Itumeleng Matjeni
Claims Assessor
Pretoria
Summary
Enthusiastic Job Title eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Task and training in Skill. Motivated to learn, grow and excel in Industry.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
Work History
Claims Assessor
Assupol
Pretoria
07.2017 - Current
- Ordered Type information to complete Type files.
- Prepared summaries of damage, payments and policy coverage.
- Investigated and processed Type insurance claims for policyholders.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Interviewed claimants and witnesses to gather factual information.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Verified insurance claims and determined fair amount for settlement.
- Researched claims and incident information to deliver solutions and resolve problems.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Followed up with insured individuals regarding premium and deductibles payments.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Claims Clerk
Assupol
Pretoria
12.2016 - 06.2017
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Reported policy changes and company conditions affecting customer satisfaction.
- Followed up with customers on unresolved issues.
- Checked documentation for accuracy and validity on updated systems.
- Processed and recorded new policies and claims.
- Maintained confidentiality of patient finances, records and health statuses.
- Calculated adjustments, premiums and refunds.
Data Capture Clerk
Assupol
Pretoria
08.2015 - 11.2016
- Identified issues, analyzed information and provided solutions to problems.
- Gathered and submitted observational information in addition to required data points.
- Managed documents by organizing forms, making photocopies, filing records, preparing correspondence and creating reports.
- Scanned documents and saved in database to keep records of essential organizational information.
- Added documents to file records and created new records to support filing needs.
- Accurately handled data entry for Number clients into company-based software.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
Education
Certificate - Cooperative Development Course
University of Pretoria
Pretoria 10.2013 - 10.2013
Certificate - Logistics And Materials Management
Oxbridge Academy
Remote 01.2022 - 07.2022
Diploma - Accounting And Finance
College Campus
Pretoria 03.2008 - 12.2010
Certificate - NQF4
Trainsure
Pretoria 11.2021 - 11.2022
Skills
Valuation knowledge
undefinedTimeline
Certificate - Logistics And Materials Management
Oxbridge Academy
01.2022 - 07.2022
Certificate - NQF4
Trainsure
11.2021 - 11.2022
Claims Assessor
Assupol
07.2017 - Current
Claims Clerk
Assupol
12.2016 - 06.2017
Data Capture Clerk
Assupol
08.2015 - 11.2016
Certificate - Cooperative Development Course
University of Pretoria
10.2013 - 10.2013
Diploma - Accounting And Finance
College Campus
03.2008 - 12.2010
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