Leqela Puseletso
Attorney
Johannesburg
Summary
Tactful specialist with expertise in settlement preparation, claims processing and appeal filing. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. I consider myself to be diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex cases. I am committed to maintaining customer satisfaction and contributing to company success.
Overview
11
11
years of professional experience
Work History
Claims Specialist
SHA Risk Specialists
03.2023 - Current
- Attend and manage all aspects related to a portfolio of specialist claims such as case management, risk management, drafting and settlement negotiations.
- Conducting an investigation into the merits of each complex case in Profeesional indemnity, financial Lines, Cyber and General Liability.
- Consider, Analyze and interpret insurance policy and the contractual impact thereof for the determination of coverage.
- Develop and maintain an understanding of technical and legal aspects impacting on policy coverage.
- Managing litigation and facilitating the defending or settling of litigation matters.
- Manage and liaise with external service providers such as attorneys, counsel and loss adjusters.
- Writing of articles and presenting on latest developments in the industry.
Legal Contractor
Liberty
01.2022 - 01.2023
- Build and maintain relationships with stakeholders and serve as the point of contact for matters concerning contracts.
- Maintain records for correspondence and documentation in relation to established contracts and those in progress.
- Communicate and present information to stakeholders about all contract-related matters.
- Solve any contract-related disputes that may arise with other parties and internally with the company itself.
- Managed multiple project contracts simultaneously while maintaining strict adherence to deadlines and budgets.
- Keep abreast of changes to relevant rules and regulations
Attorney
Lowndes Dlamini Inc.
12.2019 - 12.2021
- Overseeing Litigation portfolio for banking clients and attending to instructions to pursue recoveries against defaulting clients on Home Loans, Vehicles and Overdrafts.
- Pursue recoveries against deceased estates and clients under liquidation.
- Advising client on compliance with banking regulation.
- Conducting legal research, analyzing and advising on applicable regulatory framework.
- Advising on contract negotiation and negotiating on behalf of the client.
- Managing client portfolio and reporting to client on performance of same.
Liabilities and Litigation Team Leader
Old Mutual Insure
09.2017 - 11.2019
- Organize continuous Training and Development for the team.
- Oversee diary management of the team and ensure that the team is meeting the service level targets.
- Oversee and attend to third party complaints including complaints made to the Short Term Insurance Ombud.
- Negotiate SLA terms with service providers and maintain SLA records.
- Develop and implement measures to promote effective and efficient team work.
- Provide support to the team on technical, legal and administrative matters.
Claims Handler
Santam
02.2015 - 08.2017
- Attending to legal claims instituted against the company, liaising with clients and brokers, attending to Arbitration and litigation matters.
- Drafting arbitration arguments as per the SLA between insurers.
- Negotiating on and preparing settlement offers for third party claimants.
Education
Certificate - Fraud and Risk Management
University of The North West
Certificate - Commercial Forensic Information Technology
University of The North West
North West01.2025
RE5 - Compliance
Moonstone
01.2023
LLB - Law
University of The Western Cape
Cape Town, South Africa01.2015
BCOM LAW - undefined
University of the Western Cape
01.2013
MATRIC - undefined
Hyde Park High School
01.2009
Skills
- Risk Management
- Claims Investigation
- Legal Drafting
- Research
- Policy interpretation
- Problem-solving
- Contract Management
References
Nthabiseng, Gambushe, Director, Lowndes Dlamini Inc
Mulisa Thovhakale, Legal Manager, Santam
Mthobisi Tyazamshe, Legal Manager, Liberty
Timeline
Claims Specialist
SHA Risk Specialists
03.2023 - Current
Legal Contractor
Liberty
01.2022 - 01.2023
Attorney
Lowndes Dlamini Inc.
12.2019 - 12.2021
Liabilities and Litigation Team Leader
Old Mutual Insure
09.2017 - 11.2019
Claims Handler
Santam
02.2015 - 08.2017
BCOM LAW - undefined
University of the Western Cape
MATRIC - undefined
Hyde Park High School
Certificate - Fraud and Risk Management
University of The North West
Certificate - Commercial Forensic Information Technology
University of The North West
RE5 - Compliance
Moonstone
LLB - Law
University of The Western Cape
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