Avuyile Primrose Mlunguza
Orchards
Summary
Experienced Claims Supervisor with a robust background in managing and leading teams within the claims department at Metal Industries Benefit Funds. Demonstrated expertise in supervising staff, enhancing productivity, and ensuring compliance through meticulous audits and performance evaluations. Proven ability to handle complex inquiries from beneficiaries and attorneys, leveraging strong legal knowledge and communication skills. Adept at facilitating timely claims processing, tax administration tasks, and cross-functional communication to resolve issues efficiently. Skilled in Microsoft Word, Excel, PowerPoint, Outlook, and typing. Committed to fostering a positive workplace culture through mentoring and coaching team members towards achieving organisational goals. Detail-oriented professional demonstrating strengths in claims management and data analysis. Adapts to evolving challenges by streamlining processes and enhancing workflow efficiencies. Committed to delivering accurate reporting and maintaining high compliance standards across all operations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Claims Supervisor
Metal Industries Benefit Funds
04.2025 - Current
- Supervised and led a team of staff members to enhance performance and productivity.
- Oversaw monthly compilation of departmental statistics to ensure accuracy and compliance.
Managed monthly audits of PC operations and housekeeping standards.
Evaluated telephone timekeeping and performance metrics to identify areas for improvement. - Facilitated resolution claims processing to ensure timely payments.
- Managed complex inquiries from beneficiaries and attorneys, employing legal knowledge and communication skills to provide comprehensive responses.
- Understanding and dealing with staff issues.Using appropriate styles and methods to inspire and guide individuals towards goal achievement.
- Assisted with claims rerouting.
Facilitated tax administration tasks.
Participated in meetings to support team objectives. - Supported objective-setting processes to clarify team goals and expectations.
- Monitored workflow and work allocation amongst staff to ensure efficiency.
- Mentoring, coaching and motivating a team, create winning team by listening to all their views and suggestions.
- Address conduct and performance issues with staff to cultivate a positive and efficient workplace culture.
Team Leader in claims department
Metal Industries Benefit Funds
03.2011 - 03.2025
- Taking role of supervising in their absence.
- Allocation of claims and counter sign decisions.
- Assisting staff with queries, interviews and bank confirmations.
- Handle all the queries from beneficiaries, company and attorneys.
- Checking all the claims before payment
- Analysed data trends and compiled daily statistics to monitor target fulfilment and performance.
- Coordinated cross-functional communication between departments to resolve complex claims issues effectively.
Death claims administrator
Metal Industries Benefit Funds
04.2008 - 02.2023
- Oversaw processes for death retirement withdrawals, funeral advances, and transfers, coordinating with relevant stakeholders to ensure efficient claim resolutions.
- Coordinated with beneficiaries and legal representatives to gather necessary information for claim resolution.
- Corresponding with members/beneficiaries in receipt of a pension/Installments via mail or email.
- Calculating and processing death claims according to Section 37C rules.
- Completing and submitting necessary statistical reports.
- Handling of tax queries and issuing Irp5 certificates.
- Customer queries relating to their benefits distributions.
- Processing funeral and fast track advances.
- Handle all the queries from beneficiaries, company and attorneys.
- Adhere to Pension Fund rules and regulations.
- Processing payments for beneficiaries.
- Making follow up on client's outstanding documents.
- Coordinated detailed correspondence processes and handled new claims, utilising strong organisational skills and attention to detail.
Education
Certificate: Management - Communications, Business management, Human resource Management, Entrepreneurial Management, Financial accounting, End-User Computing, Business Law
Technikon Pretoria
01.2002
Grade 12 - English, Xhosa, Mathematics, Accounting, Business economics
Palmerton High School
01.2001
Higher certificate in Insurance - Business Management, Commercial Law, Basic Numeracy, Commercial insurance Products & Practice, Claims Management, Risk Management and Insurance, Principles of life Insurance, Sustainability and Greed, Financial Accounting, Personal insurance Products and Practice
UNISA
Bachelor of Business Administration - commerce
unisa
Skills
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Outlook
- Typing skills
Languages
English
Proficient
C2
N. Sotho
Advanced
C1
Xhosa
Proficient
C2
Tswana
Proficient
C2
Zulu
Proficient
C2
tshivenda
Intermediate
B1
Custom Section
Excellent
References
- Ms Rethabile Marutha, METAL INDUSTRIES BENEFITS FUND (MONTHLY SUPERVISOR), 011 870 2117
- MRS JAMELA Ethel., METAL INDUSTRIES BENEFITS FUND (DEATH SUPERVISOR), 011 870 2023
Personal Information
- ID Number: 8303310533088
- Ethnicity: African
- Criminal Record: None
Certification
- Certificate in Retirement fund
- Certificate in Pension Fund Act
- Certificate in time management
Timeline
Claims Supervisor
Metal Industries Benefit Funds
04.2025 - Current
Team Leader in claims department
Metal Industries Benefit Funds
03.2011 - 03.2025
Death claims administrator
Metal Industries Benefit Funds
04.2008 - 02.2023
Certificate: Management - Communications, Business management, Human resource Management, Entrepreneurial Management, Financial accounting, End-User Computing, Business Law
Technikon Pretoria
Grade 12 - English, Xhosa, Mathematics, Accounting, Business economics
Palmerton High School
Higher certificate in Insurance - Business Management, Commercial Law, Basic Numeracy, Commercial insurance Products & Practice, Claims Management, Risk Management and Insurance, Principles of life Insurance, Sustainability and Greed, Financial Accounting, Personal insurance Products and Practice
UNISA
Bachelor of Business Administration - commerce
unisa