CHLOE ERIN PLAATJIES
Kuilsriver
Summary
Dynamic Claims Specialist with proven expertise at MEDCLAIMASSIST, adept at managing the full claim lifecycle and ensuring client satisfaction. Skilled in MS Office and professional communication, I excel in multitasking and delivering results, consistently meeting SLAs while articulating complex policy details with clarity.
Overview
7
7
years of professional experience
Work History
Claims Specialist
MEDCLAIMASSIST
02.2025 - Current
- Manages inbound/outbound communication for Gap Cover claims and client inquiries.
- Clearly articulates complex policy details and claim processes.
- Performs meticulous data capturing, assists with pre-authorisations for members/brokers.
- Supports brokers with Medical Aid/Gap cover claim submissions and manages Prescribed Minimum Benefits (PMB) queries.
- Owns the full claim lifecycle (submission to payout/resolution), liaising with brokers/insurers to meet SLAs.
- Handles PMB queries across multiple channels; ensures clients are consistently informed of claim status.
Receptionist
ACOM Reliable Branding & Printing
10.2024 - 01.2025
- Managed reception, provided a positive first impression, and handled all telecommunications (switchboard, inquiries, messages).
- Prepared customer paperwork/forms.
- Updated production/booking schedules, generated quotes, converted to invoices, and created job cards.
- Communicated proactive order status updates; managed appointments in CRM.
- Executed Quality Control/Compliance for vehicle branding: pre-application checklist/photos, terms sign-off, applicator verification, final QC, and handover care instructions.
Admin Assistant
Shiloh Synergy NPO
06.2021 - 11.2022
- Provided comprehensive administrative support for efficient office operation (supplies, vendor liaison, filing/data systems).
- Managed all professional communications (high-volume calls, main email, correspondence).
- Coordinated complex scheduling, meetings (materials, minutes), and travel.
- Executed clerical duties (data entry, proofreading, document management); managed reception as front-of-house.
Admin Assistant
Happy Valley Primary
11.2021 - 05.2022
- Managed electronic/manual data systems: captured screening attendance, uploaded learner information to CEMIS, and maintained private transport Excel database.
- Supported teachers with report card comments; accurately and timely captured all learner assessment/examination marks for reporting.
- Performed general office document management (copying, printing, filing) and provided consistent cross-departmental administrative support.
Data Capturer
Gatesville Vaccination Centre
03.2019 - 05.2020
- Screened COVID-19 clients, managed marshalling, and verified documents.
- Executed administrative duties: registration, data capturing of vaccination details onto the EVDS system, and discharge capturing for Adverse Events Following Immunization (AEFI) cases.
- Managed pharmacy stock levels.
Customer Service/Front Desk
Shiloh Sjiek
- Greeted clients/customers and offered proactive assistance.
- Efficiently managed a high-volume multi-line switchboard (answering, directing, messages).
- Handled client inquiries/concerns professionally, serving as the primary point of contact and representing excellent customer service.
Education
Matric -
Soneike High School
NQF Management Learnership -
Skills
- MS Office (Outlook, Word, Excel, PowerPoint)
- Zoho Books
- OWLS
- MCA System
- General administration proficiency
- Professional telephonic communication
- Multitasking
- Interpersonal skills
- English business writing
References
- Keasha Finck,0731874840,Medclaimassist
- Saabira Abrahams, 0219482213, Acom Reliable Branding and Printing
- Pamela Neale, 0617419253, Happy Valley Primary School
- Allifer Plaatjies, 0712454426, Shiloh Synergy
- Antoinette Kloppers, 0219818241, Shiloh Sjiek
- Nasieba Hassan-Salie, 0722410848, Vaccination Centre
Personal Information
- Date of Birth: 03/16/00
- Nationality: South African
- Driving License: Learner's (Own transport)
Languages
- Afrikaans
- English, Home
- Afrikaans, Read, speak, write
Languages
English
First Language
Afrikaans
Proficient
C2
Timeline
Claims Specialist
MEDCLAIMASSIST
02.2025 - Current
Receptionist
ACOM Reliable Branding & Printing
10.2024 - 01.2025
Admin Assistant
Happy Valley Primary
11.2021 - 05.2022
Admin Assistant
Shiloh Synergy NPO
06.2021 - 11.2022
Data Capturer
Gatesville Vaccination Centre
03.2019 - 05.2020
Customer Service/Front Desk
Shiloh Sjiek
Matric -
Soneike High School