Anathi Mdlongwa
Medical Insurance Advocate
Eersteriver
Summary
Dynamic and adaptable professional committed to excellence, ready to contribute effectively both independently and as part of a team. Detail-oriented individual valuing punctuality, determination, and the power of positivity, viewing challenges as opportunities for growth. Proven leadership skills developed through diverse experiences foster a belief in the ability to navigate any situation with integrity and discipline. Eager to bring a strong work ethic and proactive approach to the organization, ensuring that every task is met with diligence and enthusiasm.
Overview
7
7
years of professional experience
6
6
Languages
Work History
Meical Insurance Advocate
Concentrix
05.2025 - Current
- Assist members with benefits quotations about their medical plans.
- Send members doctors that are in and out of network with their plans.
- Look at the claims, clarify how they were processed, and confirm if they were processed correctly. If not, then send them for adjustments.
- Update plans with correct coordination of benefits, so claims are processed correctly.
- Transfer calls to relevant departments like your dental department, vision department, Rx department, and spending accounts.
- Send out client emails to members who require information regarding their plans via email.
- Appeal claims on behalf of members, or guide them on how to do it via the portal.
Customer Sales and Service Representative
Mindpearl
04.2021 - 04.2025
- Booking international and domestic flights.
- Managing bookings (rebooking, canceling, seat selection, or special service requests).
- Answering customers' inquiries regarding their bookings.
- Following up on the refund request.
- Disputing transactions from customers' banking accounts.
- Resending tickets and itineraries.
- Updating contact details.
Loans Telemarketing Agent
RCS
04.2018 - 03.2021
- Delivering scripted talks that describe the company’s products to persuade potential customers.
- Explaining products and product prices.
- Answering to customers' inquiries.
- Obtaining customer information for application and contact purposes.
- Keeping track of customers who have been contacted and those who do not want to be contacted in the future.
- Following up on previous customers for potential sales.
- Maintaining records of customer contacts.
- Completing customer surveys to obtain information about potential customers.
Education
Matric -
General Smuts High School
Gauteng, Vereeniging12-2011
Skills
- Effective communication
- Proficient in computer use
- Team leadership
- Customer engagement
- Effective listening skills
- Effective time management
- Flexible problem-solving
- Strategic planning
- Detail-oriented approach
- Skilled in multilingual communication
- Efficient multitasking
- Professional telephone communication
References
- Arlene, Petersen, RCS Team Leader, +27 (82) 220-6295, RCS
- Ayanda Dlephu Mindpearl 075 291 1323
- Noma Efese, Mindpearl Team Leader 073 809 2337
- Matthew Craig, Concentrix Trainer 078 342 3196
Timeline
Meical Insurance Advocate
Concentrix
05.2025 - Current
Customer Sales and Service Representative
Mindpearl
04.2021 - 04.2025
Loans Telemarketing Agent
RCS
04.2018 - 03.2021
Matric -
General Smuts High School
Similar Profiles
Yaswanth VasudevanYaswanth Vasudevan
Application Support Engineer at ConcentrixApplication Support Engineer at Concentrix
Nurhulhaq ShaikhNurhulhaq Shaikh
Business Intelligence Analyst (BI Associate) at ConcentrixBusiness Intelligence Analyst (BI Associate) at Concentrix
Chynna ThomasChynna Thomas
Customer Service Agent at ConcentrixCustomer Service Agent at Concentrix
Mercedes EllisMercedes Ellis
Case Manager at ConcentrixCase Manager at Concentrix
Kamohelo MalefaneKamohelo Malefane
Customer Service Associate at HomeAssist PtyCustomer Service Associate at HomeAssist Pty