I'm a hard working individual that takes every task given to me seriously and give a 150% to ensure a successful outcome. I have worked really hard in the last 27 years to achieve what I have achieved.
I see myself as a asset to any organization, as I am firm believer that hard work will open doors for you.
Overview
27
27
years of professional experience
1
1
Certification
1
1
Language
Work History
FUND MANAGER/PROVIDER NETWORK SPECIALIST/SENIOR KEY ACCOUNTS MANAGER
UNIVERSAL HEALTHCARE ADMINISTRATORS
10.2013 - Current
Manage and build a relationship with the scheme and all stakeholders
Contract service providers for new clients joining the scheme
Service existing providers to ensure networks rules are followed, do provider training when required. Service about 6000 general practitioners on a national basis.
Address non-compliance with providers servicing scheme members
Annual provider training on rule and benefit changes and reviewing of provider manuals
Attend mass meetings when required to do so
Set up scheme rules on Universal IT systems
Adjust annual contracts and rules on capitation agreements
Have weekly and monthly meetings with all internal/external stakeholders
Attend to all enquiries from scheme and CLO’s
Manage internal SLAs with internal stakeholders to ensure it is aligned to industry standards.
Attend annual roadshow to represent the scheme and Universal.
Deal with all Council for Medical Scheme matters.
Reference: Christo Becker
Contact Details: 084 558 3060
MANAGER CUSTOMER SERVICES
UNIVERSAL HEALTHCARE ADMINISTRATORS/UNIVERSAL 360
06.2009 - 09.2013
Compile weekly and monthly management reports on SLA
Recruiting new staff members
Resolving irate client’s complaints and give feedback
Approving all appliances according to benefits and medical motivations
Create a working environment that encourages cost savings
Update staff on industry developments and changes weekly
Roster Staff
Training staff on annual product changes
Identifying system problems and logging it with IT
Reference: Desmond Kerr (Administrator Director Universal Health Care Administrators)
Contact Details: 011 208 1010
Reason for leaving: Looking for Growth as I managed a department of 96 staff members
CALL CENTRE AGENT
UNIVERSAL HEALTHCARE ADMINISTRATORS
06.2009 - 12.2009
Resolving members telephonic queries within 48 Hours
Resolving written and email queries within 48 Hours
Assisting members with telephonic benefit confirmations
Assisting walk in members and providers with claim queries and benefits
Reconciliations of members and providers claims history
Training of new consultants on telephone system and system navigation
Issuing Manual Tax Certificates and Reconciliations
Sending out all documents to members and providers
Navigating Members around scheme website and explaining the processes
Selling products telephonically to potential new clients and firms
Reference: Desmond Kerr
Contact Details: 011 208 1000
Reason for Leaving: Promoted
SENIOR CLIENTS RELATIONS CONSULTANT
ETERNITY PRIVATE HEALTH
02.2005 - 10.2008
Resolving members telephonic queries within 48 Hours
Resolving written and email queries within 48 Hours
Assisting members with telephonic benefit confirmations
Assisting walk in members and providers with claim queries and benefits
Reconciliations of members and providers claims history
Training of new consultants on telephone system and system navigation
Issuing Manual Tax Certificates and Reconciliations
Sending out all documents to members and providers
Navigating Members around scheme website and explaining the processes
Selling products telephonically to potential new clients and firms
Reference: Cathy Hopf
Contact Details: 011 707 8510
Reason for Leaving: LOOKING FOR GROWTH
NEW BUSINESS SUPERVISOR
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
03.2002 - 01.2005
Dealing with irate clients and brokers
Signing up new walking clients and explaining various packages
Preparing benefit and rates comparisons against competitors
Printing and sending out new membership cards
Dealing with broker firms
Preparing scheme graphs for management meetings on scheme growth
Training new sales consultants on packages and documentation
Calculation sales staff commissions as well as broker Firms commissions
Designing of new applications to streamline sales process
Selling products to both individual members and broker firms
Networked with brokers and firms at corporate level.
Reference: Ian Lowdon – Human Resource Manager
Contact Details: 083 303 4212
Reason for Leaving: PROMOTED
MEMBERSHIP MANAGER
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.2000 - 02.2002
Underwriting new applications
Applying scheme rules to new applications and underwriting process
Calculating member contributions and annual increase
Quality Control of staff performance and process flows
Calculating commissions
Prepared tapes for PERSAL on monthly contributions runs
Prepared monthly reports for STRAT Meeting on scheme growth
Managed ten staff members
Reason for Leaving: PROMOTED
CLAIMS CONSULTANT
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.1999 - 12.1999
Capturing pharmacy claims
Check for duplicate claims
Investigating possible fraud claims
Capturing minimum of 700 Lines per day
Training of new consultants on system and reporting
Reason for Leaving: PROMOTED
Education
Grade 12 -
J.G. Strijdom High School
01.1998
Skills
Financial statements
Accomplishments
Prefect
5 Years First Team Rugby
Certification
National Certificate Generic Management NQF Level 5, Service Seta, 2020
Timeline
FUND MANAGER/PROVIDER NETWORK SPECIALIST/SENIOR KEY ACCOUNTS MANAGER
UNIVERSAL HEALTHCARE ADMINISTRATORS
10.2013 - Current
CALL CENTRE AGENT
UNIVERSAL HEALTHCARE ADMINISTRATORS
06.2009 - 12.2009
MANAGER CUSTOMER SERVICES
UNIVERSAL HEALTHCARE ADMINISTRATORS/UNIVERSAL 360
06.2009 - 09.2013
SENIOR CLIENTS RELATIONS CONSULTANT
ETERNITY PRIVATE HEALTH
02.2005 - 10.2008
NEW BUSINESS SUPERVISOR
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
03.2002 - 01.2005
MEMBERSHIP MANAGER
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
01.2000 - 02.2002
CLAIMS CONSULTANT
PRIVATE HEALTH ADMINISTRATORS (PHAROS MEDICAL PLAN)
<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.