Summary
Overview
Work History
Education
Skills
contact Number and Referrences
Timeline
Generic
LUVO NXASANA

LUVO NXASANA

Commercial And Personal Claims Handler
WESTONARIA,GP

Summary

I AM TARGETS DRIVEN INDIVIDUAL WHO TRULY ENJOYS AND LOVES HIS WORK. I AM DEDICATED INSURANCE PROFESSIONAL WITH DEEP UNDERSTANDING OF INSURANCE CLAIMS. I SPECIALIZE IN END-TO-END CLAIMS ADMINISTRATION, CLAIMS & DOCUMENT PROCESSING, ALL WHILE MANAGING AND PROVIDING EXCEPTIONAL CUSTOMER EXPERIENCE. I AM ALSO A GOOD COMMUNICATOR, WHICH IS AN ESSENTIAL SKILL NEEDED IN THIS JOB. I CAN SPEAK FLUENTLY AND BREAK DOWN INFORMATION IN THE MOST STRAIGHTFORWARD MEANS POSSIBLE. I'M AN EXCELLENT TEAM PLAYER CAPABLE OF WORKING INDEPENDENTLY OR WITHIN A TEAM. I CURRENTLY HOLD AN RE 5 CERTIFICATION, CLASS OF BUSINESS BOTH COMMERCIAL AND PERSONAL LINES CERTIFICATE (COB) AND FETC SHORT TERM INSURANCE QUALIFICATION (FAISE CREDITS). WILLING TO RELOCATE TO: JOHANNESBURG, GAUTENG

Overview

12
12
years of professional experience

Work History

Claims Consultant

PSG Insure
05.2025 - Current
  • Register claims and appoint assessors
  • Manage claims in terms of claims SLA
  • Make decision regarding merit – indemnify or not
  • Negotiate settlement
  • Manage the salvage process (motor & non-motor salvage)
  • Detection of fraud and management of fraudulent indicators
  • Keep the operational system updated
  • Provide thorough and timeous feedback to the relevant parties.
  • Complaint’s resolution

Claims Clerk

MIBFA
01.2024 - 03.2025
  • Processing transfers of benefits in and out of the Fund
  • Liaison with Actuaries with regards to Section 14 of the Pension Fund Act
  • Liaison with the Financial Services Board
  • Calculation of transfer value
  • Estimates of benefits
  • Balancing of Funds, Adding of Payments & Running & Finalising of Cashbooks

Claims Consultant

Absa Group Limited
08.2023 - 01.2024
  • Validating claims
  • Negotiating settlement and finalizing claims as per given mandate
  • Liaising with underwriting regarding endorsements and premium checks
  • Answering calls to clients doing follow ups and also leasing with stakeholders to make decision on claims
  • Drafting rejection letters and no cover letters while referring to the policy terms and conditions and policy schedule
  • Managing lots of workload in work box and emails
  • Provide effective customer relations
  • Handle all queries efficiently and in the most appropriate manner possible
  • Assist with queries from the public and other departments for all functions
  • Handle call overflow and message centre for claims department
  • General Office Administration - Ad hoc duties
  • Analysis of media articles daily with update report to claims team for events which could give rise to claims in relation to Sasria cover
  • Perform any reasonable tasks as and when required by the Line Manager
  • Daily, weekly, or monthly activity reporting

Claims service administrator

Sasria Limited
08.2021 - 02.2023
  • Claim payment process
  • Create stakeholder on the system and link to file
  • Check claim estimate before payment is loaded
  • Check the release and/or invoice for accuracy
  • Load payments as per the releases and/or invoice
  • Authorise payments
  • Salvage Administration
  • Management and daily reconciliation of vehicles written off
  • Tracing all salvage and liaising with salvage dealers
  • Ensuring tenders made on written off vehicles and accepting best tender
  • Negotiate and agree salvage value with salvage service provider
  • Keeping record of all invoices issued
  • Follow up with salvage service provider on payments outstanding
  • Analysing invoices for deductions

Personal and commercial claims negotiator

Old Mutual Insure
06.2015 - 02.2020
  • Provide advice on making a claim and the processes involved
  • Process new insurance claims notifications
  • Collect accurate information and documents to proceed with a claim
  • Analyse a claim made by a policyholder to establish whether it satisfies the policy conditions
  • Guide policyholders on how to proceed with the claim
  • Identify reasons why full payment may not be made
  • Explain to policyholders when their claim is not covered
  • Contact tradespeople from a network of approved professionals and arrange for them to make repairs on the policyholder’s property
  • Monitor the progress of a claim
  • Investigate potentially fraudulent claims liaise with solicitors, as well as other legal and claims professionals, and negotiate the terms of a claim
  • Prepare an initial estimate of costs and then closely monitor and keep a record of costs
  • Get advice from external specialists, such as loss adjusters and forensic accountants, on complex cases
  • Ensure fair settlement of a valid claim
  • Ensure the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
  • Handle any complaints associated with a claim
  • Adhere to legal requirements, industry regulations and customer quality standards set by the company
  • Additional experience (2018/2019) Assisting non motor digital assessors with processing and finalizing geyser and resultant damages claims

Sales Representative

MiWay Insure
05.2014 - 06.2015
  • Advising and selling short term insurance products, household contents, All risk, homeowners and motor section products, liaising with underwriting and other services providers.
  • Doing follow up via email & telephone.
  • Administration and collecting relevant information to close the sale

Part time learnership Bridging and computer course

Harambee Youth Employment Accelerators
02.2014 - 05.2015
  • Harambee offers training, work readiness interventions, and ongoing support to help young people succeed in their jobs.
  • They focus more on meth mathematical solutions, Basic computer skills on Office 360 and, telephone and email etiquette, sales scriptured and un scriptured Rapid Typing and call center training.

Education

RE 5 Regulatory Examination - Insurance And Risk Management

Moonestone
Sandton
05.2023

Matric - Grade 12

Lavela Secondary School
Gauteng
12.2012

High School Diploma -

ARTG/Inseta
Sandton
04.2001 -

Skills

Investigation techniques

contact Number and Referrences

My Contact Number:

0640068916

0639333541

Timeline

Claims Consultant

PSG Insure
05.2025 - Current

Claims Clerk

MIBFA
01.2024 - 03.2025

Claims Consultant

Absa Group Limited
08.2023 - 01.2024

Claims service administrator

Sasria Limited
08.2021 - 02.2023

Personal and commercial claims negotiator

Old Mutual Insure
06.2015 - 02.2020

Sales Representative

MiWay Insure
05.2014 - 06.2015

Part time learnership Bridging and computer course

Harambee Youth Employment Accelerators
02.2014 - 05.2015

High School Diploma -

ARTG/Inseta
04.2001 -

RE 5 Regulatory Examination - Insurance And Risk Management

Moonestone

Matric - Grade 12

Lavela Secondary School

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LUVO NXASANACommercial And Personal Claims Handler