Mpho Molusi
Claims Consultant , Retentions Spcialist , Client Services , Sales
Randburg
Overview
3
3
years of professional experience
Work History
Non Motor Claims Consultant
Customer Loyalty Consutant
01.2024 - Current
- Analyzed claims data to identify trends and improve processing efficiency.
- Collaborated with stakeholders to resolve customer inquiries and streamline claim resolutions.
- Developed training materials for new team members on claims management systems.
- Ensured compliance with industry regulations during claims assessment and processing.
- Negotiated favorable settlements for clients, maintaining a high success rate in claim resolutions.
- Maintained strong relationships with clients, fostering trust and loyalty through excellent communication skills.
- Reduced claim resolution time with thorough investigations and effective negotiation techniques.
- Facilitated smooth communication between all parties involved in the claims process – from clients to adjusters – resulting in efficient resolutions without undue delays or setbacks.
- Collaborated with legal teams to defend against fraudulent claims, protecting company assets.
- Collaborated with underwriters to establish accurate pricing models based on individual risk profiles.
- Improved claims processing efficiency by streamlining workflows and implementing best practices.
- Followed up with customers on unresolved issues.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Examined claims forms and other records to determine insurance coverage.
Education
RE 5 - Insurance And Risk Management
FPI
Gauteng 04.2001 -
Fais Credit -
Octomate
04.2001 -
Timeline
Non Motor Claims Consultant
Customer Loyalty Consutant
01.2024 - Current
Fais Credit -
Octomate
04.2001 -
RE 5 - Insurance And Risk Management
FPI
04.2001 -