Summary
Overview
Work History
Education
Skills
References
Timeline
Teacher

Lesego Motsamai

Risk Specialist
Randhart

Summary

Knowledgeable Risk Manager equipped with strategic planning and program leadership abilities honed in Insurance Industry environments. Establishes strong and successful policies to mitigate risk at each level and establish clear procedures for assessments, prevention and containment. Familiar with regulatory requirements to maintain strict controls.


I am organised and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.


Successful at reviewing suspicious activities and uncovering fraud. Experienced in meticulously and methodically assessing merchant portfolio batches each day. Excellent reporting and documentation skills.

Overview

27
27
years of professional experience

Work History

Risk Specialist

Hollard
4 2018 - Current
  • Maintaining models used to predict potential losses from various types of risks
  • Monitoring insurance coverage and adjusting coverage as needed according to company needs
  • Providing reports to management regarding the status of risk exposures to help them make informed decisions about risk mitigation strategies
  • Conducting regular evaluations of the effectiveness of risk management policies and procedures to ensure they are meeting their goals
  • Reviewing the adequacy of the organization’s insurance policies to protect against loss of revenue.

Quality Assurance Auditor

Hollard
01.2014 - 03.2018
  • Evaluate and investigate adherence of own damage and subrogation claims payment in terms of Policies and Procedure
  • Work on the reconciliation of the various Claims Audit reports on the back end of the claims cycle (after the claim has been processed through the system)
  • Ensure adherence to claims procedures and mandates
  • Prepare and communicate audit findings in writing to all relevant role-players
  • Propose improvements
  • Evaluate and investigate all claims audited to prevent possible leakage to the company in the settlement of claims
  • Assist various role-players with preparatory work for formal branch audits
  • Liaise with direct manager and training specialist on claims training requirements
  • Pulling, evaluating and analyzing report and data
  • Evaluate and investigate adherence to underwriting processes
  • Ensure that policy transactions (quotes, new business, endorsements, renewals, post loss, cancellations and declarations) are issued and changes recorded accurately and in a timely manner
  • Ensure reinsurance is in place and treaty capacity not exceeded
  • Ensure post loss adjustments are actioned.

Recovery and Litigation Specialist

Hollard
03.2012 - 12.2013
  • Check merits and ensuring achievement of Recovery Target
  • Monitoring Client and internal queries
  • Liaising with third parties, brokers & Attorneys
  • Settlement of claims
  • Negotiating settlement with third parties & Attorneys
  • Handing matters to Attorneys
  • Attending summons and litigation queries
  • Attending to summons that can be settled out of court.

Litigation Technician

Zurich Insurance
03.2007 - 02.2012

Litigation Technician

Lion of Africa
03.2006 - 02.2007

Litigation Technician

Zurich Insurance
02.2005 - 02.2006

Claims Specialist (Motor and Non-Motor)

Zurich Insurance
11.2002 - 01.2005
  • Register claims and appointing of assessors
  • Manage claims in terms of claims SLA
  • Make decision regarding merit of the claim
  • Negotiate settlement
  • Manage the salvage process (motor & non-motor salvage)
  • Detection of fraud and management of fraudulent indicators
  • Update system daily
  • Thorough and timeous feedback to relevant parties
  • Prompt handling and feedback on complaints (internal & external).

Claims Specialist (Motor and Non-Motor)

Mutual & Federal
09.1997 - 10.2002
  • Register claims and appointing of assessors
  • Manage claims in terms of claims SLA
  • Make decision regarding merit of the claim
  • Negotiate settlement
  • Manage the salvage process (motor & non-motor salvage)
  • Detection of fraud and management of fraudulent indicators
  • Update system daily
  • Thorough and timeous feedback to relevant parties
  • Prompt handling and feedback on complaints (internal & external).

Education

Thoko - Thaba High School

Bachelor of Commerce - Compliance and Risk management

Milpark

Intro to Internal Audit Process - undefined

Unisa

National Diploma in Law - undefined

University of Johannesburg

Intermediate Certificate in Insurance - undefined

Insurance Institute of SA

COP - undefined

Insurance Institute of SA

Regulatory Examination (Representative) Short Term Insurance - undefined

FPI Regulatory Examination Body

Commercial Insurance Course - undefined

In-house training

Skills

Derivatives Pricing

References

Buzwe Lindi, Manager, Hollard

Timeline

Quality Assurance Auditor

Hollard
01.2014 - 03.2018

Recovery and Litigation Specialist

Hollard
03.2012 - 12.2013

Litigation Technician

Zurich Insurance
03.2007 - 02.2012

Litigation Technician

Lion of Africa
03.2006 - 02.2007

Litigation Technician

Zurich Insurance
02.2005 - 02.2006

Claims Specialist (Motor and Non-Motor)

Zurich Insurance
11.2002 - 01.2005

Claims Specialist (Motor and Non-Motor)

Mutual & Federal
09.1997 - 10.2002

Risk Specialist

Hollard
4 2018 - Current

Thoko - Thaba High School

Bachelor of Commerce - Compliance and Risk management

Milpark

Intro to Internal Audit Process - undefined

Unisa

National Diploma in Law - undefined

University of Johannesburg

Intermediate Certificate in Insurance - undefined

Insurance Institute of SA

COP - undefined

Insurance Institute of SA

Regulatory Examination (Representative) Short Term Insurance - undefined

FPI Regulatory Examination Body

Commercial Insurance Course - undefined

In-house training
Lesego MotsamaiRisk Specialist