Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mashamaite Molele

Randburg

Summary

I am a detail-oriented and analytical professional with extensive experience in client management, healthcare benefits and processes implementation. I am passionate about projects and processes leading to excellent service delivery and phenomenal customer experience, people management and mentoring. I have analytical, cross-funtional communication skills as well as problem solving skills, combined
with a keen desire for continued learning. I adapt easily in new
environments, and can collaborate well within a team environment
while also excelling independently with minimal supervision.

Overview

7
7
years of professional experience

Work History

Team Leader

Discovery Health
Sandton
04.2025 - Current
  • Staff planning, recruitment of staff, and on-boarding of new recruits to the department
  • Incentive management and monthly submissions
  • Testing and development of new systems or suggest enhancements to existing systems
  • Developing, coaching & motivating a team to excel in performance and service delivery
  • Developing staff with their current jobs as well as career development.
  • Ensuring that service levels are maintained
  • Handling the administrative functions required
  • Identifying quality issues and taking corrective steps by actioning quality trends
  • Relationship building with internal clients to achieve objectives.
  • Relationship building with external partners to achieve objectives
  • Responsible for Executive communication

Analyst

Discovery Health
Sandton
10.2024 - 04.2025
  • My role included but was not limited to:
    - Acting as a SME on benefits and processes, and resolving
    escalations from stakeholders, including claims investigations and
    reworks.
    - Monitoring and managing benefits from implementation phase
    to post go Live.
    - Review and update of test cases to provide necessary sign-off
    - Managing and implementing claims and benefit workarounds
    where required
    - Managing PinPoint content updates where there's benefit
    changes/enhancements
    - Reporting on risks identified
    - Communiaction with all relevant stakeholders

Social Media Consultant

Discovery Health
Sandton
05.2019 - 09.2024
  • Relationship management/stakeholder relations (managing
    member and small employer group accounts), liaising with
    external and internal stakeholders for the purpose of resolving
    disputes/complaints. • Social media Escalated Query
    Management - claims, membership, benefits, billing query
    management Reports Standard Operating Procedure (SOP)
    review/update.
    • Identifying service/process failure, presenting findings to the
    relevant committee, logging process changes. • Written
    correspondence/Business writing Facilitating Social Media
    Academy/Mentorship programme.undefined

Pro PBM Specialist

Discovery Health
Sandton
05.2018 - 04.2019
  • Assisting healthcare providers with claims rules • Assessing
    and evaluating claim rejections and determining where
    overrides are applicable • ESM query handling • Liaising with
    internal stakeholders in relation to payment of claims (Scheme
    rate, rejection rules, SAHPRA).

Education

Bachelor of Commerce - Law

Regent Business School
Johannesburg
12-2026

Bachelor of Administration - Business Administration

UNIVERSITY OF LIMPOPO
Polokwane
01-2012

Certificate in Data Analytics - Analytics

ACCA Global
Johannesburg

Skills

  • Performance evaluations
  • Effective communication
  • Business reporting
  • Documentation and reporting
  • Analytical skills
  • Meeting facilitation
  • Team Check-ins
  • Performance improvement
  • Complaint &Issue resolution
  • Mentoring
  • Stakeholder management
  • Client relationship management
  • Team leadership

Timeline

Team Leader

Discovery Health
04.2025 - Current

Analyst

Discovery Health
10.2024 - 04.2025

Social Media Consultant

Discovery Health
05.2019 - 09.2024

Pro PBM Specialist

Discovery Health
05.2018 - 04.2019

Bachelor of Commerce - Law

Regent Business School

Bachelor of Administration - Business Administration

UNIVERSITY OF LIMPOPO

Certificate in Data Analytics - Analytics

ACCA Global
Mashamaite Molele