Fezile Nontando Khanyi
Durban
Summary
Accomplished Claims Advisor with a proven track record at Huntswood, adept in claims analysis and investigation, enhancing department success by exceeding performance metrics. Skilled in Microsoft Office and Customer Services, I streamlined processes, reducing resolution times, managing high-stress situations ,enhancing customer satisfaction, Balances empathy and efficiency, driving loyalty and operational excellence.
Overview
7
7
years of professional experience
Work History
Claims Advisor
Huntswood
02.2023 - Current
- Contributed to overall department success by consistently meeting or exceeding established performance metrics and goals.
- Identified fraudulent activities by analyzing patterns in submitted claims, protecting company resources from potential losses.
- Managed a high volume of claims, ensuring timely settlements for clients.
- Developed strong relationships with external partners including medical professionals, repair shops, and legal representatives to facilitate seamless claim resolutions.
- Reduced claim resolution time by implementing streamlined workflow processes.
- Followed up with customers on unresolved issues.
Executive Administrative Assistant
Risk Insights
06.2020 - 11.2022
- Handled administrative tasks such as expense report processing or invoice reconciliation efficiently; allowing executives to focus on high-priority responsibilities without distraction.
- Screened calls and emails and initiated actions to respond or direct messages for managers.
- Organized and updated schedules for executives.
- Scheduled appointments promptly, ensuring optimal use of executive time while minimizing conflicts or cancellations.
- Streamlined office operations by implementing efficient filing systems and managing executive calendars.
- Answered high volume of phone calls and email inquiries.
- Filed paperwork and organized computer-based information.
Customer Service Representative
CCI South Africa
12.2017 - 11.2019
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Responded to customer requests for products, services, and company information.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Education
National Higher Certificate N5 - Public Administration
Central Technical College
Durban, South Africa 04.2001 -
High School Diploma -
Effinghem Secondary School
Durban, South Africa 04.2001 -
Skills
Claims analysis
Microsoft Office
Policy Interpretation
Claims Investigation
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of 12 staff members.
- Achieved incentives by completing tasks with accuracy and efficiency.
Languages
English
Bilingual or Proficient (C2)
Timeline
Claims Advisor
Huntswood
02.2023 - Current
Executive Administrative Assistant
Risk Insights
06.2020 - 11.2022
Customer Service Representative
CCI South Africa
12.2017 - 11.2019
National Higher Certificate N5 - Public Administration
Central Technical College
04.2001 -
High School Diploma -
Effinghem Secondary School
04.2001 -
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