Summary
Overview
Work History
Education
Skills
Timeline
Generic

Boitumelo Sekgothe

Claims Administrator
Pretoria,GP

Summary

Dynamic claims specialist with a proven track record at Assupol Life, excelling in claims analysis and customer satisfaction. Adept at optimizing processes and enhancing compliance, I effectively collaborated with cross-functional teams to improve service delivery. Strong multitasking and problem-solving skills drive my commitment to achieving operational excellence.

Overview

2026
2026
years of professional experience

Work History

Volunteer -claims Senior and Specialist

Assupol Life
2024 - Current
  • Analyzed complex claims to ensure adherence to regulatory standards, enhancing compliance and minimizing processing errors.
  • Assessing with retirement death claim, early retirement maturity claims, Health + claims, life covers and dread disease.
  • Assisting Superviour ( Dedani) with monthly reporting
  • Assisting with CIIMS claims
  • Collaborated with cross-functional teams to address claims-related inquiries, improving communication and customer satisfaction.

Claims Administrator

Assupol Life
2022 - 2024
  • Delivered quality service with friendly and professional demeanor.
  • Planned employee workloads and delegated tasks strategically to
    meet seasonal fluctuations in demand.
  • Assisting senior manger ( Magda Degli Umberti and Jermaine Padiachi) with monthly reporting.
  • Assisting Manger with allocating to the team daily work.
  • Assisting managers with oversee the claims workload and manage backlogs.
  • Assisting with JIRA logs and escalations.
  • Perform bi-annual reviews of claims requirements and provide structured feedback for process enhancement
  • Conducting daily reconciliations of claims received, paid, and repudiated, analyzing data to optimize team capacity

Clerk

Assupol Life
2020 - 2022
  • Assessing death claims and investment under R50 000
  • Trained new staff on office procedures and systems, fostering a knowledgeable and capable team.
  • Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
  • Maintained confidentiality of sensitive information, adhering strictly to privacy policies.

Credit Card Customer Service Representative

Absa Bank
2018 - 2020
  • Assisted customers with credit card inquiries, ensuring timely resolution and contributing to overall customer satisfaction.
  • Handled complex transactions and account issues, enhancing operational efficiency and improving service delivery.
  • Educated clients on credit card features and benefits, fostering informed usage and encouraging responsible financial practices.
  • Collaborated with team members to streamline processes, leading to reduced response times and improved service quality.
  • Processed cash and card payments during busy shopping periods,
    limiting customer wait times.

Direct Sales Consultant

Clientele Life
2016 - 2018

Contributed to increased sales across departments, connecting
existing clients with colleagues and cross-selling product range.

Demonstrated products to show potential buyers benefits and
advantages and encourage purchases.

Used exceptional organizational and time management skills to
coordinate sales processing and product delivery.

Education

Generic Management NQF5

Octomate Education
Pretoria, South Africa
12-2025

UCT Life Insurance Claims Assessors' Short Course

Asisa Academy
Pretoria, South Africa
01-2024

Certificate of Higher Education

Arcadia High School
Pretoria, South Africa
04.2001 -

Skills

Claims analysis

Claims reporting

Customer satisfaction

CIIMS claims

Claims processing

Sales coordination

Multitasking

Workload management

Claims reconciliation

Team delegation

Customer relations

Team management

Teamwork and collaboration

Adaptability and flexibility

Decision-making

Problem-solving

Effective communication

Timeline

Certificate of Higher Education

Arcadia High School
04.2001 -

Volunteer -claims Senior and Specialist

Assupol Life
2024 - Current

Claims Administrator

Assupol Life
2022 - 2024

Clerk

Assupol Life
2020 - 2022

Credit Card Customer Service Representative

Absa Bank
2018 - 2020

Direct Sales Consultant

Clientele Life
2016 - 2018

Generic Management NQF5

Octomate Education

UCT Life Insurance Claims Assessors' Short Course

Asisa Academy
Boitumelo SekgotheClaims Administrator