms are neat and tidy. Customer service Time and planning management Multi task Answering telephonic to queries and placing orders Maintain and build good working relationships with internal department Meeting daily projected targets Handling complaint Hospitality,Shift Runner Cashier, Petty cash,Stock count Training , Stock ordering Attend to walk in customers Follow up on pending orders