Prince Bafana Khumalo
Insurance Expert
Johannesburg
Summary
Having been in the Insurance Industry for more than 15 years; I have worked for reputable Medical Aid , Medical Insurance, Short and Long Term Insurance companies. I have been part of and led various departments within Insurance such as Sales, Customers Services Training and Development ,Funeral& Life Claims and Forensic Investigation Departments. I am passionate about Insurance and Identifying fraud within Insurance Industry , leading teams to achieve the desired goals. I am willing to grow and continue learning. Team Leader experienced in directing activities of work groups. Develops strategies, provides training, sets goals and obtains team feedback. Excellent interpersonal and communication skills. Big picture focus with excellence in communicating goals and vision to succeed. Problem solver, net-worker and consensus builder.
Overview
18
18
years of professional experience
1
1
year of post-secondary education
1
1
Language
Work History
Funeral Claim Team Leader
Affinity Health
11.2021 - Current
- Managing funeral claims team
- Schedule consultant shifts including lunch breaks and weekend shifts
- Authorize claims after funeral consultants had done validation of claims
- Handle customer complaints and queries
- Listen to consultant calls for Quality Assurance for compliance and learning purposes
- Participate in and attend employment interviews for new consultants joining team
- Attend and produce weekly report to leadership meeting chaired by Head of Life Insurance claims, which usually will include team Leaders, Quality Assurance Department, Forensic departments,compliance and Complains department
- Report to include weekly consultant performance
- Help in training new consultants on product and system used by Life Insurance Claims
- Investigate possible fraud in Funeral Claims
- Assist with reviewing Funeral Claims process
- Help team members identify irregularities in claims documents
- Verify authenticity of documents information provided by claimants
- Confirming and verifying death with Service providers such as Doctors and Funeral parlors
- Communicating with Services providers via emails and telephones
- Building relationship with other Forensic insurance investigators in industry.
Claims Facilitator
Buthoe Shelf Company Holding
02.2020 - 04.2021
- Conducting Insurances sales Call Centre and customer services training classes
- Conducting surveys and evaluations to ensure training materials is effective and students are retaining the information
- Creating and managing training budget
- Monitoring calls and performance of call Centre agents in order to identify training gaps
- Documenting and maintaining records of information of Call Centre agents under training.
Team Leader Funeral Claims
Standard Bank Insurance Brokers
08.2012 - 11.2019
- Managing a team of 15 consultants
- Schedule consultant shifts including lunch breaks and weekend shifts
- Authorize claims after funeral consultants had done validation of claims
- Handle customer complaints and queries
- Listen to consultant calls for Quality Assurance for compliance and learning purposes
- Participate in and attend employment interviews for new consultants joining the team
- Attend and produce weekly report to leadership meeting chaired by Head of Life Insurance claims, which usually will include team Leaders, Quality Assurance Department, Forensic departments, Compliance and Complains department
- Report to include weekly consultant performance
- Help in training new consultants on the product and system used by the Life Insurance Claims
- I was part the 'Genesis Team' - a special incubating team responsible to change and improve the Standard Bank Insurance brand to compete with other companies that only focuses on Insurance such as Outsurance, Miway, and Discovery etc
- This involvement has seen Standard Bank Insurance Claims turnaround time reduced drastically, complaints reduced, effective and efficient claims processes and combining both Funeral and Credit Life into one claims department.
Short Term Insurance Sales Broker
FNB Insurance
01.2010 - 07.2012
- Contacting potential or existing customers to inform them about a short term Insurance and service using scripts
- Answering questions about short term Insurance or the company
- Asking questions to understand customer requirements and close sales
- Enter and update customer information in the database
- Take and process orders in an accurate manner
- Handle grievances to preserve the company's reputation
- Go the 'extra mile' to meet sales quota and facilitate future sales
- Keep records of calls and sales and note useful information.
Medical Aid Sales Consultant
Momentum Health
01.2007 - 07.2008
- Contacting potential or existing customers to inform them about Medical Aid and service using script
- Answering questions about different types of Medical Aid or the company
- Asking questions to understand customer requirements and close sales
- Enter and update customer information in the database
- Take and process orders in an accurate manner
- Handle grievances to preserve the company's reputation
- Go the 'extra mile' to meet sales quota and facilitate future sales
- Keeping records of calls and sales and note useful information.
Short Term Insurance Consultant
Telesure Group of Companies (Auto & General)
01.2006 - 01.2007
- Contacting potential or existing customers to inform them about a short term Insurance and service using script
- Answering questions about short term Insurance or the company
- Asking questions to understand customer requirements and close sales
- Enter and update customer information in the database
- Take and process orders in an accurate manner
- Handle grievances to preserve the company's reputation
- Go the 'extra mile' to meet sales quota and facilitate future sales
- Keeping records of calls and sales and note useful information.
- Developed effective improvement plans in alignment with goals and specifications
- Maintained database systems to track and analyze operational data
- Gathered, organized and input information into digital database
Education
High School Diploma -
Outsourced Learner Management
Johannesburg 01.2023 - 12.2023
Facilitating & Trainer Qualification -
Genius Business College
Johannesburg 01.2021 - 2021.12
Higher Certificate in Financial Products -
Milipark
Johannesburg 01.2017 - 2017.01
Matric -
Supreme College
Johannesburg 01.2000 - 2006.12
Skills
Customer Servicesundefined
Interests
Research
Personal Information
- Date of Birth: 05/02/83
- Gender: Male
- Nationality: South African
- Driving License: C1
References
- Ms Shownise Johnson 0837087175-Affinity Health
- Mr Butho Mhlanga, 0791445174, Buthoe Shelf Company Holdings
- Ms Vuyokazi Mbiyana, 0726209111, vuyokazi.mbiyana@standardbank.co.za, Standard Bank Insurance Brokers
Timeline
High School Diploma -
Outsourced Learner Management
01.2023 - 12.2023
Funeral Claim Team Leader
Affinity Health
11.2021 - Current
Facilitating & Trainer Qualification -
Genius Business College
01.2021 - 2021.12
Claims Facilitator
Buthoe Shelf Company Holding
02.2020 - 04.2021
Higher Certificate in Financial Products -
Milipark
01.2017 - 2017.01
Team Leader Funeral Claims
Standard Bank Insurance Brokers
08.2012 - 11.2019
Short Term Insurance Sales Broker
FNB Insurance
01.2010 - 07.2012
Medical Aid Sales Consultant
Momentum Health
01.2007 - 07.2008
Short Term Insurance Consultant
Telesure Group of Companies (Auto & General)
01.2006 - 01.2007
Matric -
Supreme College
01.2000 - 2006.12
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