Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
reference
Generic
Mpho Anna Molefe

Mpho Anna Molefe

Claims Administrator
Langaville Ext 6

Work Preference

Job Search Status

Open to work
Desired start date: 2 weeks notice

Desired Job Title

Claims AdministratorCall center agent

Work Type

Full Time

Location Preference

RemoteHybridOn-Site
Location: Langaville Ext 6, GPJohannesburg, GP
Open to relocation: No

Salary Range

18000/yr - 25000/yr

Important To Me

Career advancementFlexible work hoursWork from home optionHealthcare benefitsPaid sick leaveTeam Building / Company RetreatsCompany CultureWork-life balancePersonal development programsPaid time off

Summary

Results-driven Claims Administrator with expertise in developing and executing effective claims processes. Delivered impactful resolutions through strong analytical skills and compliance management. Contributed to organizational success by fostering teamwork, enhancing customer service, and adapting to dynamic environments.

Overview

5
5
Languages
7
7
years of professional experience

Work History

Claims Administrator

Kula Partners (Pty) Ltd
04.2020 - Current
  • Handled claims queries and general enquiries to support efficient claim processing.
  • Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
  • Requested outstanding documents from claimants to facilitate timely claim evaluations.
  • Register new claims on system and liaising with assessors.
  • Handling claims queries and general enquiries.
  • Applied knowledge of POPIA, FAIS, and FICA regulations to ensure compliance in claims processing.
  • Balanced workload effectively, prioritizing tasks to ensure timely completion of all claim-related responsibilities.
  • Balanced workload and prioritized tasks to ensure timely completion of claim-related responsibilities.
  • Data entry and record keeping skills.
  • Knowledge of POPIA, FAIS and FICA.
  • Developed easy-to-understand reports for management, detailing key metrics and performance indicators of the claims department.

Call center agent

African Unity (Pty) Ltd
03.2019 - 01.2020
  • Receiving incoming and outgoing calls.
  • Create and maintain a database of prospective clients.
  • Monitored reception area to ensure smooth operations and assist visitors.
  • Demonstrated empathy and understanding when dealing with difficult situations, ultimately diffusing tension while finding satisfactory resolutions.
  • Maintained accurate records of customer interactions, documenting details for future reference and quality assurance purposes.
  • Helped a large volume of customers every day with a positive attitude and a focus on customer satisfaction.
  • Create and maintain a database of prospective client.
  • Demonstrated empathy and understanding in difficult situations, diffusing tension and achieving satisfactory resolutions.
  • Monitoring the reception.

Education

RE 5 - Insurance

Moonstone Business School of Excellence
JHB - Sandton Sinosteel Plaza
04.2001 -

National Certificate: Wealth Management - Insurance And Risk Management

ULearn Academy
Krugersdorp, South Africa
04.2001 -

National Diploma - Management Assistant

EKURHULENI EAST TVET COLLEGE
Brakpan, South Africa
01-2018

Matric Certificate -

LANGAVILLE SECONDARY SCHOOL
Tsakane
01-2013

Skills

Claims processing

Claims auditing

Attention to detail

Microsoft office

SharePoint

Customer communication

Team player

Timeline

Claims Administrator

Kula Partners (Pty) Ltd
04.2020 - Current

Call center agent

African Unity (Pty) Ltd
03.2019 - 01.2020

RE 5 - Insurance

Moonstone Business School of Excellence
04.2001 -

National Certificate: Wealth Management - Insurance And Risk Management

ULearn Academy
04.2001 -

National Diploma - Management Assistant

EKURHULENI EAST TVET COLLEGE

Matric Certificate -

LANGAVILLE SECONDARY SCHOOL

reference

REFERENCES

NAME                                CONTACT

Gabisile Shabalala           078 665 0676

Zunaid Abrahams             076 682 0138

Boikarabelo Staats           083 207 0014

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Mpho Anna MolefeClaims Administrator