Kaylush Subaya
Claims Assessor | Aspiring Civil Engineering Intern
Glenvista
Summary
Motivated and detail-oriented Claims Assessor with extensive experience in investigating, processing, and finalizing claims. Adept at handling complex cases, managing VIP and staff claims, and resolving customer complaints with professionalism and accuracy. Recently completed a Diploma of Civil Engineering, gaining foundational knowledge in civil engineering principles, project management, and technical design. Eager to leverage my problem-solving, data analysis, and customer service skills in a civil engineering internship, with the goal of applying my analytical mindset and technical training to contribute to impactful engineering projects.
Overview
4
4
years of professional experience
Work History
NON-MOTOR CLAIMS ASSESSOR
FIRST NATIONAL BANK (FNB)
Johannesburg
07.2024 - Current
- Captured, processed, and investigated claims, ensuring accuracy and compliance with company policies and regulations.
- Analyzed claims to determine the appropriate course of action, reviewing all relevant documentation and evidence.
- Finalized claims decisions, providing clear and concise communication to claimants.
- Managed VIP and staff claims, handling sensitive and high-priority cases with discretion and professionalism.
- Resolved customer complaints by investigating issues, offering solutions, and maintaining high customer satisfaction.
- Maintained up-to-date knowledge of industry regulations and company guidelines to ensure claims were processed in accordance with best practices.
- Provided support and guidance to clients and staff members on claims related queries and processes.
- Authorize claims with clients and service providers.
- Follow up on repairs.
SENIOR NON - MOTOR CLAIMS CONSULTANT
FIRST FOR WOMEN INSURANCE & DIAL DIRECT INSURANCE
Johannesburg
01.2024 - 06.2024
- Ensures legal compliance by following company policies, procedures and guidelines
- Protects operations by keeping claims information confidential
- Evaluated, investigated, and detailed moderate to severe claims
- Mandate of R70 000.00
- Help team members in making decisions
- Second in charge
- Sign off claims for team
- Dealing with complaints
- Improved customer relations and provided customer service to discontented customers
SECONDED NON-MOTOR CLAIMS TEAM LEADER
FIRST FOR WOMEN INSURANCE & DIAL DIRECT INSURANCE
Johannesburg
09.2023 - 01.2024
- Managing the operations of the team
- Overlooking and ensuring a smooth workflow
- Guiding the team to complete their tasks
- Motivating the team and solving problems
- Regulating quarterly reviews of team members to ensure efficiency
- Strategizing plans to achieve team goals in a timely manner within the stipulated time frame
- Signing off on claims
- Making quick and accurate decisions
- Creating and nurturing a positive work environment to boost productivity
- Dealing with complaints
- Manage and co-ordinate action plans for daily operations, establish work priorities and ensure customer interactions are handled effectively while meeting productivity and goals
NON - MOTOR CLAIMS CONSULTANT
FIRST FOR WOMEN INSURANCE
Johannesburg
05.2022 - 09.2023
- Evaluated, investigated, and detailed moderate to severe claims
- Negotiated and reconciled settlements
- Improved customer relations and provided customer service to discontented customers
SERVICE CONSULTANT
FIRST FOR WOMEN INSURANCE
Johannesburg
11.2020 - 04.2022
- Effectively able to articulate client's needs through active listening and educating the client on updated policies and procedures while tailoring a solution to each client's case
- Ability to meet sale targets and consistently proven to achieve 100% on sales targets
- Achieved awards within 3 months of being in the company
- Generate reports for management to identify the team performance trending KPI compared to the broader group within the company
Education
National senior certificate -
MHJOOSUB SECONDARY SCHOOL
Johannesburg 01.2012 - 01.2017
Diploma - Civil Engineering
VARSITY INSTITUTE OF SCIENCE AND TECHNOLOGY
Johannesburg 01.2017 - 01.2020
Regulatory Examination 5 - Class of Business
TELESURE INVESTMENT HOLDINGS
JohannesburgShort Term Insurance (STI) -
BRC SOLUTIONS (FINANCIAL SERVICES TRAINING)
01.2024 -
Skills
- AS400 system skills
- Basic AutoCAD skills
- Active listener
- Problem-Solving
- Attention to Detail
- Technical Knowledge of Civil Engineering Principles
- Team player
- Project Management
- Claims Investigation & Resolution
- Data Analysis & Reporting
- Customer Service & Communication
Timeline
NON-MOTOR CLAIMS ASSESSOR
FIRST NATIONAL BANK (FNB)
07.2024 - Current
Short Term Insurance (STI) -
BRC SOLUTIONS (FINANCIAL SERVICES TRAINING)
01.2024 -
SENIOR NON - MOTOR CLAIMS CONSULTANT
FIRST FOR WOMEN INSURANCE & DIAL DIRECT INSURANCE
01.2024 - 06.2024
SECONDED NON-MOTOR CLAIMS TEAM LEADER
FIRST FOR WOMEN INSURANCE & DIAL DIRECT INSURANCE
09.2023 - 01.2024
NON - MOTOR CLAIMS CONSULTANT
FIRST FOR WOMEN INSURANCE
05.2022 - 09.2023
SERVICE CONSULTANT
FIRST FOR WOMEN INSURANCE
11.2020 - 04.2022
Diploma - Civil Engineering
VARSITY INSTITUTE OF SCIENCE AND TECHNOLOGY
01.2017 - 01.2020
National senior certificate -
MHJOOSUB SECONDARY SCHOOL
01.2012 - 01.2017
Regulatory Examination 5 - Class of Business
TELESURE INVESTMENT HOLDINGS
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