Mandisa Sangosha
Claims Support Clerk
Centurion
Summary
Proven Claims Adjuster with a track record of excellence in claims processing and customer service, notably at Santam. Expert in incident management and adept at problem-solving and empathy, ensuring high client satisfaction. Demonstrated ability to improve service delivery, achieving targets through meticulous attention to detail and effective decision-making.
Overview
20
20
years of professional experience
Work History
Claims Adjuster
Santam
03.2016 - Current
- I am responsible for all incident management geyser claims.
- Once the claims are registered, they come through to me for validations and finalization.
- Ensure that the correct documents are received and uploaded to ensure proper validation is conducted, i.e. invoices, damage reports, quotations, COCs.
- I am responsible for loading orders to our service provider within the turnaround time.
- I handle complains and queries from clients, broker, managing agents and sometimes plumbers.
- Providing feedback to all parties involved and making sure that clients are happy with the service.
- Confirm merits of each claim through comprehensive assessment of the item and incident.
- Apply the policy to ensure the loss is covered in terms of the contract.
- Refer all recommendations not within your mandate to the line manager for approval.
- Irrespective of the outcome of the claim the broker, client and claims advisor to be notified (rejected claims to be communicated verbally and in writing)
Claim Advisor Motor and Non Motor
Outsurance
01.2009 - 09.2016
- Register and capturing of claims both motor and non-motor.
- Always strive to deliver service that aims to achieve first contact resolution.
- Increase client satisfaction through positive interaction focusing on making it easy to fulfill client needs.
- Appointing service providers for the assessment of the items.
- Arranging of car hire where required.
- Paying invoices to service providers and contractors.
- Detection of fraud and management of fraudulent indicators.
- Thorough and timeous feedback to relevant parties.
- Prompt handling and feedback on complaints.
Claim Consultant
Innovation-group
09.2004 - 12.2006
- Capturing of claims and forwarding the consultants for finalization.
- Dealing with queries and resolving client complaints.
- Monitoring the service level and making sure that targets are met.
- Managing the team and motivating them and giving feedback to senior management on their performances.
- Listening to calls and making sure that all the procedures are followed according and outstanding service is given to our clients.
Education
High School Diploma -
Oxford College
King Williams Town 04.2001 -
Skills
Claims investigation
Empathy and patience
Customer service
Problem-solving
Decision-making
Claims processing
Multitasking and organization
Attention to detail
Timeline
Claims Adjuster
Santam
03.2016 - Current
Claim Advisor Motor and Non Motor
Outsurance
01.2009 - 09.2016
Claim Consultant
Innovation-group
09.2004 - 12.2006
High School Diploma -
Oxford College
04.2001 -
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