Summary
Overview
Work History
Education
Skills
Languages
Certification
Hobbies and interests
Additional Information
References
Interests
Timeline
Generic

Eshia Mashabana

Vereeniging

Summary

Skilled membership clerk and Claims Assessor with expertise in effective communication and issue resolution. Achieved service quality targets through dedication to customer satisfaction and team collaboration. Membership Clerk and Claims Assessor with strengths in accurate records management, claims processing and clear member communication. Handles enquiries, resolves issues and meets deadlines with careful attention to detail.

Overview

3
3
Languages
1
1
Certification
16
16
years of professional experience

Work History

membership clerk

3Sixtyhealth/SizweHosmed
02.2019 - Current
  • Processed applications and updated member records efficiently.
  • Handled member inquiries and resolved issues to enhance member satisfaction.
  • Maximised customer engagement and satisfaction by delivering excellent customer service.
  • Coordinated administrative tasks for medical aid membership, ensuring accurate record-keeping.
  • Managed complaints with calm, clear communication and problem-solving.
  • Achieved service time and quality targets.
  • Engaged with customers to identify needs and deliver tailored service solutions.
  • Resolved customer queries and problems using effective communication and providing step-by-step solutions.
  • Identified issues, analysed information and provided solutions to problems.
  • Collaborated with team members to achieve target results.
  • Handled customer concerns and escalated major issues to supervisor.
  • Built and maintained courteous and effective working relationships.
  • Actively listened to customers to fully understand requests and address concerns.
  • Demonstrated consistent hard work and dedication to achieve results and improve operations.
  • Trained and mentored employees to maximise team performance.
  • Enhanced working relationships by participating in team-building activities.
  • Assumed supplementary tasks to enhance team performance. to assist the team in achieving goals. to support team objectives. to aid team success.
  • Developed excellent working knowledge of industry trends and improvements in processes.

Claims Assessor

3Sixtyhealth/SizweHosmed
09.2025 - 09.2026
  • Liaised with policyholders to collect documentation and evidence, supporting thorough claim substantiation.
  • Assisted with claims processing and coordinated documentation to ensure timely claim resolution.
  • Retrieved claim records to verify policyholder information and coverage before processing claims.
  • Utilised computer skills and claims-processing systems to manage documentation effectively.
  • Demonstrated effective written and verbal communication to assist clients.
  • Provided exceptional customer service by addressing queries and concerns related to claims processes.
  • Applied problem-solving skills to analyse claims and resolve issues efficiently.
  • Reviewed and updated claims procedures to enhance overall processing efficiency.
  • Ensured accuracy in numerical data by reviewing information meticulously.
  • Utilised understanding of medical terminology and billing codes to facilitate claims.
  • Demonstrated understanding of medical scheme benefits and their specific rules.
  • Demonstrated capability to handle pressure and consistently meet deadlines in a fast-paced environment.
  • Maintained confidentiality and professionalism while making ethical decisions in all interactions.
  • Used excellent mathematical skills and standard formulas to calculate property dimensions.

Cleaner

Super Care Cleaning Services
01.2011 - 10.2013
  • Performed cleaning tasks in office environments to maintain cleanliness and hygiene.

Cleaner

Demco Logistics
04.2012 - 06.2013

Responsibilities: Cleaning of kitchens, offices, desks, and parts.

Warehouse

Supervising special cleaning, people, and setting.

Prepare tea and coffee, as well as snacks for meetings.

Ordering and maintaining stock of groceries.

Assisting in the office when needed, filing.

Education

Business management and sciences

UNISA
Vereeniging, GP
01-2015

Certificate of Higher Education - Diploma in office Computing

Arise Business College
eMpumalanga, MP
01-2009

Certificate of Higher Education - Boilermaker

Sebibeng College
Vereeniging, GP
01-2006

Skills

  • Customer engagement
  • Member records management
  • Issue resolution
  • Team collaboration
  • Data entry
  • Membership processing
  • Complaint handling
  • Problem solving
  • Customer interaction
  • Effective communication
  • Service quality improvement
  • Problem-solving
  • Communication skills
  • Willingness to learn
  • Active listening
  • Customer focused
  • Health and safety awareness
  • Task collaboration
  • Complaint handling and resolution

Languages

SESOTHO
First Language
English
Upper Intermediate
B2
ZULU
Elementary
A2

Certification

  • Level [Number] [Area of certification]
  • [Area of study] certified

Hobbies and interests

  • Customer & Community Focused: Volunteering, organizing charity events, or leading community groups highlights the service-oriented nature of membership roles.
  • Community service or charity work.
  • My presentation skills in explaining membership
  • Reading, Listening to Gospel Music

Additional Information

Name of Company: Super Care Cleaning Services

Duration: 11 January 2011 to October 2013

Position Held: Cleaner

Position Held: Cleaner for Demco Logistics

Duration: April 2012 to June 2013

Responsibilities: Cleaning of kitchens, offices, desks, and part of

Warehouse

: Supervising special cleaning, people, and setting

up tea and coffee, snacks for meetings

: ordering and maintaining the stock of Groceries,

Assisting in the office when needed, filing

Reason for Leaving: Supercare contract ended by Damco

Name of Company: Sechaba Medical Solution

Position: Tea Server

Responsibilities: Prepare cups of tea

Push the trolley to the department

Make tea for management

Collect the cups and wash them

Then I go to the membership department to capture

documents that members sent. download

letters from BI, print them out, sort by options, fold

They then dispersed them.

With all of this, I always have to make sure that

I meet quality standards and distribution deadlines

In time. With capturing, I have to ensure that all

Documents are accurately captured.

Name of company: Sechaba Medical Solution

Position: membership clerk

Responsibilities: receive application forms from companies

· Processing application forms into the system

· Sending correspondence from members

· Checking applications that the information is entered correctly and telephone queries

References

Contact Person: Nettie Jordan

Occupation: supervisor at Damco logistics

Contact Number: 0837733965

Contact Person: Mathabo Thapo

Occupation: Team Leader

Contact Number: 0782912537

Contact Person: Kim Fourie

Occupation: Team Leader

Contact Number: 0791816495

Contact Person: Nettie Jordan

Occupation: supervisor at Damco logistics

Contact Number: 0837733965

Interests

  • Claims Assessor

Timeline

Claims Assessor

3Sixtyhealth/SizweHosmed
09.2025 - 09.2026

membership clerk

3Sixtyhealth/SizweHosmed
02.2019 - Current

Cleaner

Demco Logistics
04.2012 - 06.2013

Cleaner

Super Care Cleaning Services
01.2011 - 10.2013

Business management and sciences

UNISA

Certificate of Higher Education - Diploma in office Computing

Arise Business College

Certificate of Higher Education - Boilermaker

Sebibeng College
Eshia Mashabana