Primrose G Siyakatshana
Johannesburg
Summary
Service-oriented insurance specialist who delivers high-quality customer service by accurately assessing client needs and recommending required policies and products. Well-connected with track record leveraging connections to serve clients as well as strong sales strategies and deep knowledge of available insurance products.
Overview
9
9
years of professional experience
1
1
Certificate
Work History
CORPORATE AND GLOBAL MARKETS SPECIALIST
MAKSURE RISK SOLUTIONS
02.2023 - Current
- Responsible for a portfolio of corporate and global accounts building relationships with clients and service providers.
- Investigate, conceptualize and develop innovative risk financing/ alternative risk transfer solutions that meet client’s needs.
- Provide technical knowledge and expertise and engage in servicing and advising prospects and clients with regards to placements of risk financing structures.
- Creating client renewal strategy presentations, and attending client meetings as required.
CLAIMS ANALYST
ZIMNAT
11.2021 - 01.2023
- Claims exposure in an insurance emerging market, handling all lines of short term insurance.
- Analyze claims based on policy coverage and probe investigation of potentially fraudulent claims.
- Ensure adequate claim reserves and manage individual portfolio claims cost and expenses.
- Provide legal advice on claim matters, drafted SLA for claims department service providers.
- Claims champion, assisting management in implementing changes to claim procedures.
ENGINEERING CLAIMS SPECIALIST
MIRABILIS ENGINEERING UNDERWRITING MANAGERS
01.2019 - 07.2019
- Processed and analyzed engineering claims and reviewed policy wordings to determine coverage.
- Kept abreast of industry and discipline trends and developments.
- Solely managed the Liability Construction and Engineering claims reviewing contracts and advising insured on liability.
- Maintained good working relationships with internal and external contacts to ensure effective communication and a high-level of customer service.
LIABILITY CLAIMS SPECIALIST
STALKER HUTCHISON & ADMIRAL(SHA)
07.2017 - 12.2018
- Strategically managed a portfolio of claims drafting and negotiating out of court settlements with third parties and third party attorneys to reduce legal fees.
- Appointed and managed loss adjustors and attorneys, monitoring and reviewing service levels in accordance with agreed SLA's and making recommendations.
COMMERCIAL CLAIMS EXAMINER
AMERICAN INTERNATIONAL GROUP, AIG
06.2014 - 06.2017
- Evaluated, investigated, and determined the validity of insurance claims which involved reviewing reports, contracts and policies.
- Prepared detailed resolution plans and pro-actively negotiated settlement with Third Parties and their legal representatives to minimize Lost Economic Opportunity (LEO).
- Reviewed the policy, legal regulations as well as case law to construct case strategy plans that supported timely liability decisions.
- Assisted in vetting and reviewing service provider applications for both the attorney and loss adjuster panels and made recommendations to management.
- Gave legal and compliance advice to clients in the retail, construction and property sector about gaps and weaknesses in the contracts with third parties and their liability exposure.
Education
Post Graduate Diploma - Maritime Law
Lloyds Maritime Academy
United Kingdom06.2015
Bachelor of Laws (LLB) - Law
University of Cape Town
Cape Town06.2011
Bachelor of Arts - English And Law
University of Cape Town
Cape Town06.2008
Skills
- Insurance broking
- Client Relations Expertise
- Customer Service and Assistance
- Sales Presentation
- Complaint Handling and Resolution
- Consultative Selling Techniques
- Client Needs Analysis
- Persuasive Negotiations
- Excellent communication skills
- Client Account Management
- Insurance Coverage Review
- Underwriting and Adjustments
Accomplishments
- Successfully managed for eight months ,all the Single Project(Construction) Liability claims and Employment Practice Liability (EPL) with no prior experience.
- Reduced EPL legal fees by half by acquainting myself with Labour law regulations ,cases as well as the CCMA process and also helped develop strategies to streamline process of dealing with EPL claims.
- Selected as the Training and Development Coordinator at SHA and facilitated training on pertinent legal and compliance issues affecting the adjustment of claims.
- As the claims department Employment Practice Liability Specialist, I wrote an article on sexual harassment in the workplace titled "Why SA companies need to step up to the #MeToo plate" and it was published in FA News on 20 June 2018
- Nominated to represent AIG as part of the Insurance Institute of Gauteng(IIG) class of 2015 and selected by the IIG in 2016 to participate in their pilot Mentorship Programme .
- Elected to be Brand Enhancement and Community Engagement Lead for YPAL (Young Professionals and Allies) which is an Employee Resource Group at AIG (2017).
- Training and Development coordinator for Commercial Claims department (2016-2017) at AIG facilitating product and legal training for the Commercial(Property and Liability) claims and underwriting teams.
Timeline
CORPORATE AND GLOBAL MARKETS SPECIALIST
MAKSURE RISK SOLUTIONS
02.2023 - Current
CLAIMS ANALYST
ZIMNAT
11.2021 - 01.2023
ENGINEERING CLAIMS SPECIALIST
MIRABILIS ENGINEERING UNDERWRITING MANAGERS
01.2019 - 07.2019
LIABILITY CLAIMS SPECIALIST
STALKER HUTCHISON & ADMIRAL(SHA)
07.2017 - 12.2018
COMMERCIAL CLAIMS EXAMINER
AMERICAN INTERNATIONAL GROUP, AIG
06.2014 - 06.2017
Post Graduate Diploma - Maritime Law
Lloyds Maritime Academy
Bachelor of Laws (LLB) - Law
University of Cape Town
Bachelor of Arts - English And Law
University of Cape Town
Certification
- Associate of the Institute of South Africa AISSA (July 2023)
- Class of Business Short term Insurance Commercial Lines(April 2023)
- Class of Business Short term Insurance Personal Lines(April 2023)
- RE5 (July 2015)
REFERENCES
Available on request.
Similar Profiles
Sagar SoniSagar Soni
Senior Techno Functional Consultant at Fintellix Solutions (d.b.a G2 Risk Solutions)Senior Techno Functional Consultant at Fintellix Solutions (d.b.a G2 Risk Solutions)
Mayukh RoyMayukh Roy
Security Officer/Crowd Controller at Executive Risk SolutionsSecurity Officer/Crowd Controller at Executive Risk Solutions
Melissa DauzMelissa Dauz
Executive Assistant at Canada Risk Solutions Inc.Executive Assistant at Canada Risk Solutions Inc.