Summary
Overview
Work History
Education
Skills
Leadership Roles
Knowledge Experience Skills
Physical Address
Personal Information
Timeline
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Pontsho Khoza

Pontsho Khoza

Underwriting Administrator
Sandton,GP

Summary

A highly motivated and detail-oriented insurance professional with over 10 years’ experiencein the insurance and employee benefits industry, with a strong foundation in claims administration, underwriting, and retirement fund processing. Proven track record of effectively managing complex claims, ensuring policy compliance, and delivering excellent client service.

Currently employed as a Senior Administrator – Underwriting at Fedgroup, and enrolled in the UCT Life Insurance Claims Assessors Short Course through ASISA. This course is deepening my technical knowledge of claims assessment and sharpening my analytical and decision-making skills.

This opportunity to apply for the Claims Assessor role is a natural progression in my career, where I can combine my practical experience, academic preparation, and passion for helping people navigate the claims process with empathy and precision.

Overview

11
11
years of professional experience
4049
4049
years of post-secondary education
1
1
Language

Work History

Underwriting Senior Administrator

Fedgroup
10.2023 - Current
  • Ensure that member policy covers are accurate and correct on the system
  • Identify members who require underwriting
  • Communicate underwriting requirements to brokers/members
  • Do all follow-ups
  • Ensure that the documents are completed correctly before sending them to the assessors
  • Liaise with specialists to gather information and opinions
  • Accurately update system with underwriting outcomes
  • Send out underwriting decision letters
  • Keep detailed records of policies underwritten and decisions made
  • Follow applicable insurance laws
  • Manage queries

Senior Fund Administrator

Retirement and Investment Savings for Everyone (RISE)
04.2020 - 09.2023
  • Processing withdrawal, disability, and death claims
  • Ensuring clients’ amendments are auctioned efficiently and correctly
  • Preparing member benefit statements
  • Processing Section 14 transfers
  • Monthly contributions updates and reconciliation
  • Preparing and sending out risk schedules to underwriters
  • Managing queries
  • Assisting with accounts remits as an additional role

Employee benefits Administrator

Richton Employee Benefits consultants
06.2018 - 03.2020
  • Allocating premiums
  • Credit control
  • Reconciling premiums
  • Invoicing
  • Membership updates
  • Checking and submitting claim documents
  • Processing renewals
  • Updating cashbooks
  • Updating remits
  • Calculating broker commission
  • Processing scheme terminations
  • Communicating underwriting requirements and decisions
  • Managing queries through emails and telephone

Billing and Allocation Administrator

The Best Funeral Society
08.2016 - 09.2017
  • Preparing and sending billing to clients
  • Preparing policy and scheme reconciliation reports
  • Verify and validates submitted payment schedules
  • Receiving schedules and allocating premiums
  • Preparing Monthly reports
  • Updating membership status
  • Managing the queries

Refunds Administrator

The Best Funeral Society
02.2016 - 07.2016
  • Processing refunds requests
  • Preparing policy reconciliation reports
  • Preparing monthly refunds report
  • Sending policy update requests to the data management department
  • Managing queries through emails and telephonically

Retirement Funds Administrator

Liberty Life
01.2015 - 02.2016
  • Processing retirement and withdrawal claims
  • Ensuring clients’ amendments are auctioned efficiently and correctly
  • Preparing member benefit statements
  • Terminations
  • Monthly updates
  • Validating switches
  • Managing queries

Student assistant

Wits Commerce Library
02.2014 - 10.2014
  • Shelving Books
  • Checking books in and out of the library
  • Assisting students with the computer and library machines
  • Managing queries

Education

UCT Life Insurance Claims Assessors Short Course - Investment Management Administration & Client Servicing (IMACS)

ASISA

Postgraduate Diploma - Postgraduate Diploma in Management

Regent Business School
Johannesburg, South Africa
06-2023

NQF4 - Wealth management (Long term Insurance)

Damelin Business College

Bachelor of Science - Biochemistry and Microbiology

University of the Witwatersrand

Certificate - Compute Literacy

College Campus

Matric Certificate - Maths and Science

Makgetse High School

Skills

Claims assessment and processing (death, disability, withdrawals)

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Leadership Roles

  • Sub-house committee, Wits Girton Hall Residence, 2011
  • Sub-house committee, Wits Barnato Residence, 2013
  • Additional member, Women’s Forum Wits ZCC Student Fellowship, 2010 - 2011
  • Deputy Chairperson, Women’s Forum Wits ZCC Student Fellowship, 2012 - 2013
  • Deputy Chairperson, Women’s Forum Wits ZCC Student Fellowship, 2012 - 2014
  • Treasury Advisor, Wits ZCC Student Fellowship, 2015 - 2016

Knowledge Experience Skills

  • Retirement funds industry and framework
  • Long-term insurance regulatory framework
  • MS Office, COMPASS, Workflow, Exergy
  • Good Communication (written and verbal) and interpersonal skills
  • Strong research, evaluation, writing and analytical skills with advanced computer skills
  • Independent self-starter with passion for success, a strong work ethic, team player, assertive and confident
  • Client orientation and customer focus with emotional maturity
  • Excellent administration skills

Physical Address

27 Oldens Way, Kelvin, 2090

Personal Information

  • ID Number: 9204160535083
  • Disability: None
  • Criminal Record: None
  • Date of Birth: 04/16/92
  • Gender: Female
  • Nationality: South African
  • Driving License: Code 8

Timeline

Underwriting Senior Administrator

Fedgroup
10.2023 - Current

Senior Fund Administrator

Retirement and Investment Savings for Everyone (RISE)
04.2020 - 09.2023

Employee benefits Administrator

Richton Employee Benefits consultants
06.2018 - 03.2020

Billing and Allocation Administrator

The Best Funeral Society
08.2016 - 09.2017

Refunds Administrator

The Best Funeral Society
02.2016 - 07.2016

Retirement Funds Administrator

Liberty Life
01.2015 - 02.2016

Student assistant

Wits Commerce Library
02.2014 - 10.2014

NQF4 - Wealth management (Long term Insurance)

Damelin Business College

Bachelor of Science - Biochemistry and Microbiology

University of the Witwatersrand

Certificate - Compute Literacy

College Campus

Matric Certificate - Maths and Science

Makgetse High School

UCT Life Insurance Claims Assessors Short Course - Investment Management Administration & Client Servicing (IMACS)

ASISA

Postgraduate Diploma - Postgraduate Diploma in Management

Regent Business School
Pontsho KhozaUnderwriting Administrator