Sibonginkosi Nyama
Burgersfort
Summary
Detailed claims processor with several years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Teacher
St Thomas College
Burgersfort
01.2021 - Current
- Monitored student behavior in classrooms, hallways, cafeteria, playgrounds.
- Conquered challenges of working with highly diverse student population to attain exceptional student achievement.
- Planned and implemented lessons using various teaching strategies to meet diverse student needs.
- Maintained a safe and orderly learning environment for all students.
- Prepared and graded subject tests for students.
- Tutored students requiring extra help and gave additional practice work to help improve concept understanding.
- Established positive relationships with parents to ensure effective communication regarding student progress and well-being.
- Met with parents and guardians to discuss students' progress and areas requiring improvement.
- Implemented behavior management strategies to maintain classroom discipline.
Teacher
Enkeldoorn Primary School
Lydenburg
01.2015 - 12.2019
- Monitored student behavior in classrooms, hallways, cafeteria, playgrounds.
- Conquered challenges of working with highly diverse student population to attain exceptional student achievement.
- Planned and implemented lessons using various teaching strategies to meet diverse student needs.
- Instructed students in academic subjects such as math, science, language arts, social studies, and history.
- Participated in professional development workshops related to teaching methods or curriculum changes.
- Performed student background reviews to ascertain learning deficiencies and strengths to develop tailored lessons based on student needs.
- Supervised students throughout day, both in classroom and outside during breaks.
Stay at Home Mom
Self Employed
Sabie
09.2007 - 12.2014
- Providing a safe and stable environment for my children to grow up in.
- Stimulating adequate intellectual, emotional and all round development.
- Training my children and ensuring that they are equipped with the basiçy life skills.
- Loving and being there for my children.
Insurance Claims Specialist
Tristar Insurance Company
Bulawayo
01.2005 - 08.2007
- Participated in training sessions conducted by insurers on new products and services.
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
- Developed strategies for improving customer service standards within the department.
- Handled modification and updating of policies.
- Collaborated with team members to identify trends in customer issues and develop solutions accordingly.
- Processed requests for additional documentation from customers in a timely manner.
- Determined liability, compensability, and benefits due on each claim.
- Negotiated settlements between claimants and insurers when necessary to resolve disputes quickly.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Investigated suspicious or fraudulent claims and reported findings to management.
- Resolved customer complaints related to insurance claim processing.
- Assisted new policyholders with processing claims.
- Coordinated with external parties such as lawyers, surveyors, appraisers during investigations.
- Prepared reports summarizing claim activity for senior management review.
- Reviewed denied claims for errors or omissions before finalizing decision notices.
- Ensured compliance with state laws governing insurance practices as well as company policies and procedures.
Intern
NicozDiamond Insurance Company
Bulawayo
08.2002 - 07.2003
- Analyzed key performance indicators to identify effective strategies.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible files.
- Worked closely with mentors in the Underwriting, Claims, Administration and Accounting departments.
Education
Post Graduate Diploma in Education - Education
Zimbabwe Open University
Bulawayo 10-2020
Bachelor of Commerce Honours Degree in Insurance And Risk Management - Insurance And Risk Management
National University of Science And Technology
Bulawayo 11-2004
Skills
- Documentation management
- Investigation skills
- Settlement negotiation
- Communication skills
- Problem solving
- Customer care
- Time Management
Certification
- Certificate in Customer Care
- Certificate in Time Management
Timeline
Teacher
St Thomas College
01.2021 - Current
Teacher
Enkeldoorn Primary School
01.2015 - 12.2019
Stay at Home Mom
Self Employed
09.2007 - 12.2014
Insurance Claims Specialist
Tristar Insurance Company
01.2005 - 08.2007
Intern
NicozDiamond Insurance Company
08.2002 - 07.2003
Post Graduate Diploma in Education - Education
Zimbabwe Open University
Bachelor of Commerce Honours Degree in Insurance And Risk Management - Insurance And Risk Management
National University of Science And Technology