Nyameka Radebe
Claims Assessor
Pretoria
Summary
Detailed Adjuster with 7 years of experience in corporate insurance claims. Strong command of claimant information intake processes, records documentation and fraudulent investigation protocols. Impactful skills preparing operational reports, presenting feedback information to clients and approving claim payouts.
Overview
7
7
years of professional experience
4
4
Languages
Work History
Mortality Senior Claims Assessor
First National Bank
Johannesburg
03.2017 - Current
- Perform all death claims related activities which include - claim processing, responding to claims related queries and complaints.
- Application of fund rules, policies, legislation, administration procedures and the service level agreement when processing
- Meet production standards in terms of quantity and quality.
- Attend to the fund central and respond to queries within SLA
- Good administrative skills.
- Good communication skills, verbal and written.
- Ability to work under pressure, be target driven and meet deadlines.
- Ability to investigate and report fraudulent claims
- Complaints handling
- Fulfil reporting functions, contributing to a transparent and accountable claims assessment process
- Investigate and report fraudulent claims, actively participating in complaints handling.
- Handle death claims activities, respond to queries and complaints promptly.
Education
Certificate - Marketer
Universal College
Bloemfontein,South Africa11.2007
Matric -
Nyathela High School
Eastern Cape SouthAfrica11.2004
Skills
Customer Service
Timeline
Mortality Senior Claims Assessor
First National Bank
03.2017 - Current
Certificate - Marketer
Universal College
Matric -
Nyathela High School
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