Summary
Overview
Work History
Education
Skills
Timeline
BusinessAnalyst
Itumeleng Matjeni

Itumeleng Matjeni

Hammanskraal

Summary

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.

Overview

9
9
years of professional experience

Work History

Claims processor

Assupol:Claims department
Pretoria,Menlyn
07.2017 - 04.2024

●Reviewed and analyzed suspicious and potentially fraudulent insurance claims.

●Conducted day‑to‑day administrative tasks to maintain information files and process paperwork.

●Interviewed claimants and witnesses to gather factual information.

●Verified insurance claims and determined fair amount for settlement.

●Examined claims forms and other records to determine insurance coverage.

●Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.

●Kept clients well-informed of claim updates and case progress.

●Followed up on all client requests and verified resolution.

Claims clerk

Assupol : Group scheme Claims department
Pretoria
12.2016 - 06.2017

●Prepared insurance claim forms or related documents and reviewed for completeness.

●Calculated adjustments, premiums and refunds.

●Checked documentation for accuracy and validity on updated systems.

●Processed and recorded new policies and claims.

Data capturer

Assupol
Pretoria ,Menlopark
08.2015 - 11.2016

●Managed documents by organizing forms, making photocopies, filing records, preparing

correspondence and creating reports.

●Produced monthly reports with advanced Excel spreadsheet functions.

●Entered client information into databases quickly and with minimal errors

Education

NVQ Level 4 - Short term insurance

Trainsure
Pretoria, South Africa
11.2022

Certificate of Higher Education - Financial Accounting

College Campus
Pretoria, South Africa
03.2010

Skills

  • Claims review
  • Excellent administrative abilities
  • Insurance industry experience
  • Reporting skills

Timeline

Claims processor

Assupol:Claims department
07.2017 - 04.2024

Claims clerk

Assupol : Group scheme Claims department
12.2016 - 06.2017

Data capturer

Assupol
08.2015 - 11.2016

NVQ Level 4 - Short term insurance

Trainsure

Certificate of Higher Education - Financial Accounting

College Campus
Itumeleng Matjeni