Summary
Overview
Work History
Education
Skills
References
Timeline
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Medscheme Holdings

Stellenbosch

Summary

Driven professional with excellent customer service experience and background managing complex of claims.
Strong organization skills and high level of attention to detail.

Overview

8
8
years of professional experience

Work History

Service Consultant

Medscheme Holdings (Pty) Ltd
6 2019 - Current
  • Ensure that payments were processed at correct rate and against available benefits.
  • Investigate all documentation, correct where required and link to member's records.
  • Analyze and correct incorrect payments and identify reason for non-payment.
  • Apply Quality Analysis checklist to processing of claims.
  • Provide comprehensive and accurate feedback to clients.
  • Identify system constraints and escalate accordingly.
  • Assist in Call Centre/other areas when required.
  • Ensure that quality control targets are met.
  • Meet delivery objectives through working with other team members within and linked to department / project.
  • Resolve operational performance variations and problems and escalate unresolved issues to higher levels.
  • Ensure delivery targets/objectives are met and operate in supportive manner to achieve successful delivery.
  • Enhanced productivity levels by anticipating needs and delivering outstanding support
  • Educated customers about billing, payment processing and support policies and procedures.

Administrator

Medscheme Holdings (Pty) Ltd
03.2017 - 05.2019
  • Evaluated customer needs and feedback to drive product and service improvements.
  • Managed office inventory levels, ensuring adequate supplies were available while minimizing waste and unnecessary spending
  • Improved employee productivity with effective time management strategies for daily tasks
  • Established an organized filing system that streamlined document retrieval and reduced misplaced files
  • Collected, validated, and distributed information to employees
  • Created and managed project plans, timelines and budgets
  • Studied processes, implemented cost reductions and developed reporting procedures to maintain administrative workflow
  • Completed forms and reports to facilitate admission, transfer or discharge
  • Managed company schedule to coordinate calendar and arrange travel
  • Evaluated operational practices and identified improvement opportunities to develop revisions for systems and procedures
  • Supported creation of detailed, technical financial models to value potential acquisition targets
  • Managed human resources functions, including hiring, onboarding, and employee evaluations for optimal team performance
  • Conducted regular audits of operational processes, identifying areas for improvement and implementing solutions accordingly
  • Developed effective improvement plans in alignment with goals and specifications
  • Evaluated staff performance and provided coaching to address inefficiencies
  • Gathered, organized and input information into digital database
  • Developed comprehensive training programs for new hires, ensuring they were equipped with the necessary skills to succeed in their roles
  • Organized workflow and delegated tasks effectively to ensure timely project completion without compromising quality
  • Facilitated cross-departmental collaboration, resulting in increased efficiency and timely project completion
  • Devised and implemented processes and procedures to streamline operations
  • Collected, arranged, and input information into database system
  • Served as a liaison between departments, fostering open communication channels that improved overall organizational function
  • Conducted regular reviews of operations and identified areas for improvement
  • Frequently inspected production area to verify proper equipment operation
  • Demonstrated strong organizational and time management skills while managing multiple projects
  • Managed time efficiently in order to complete all tasks within deadlines
  • Organized and detail-oriented with a strong work ethic
  • Developed and maintained courteous and effective working relationships
  • Demonstrated leadership skills in managing projects from concept to completion
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations
  • Developed strong communication and organizational skills through working on group projects
  • Demonstrated respect, friendliness and willingness to help wherever needed

Client service consultant (Internship)

Medscheme Holdings (Pty) Ltd
03.2016 - 02.2017
  • Answering all members queries
  • Medical queries for members & service providers
  • Confirming of benefits & services offered
  • Follow up on queries.
  • Checking payments of claims.
  • Submitting claims to Claims department.
  • Submitting new applications to membership department.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Responded to customer concerns with friendly, knowledgeable service, and resolved issues quickly to deliver prompt service.

Education

Bachelor of Commerce General - Management And Commerce

University of Fort Hare
East London, South Africa
09.2015 - 09.2015

Skills

Computer Skills: Micro Soft Word, Power Point, Excel, Outlook Oracle, UMS and Nexus System

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References

  • Zelda Duckitt, 021 466 1305, 072 478 3676, Former Team Leader
  • Farahnaaz Larnie, 082 997 8520, Former Team Leader

Timeline

Administrator

Medscheme Holdings (Pty) Ltd
03.2017 - 05.2019

Client service consultant (Internship)

Medscheme Holdings (Pty) Ltd
03.2016 - 02.2017

Bachelor of Commerce General - Management And Commerce

University of Fort Hare
09.2015 - 09.2015

Service Consultant

Medscheme Holdings (Pty) Ltd
6 2019 - Current

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Medscheme Holdings