Summary
Overview
Work History
Education
Skills
Timeline
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Leroy Philander

Leroy Philander

Senior Administrator
Goodwood

Summary

Accomplished Senior Death Claims Specialist with a proven track record at Sanlam Head Office Bellville. Expert in claims processing and analysis, enhancing efficiency by 30%. Known for exceptional customer service and adaptability, consistently achieving positive outcomes. Strong communicator and collaborator, adept at streamlining workflows and reducing errors.

Professional claims specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness.

Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 17 years of experience and willingness to take on any challenge.

Overview

15
15
years of professional experience
2
2
Languages

Work History

Senior Death Claims Specialist

Sanlam Head Office Bellville
08.2023 - 04.2025
  • Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
  • Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
  • Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
  • Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
  • Followed up with customers on unresolved issues.
  • Improved team morale and productivity by fostering collaborative work environment.
  • Issuing of IT3A and IRP5 from SARS.
  • Handling payments on Jistel and using platforms like Mocha and Epsilon to check the clients complete profile before making of payments.


Senior Living Benefits Administrator

Sanlam Head Office Bellville
02.2020 - 07.2023
  • Sanlam Individual Life, which is one of the Businesses within SRA - Offers Risk solutions to various segments within the market.


  • Output and core tasks involved in my role.
  • Preparing a claim for the claims consultant to approve, by ensuring all required information and documentation is received and verified on used platform to confirm authenticity and being original.
  • Administering the payment process of a claim from Handoff stage to finalized stage.
  • Always being on the lookout for fraudulent activities on a claim.
  • Investigating medical reports to see if its up to date and in order for the claim submitted.
  • Corresponding with SARS to issue IT3A and IRP5 Reports.
  • And to valid foreign passport and banking details for overseas payments.
  • Using different platforms to validate and process claims like - Mocha, Jistel, Epsilon.
  • Handling of queries both telephonically and via email from clients, brokers / advisors and stakeholders.
  • Actioning and responding to all customers/ clients with regards to claims and follow ups within the agreed timelines.
  • Engaging telephonically/via email with clients regarding the process of the claim submitted.

Employee Benefits Specialist

Sanlam Head Office Bellville
08.2018 - 01.2020
  • Monthly reconciling of Pension Fund contributions for employer member records.
  • Processing of withdrawal, death claims, retirement claims within SLA.
  • Processing of Adhoc invoices.
  • Monthly processing of investments of contributions to various companies.
  • Processing of surplus payments when applicable.
  • Doing Monthly cashbooks for bank accounts.
  • Doing Tax.
  • Processing benefit letters and statements.
  • Doing monthly payrolls for UKZN Provident and Pension Fund, as well as Disability Branches.
  • Doing monthly payrolls for South African Medical Research Council Pension Fund.
  • Being responsible for Engen Pension Fund Payroll.
  • Completing all Journals for all companies under our Sanlam banner.
  • Collaborated with HR team to onboard new employees, providing thorough orientation on available benefits options.
  • Managed annual open enrollment process, ensuring timely and accurate updates to employee records.
  • Streamlined benefits administration processes for increased efficiency and accuracy.
  • Collaborated with HR to develop and maintain up-to-date benefits manual.

Senior Death Claims Specialist

Old Mutual Head Office
08.2014 - 07.2018
  • Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
  • Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Demonstrated adaptability by successfully managing a diverse range of claim types, including property damage, bodily injury, liability disputes, and more.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Analyzed claim documents to ensure accuracy and compliance, mitigating risk of financial loss.
  • Implemented customer feedback mechanisms to identify areas for improvement in claims process, leading to strategic enhancements.
  • Streamlined claims processing procedures, significantly reducing turnaround times and improving client satisfaction.
  • Complete portfolio checks on client.
  • Completing investigations in accordance to Sections 37 C.
  • Validating banking accounts.
  • Confirming both outbound and inbound calls from clients and nominees.
  • ITC checks with Transunion.
  • Doing payments from start of claim to finalizing.
  • EMS checks on internal systems.
  • Scanning/ FAX in documents onto the system for clients.


RMM New Business Administrator

Old Mutual Head Office
02.2010 - 02.2014
  • Maintained detailed records of all business transactions, enabling accurate reporting and informed decision-making processes.
  • Increased new business acquisition through strategic planning and effective communication with potential clients.
  • Data capturing.
  • Releasing policy applications for New Business.
  • Filling.
  • MFC Franchise Business meetings and training of staff members.
  • Assisting Management to improve our business processes and maximizing productivity and streamline the New business process.
  • Collaborated with sales teams to develop targeted strategies, resulting in higher conversion rates for new business prospects.
  • Enhanced client satisfaction by streamlining administrative processes and implementing efficient systems.
  • Managed the onboarding process for new clients, ensuring a smooth transition and maintaining strong relationships.

Education

Personal Trainer Certificate

ETA College
Newlands, South Africa
04.2001 -

High School Diploma -

Trafalgar High School
Cape Town, South Africa
04.2001 -

Skills

Administration

Reception

Communication

Organisation

Teamwork

Coordination

Interpersonal

Quality Driven

Computer & System Literacy

Record Keeping & Data Capturing

Sportsmanship & Leadership

Problem Solving

Timeline

Senior Death Claims Specialist

Sanlam Head Office Bellville
08.2023 - 04.2025

Senior Living Benefits Administrator

Sanlam Head Office Bellville
02.2020 - 07.2023

Employee Benefits Specialist

Sanlam Head Office Bellville
08.2018 - 01.2020

Senior Death Claims Specialist

Old Mutual Head Office
08.2014 - 07.2018

RMM New Business Administrator

Old Mutual Head Office
02.2010 - 02.2014

Personal Trainer Certificate

ETA College
04.2001 -

High School Diploma -

Trafalgar High School
04.2001 -

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Leroy PhilanderSenior Administrator