Bongumusa Michael Mazibuko
Legal Liabilities And Recoveries Advisor
Johannesburg
Summary
Proven Legal Liabilities and Recoveries Advisor from OUTsurance, adept in efficiently handling and settling claims, demonstrating exceptional negotiation and analytical skills. Excelled in delivering client-centric solutions and technical advice, ensuring adherence to SLAs. Skilled communicator and team player, achieving equitable claim resolutions under pressure.
Overview
11
11
years of professional experience
5
5
years of post-secondary education
Work History
Legal Liabilities and Recoveries Advisor
OUTsurance
Centurion
05.2012 - 06.2023
- Handling liability claims in accordance with claims handling procedures
- Handling and settling claims within stipulated time frames and as per SLAs / mandates in place
- Entering into settlement negotiations with third parties / third party representatives
- Negotiating with assessors, attorneys, other service providers
- Providing technical advice on litigated matters
- Providing clients / brokers with the highest standard of service
- Providing clients / brokers with feedback on claims progress at all times
- Ensuring diary system is implemented and adhered to at all times
- Ensuring adherence to SLAs / mandates in place with regards to claims from mandated brokers
- Receive and review insurance claims, including property damage, liability, and personal injury claims, to determine coverage and eligibility.
- Conduct thorough investigations into the circumstances surrounding each claim, gathering relevant information, documents, and evidence.
- Evaluate claim documentation, policy terms, and legal regulations to determine the validity of claims and assess liability.
- Communicate with claimants, policyholders, witnesses, and other relevant parties to obtain additional information and clarify details of the claim.
- Provide clear and accurate explanations of coverage, claim decisions, and settlement options to claimants and policyholders.
- Process claims payments, settlements, and reserves in accordance with company policies and regulatory requirements.
- Negotiate settlement agreements with claimants or their representatives, seeking to achieve fair and equitable resolutions.
- Collaborate with internal departments, including underwriting, legal, and finance, to address complex claims issues and mitigate risk.
- Maintain detailed and organized claim files, documenting all relevant activities, communications, and decisions throughout the claims process.
- Stay current on industry trends, regulatory changes, and best practices in claims handling to enhance knowledge and performance.
- Maintained up-to-date knowledge on industry trends and regulations, ensuring accurate advice was provided to clients at all times
- Developed long-lasting relationships with clients to ensure consistent retention and loyalty
- Mentored junior advisors, fostering a supportive team environment focused on growth and learning
- Managed risk effectively by closely monitoring client portfolios and making timely adjustments
- Participated in ongoing professional development opportunities to stay current with industry trends and best practices
- Developed strong relationships with clients through regular communication and excellent customer service
Education
Some College (No Degree) - Full Qualification in Short Term Insurance
INSETA
Centurion, South Africa 03.2017 - 03.2018
High School Diploma -
Ladysmith Secondary High School
Ladysmith, South Africa 01.2002 - 12.2005
Skills
Additional Information
References
Isaac Mogwera
Contact No. 073 973 7413
Thelma Mnguni
Contact No. 063 763 7777
Timeline
Some College (No Degree) - Full Qualification in Short Term Insurance
INSETA
03.2017 - 03.2018
Legal Liabilities and Recoveries Advisor
OUTsurance
05.2012 - 06.2023
High School Diploma -
Ladysmith Secondary High School
01.2002 - 12.2005
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