Sibusiso Thanjekwayo
Insurance Assessor
Johannesburg
Summary
Possesses versatile skills in claims investigations, problem-solving, and customer service. I have the ability to bring fresh perspective and strong commitment to quality and success of the team.
Overview
18
18
years of professional experience
2
2
Languages
Work History
Non-Motor On The Road Business Assessor
OUTsurance Insurance Company
12.2022 - 05.2025
- Validation of claims allocated
- Face to face communication with clients, witnesses, SAPS officials, towing operators, service providers.
- Make recommendations, all administration and telephonic queries arising around that
- Handling and resolving all queries and problems from service providers and clients
- Conduct all the above to the required/performance and quality standards that are in place
- Ensured consistent application of state laws, policies, and procedures across all assessments by collaborating closely with fellow assessors.
- Managed workload effectively by prioritizing tasks according to deadlines while maintaining attention to detail in all aspects of the assessment process.
- Produced reports with detailed validations.
Non-Motor Business Desktop Assessor
OUTsurance Insurance Company
07.2021 - 12.2022
- Validation of claims allocated
- Telephonic communication with clients, witnesses, SAPS officials, towing operators, service providers.
- Make recommendations, all administration and telephonic queries arising around that
- Handling and resolving all queries and problems from service providers and clients
- Conduct all the above to the required/performance and quality standards that are in place
- Ensured consistent application of state laws, policies, and procedures across all assessments by collaborating closely with fellow assessors.
- Managed workload effectively by prioritizing tasks according to deadlines while maintaining attention to detail in all aspects of the assessment process.
- Produced reports with detailed validations.
Business Claims Consultant
OUTsurance Insurance Company
08.2018 - 06.2021
- Telephonically capture all business-related claims, motor and non-motor
- Appointing services providers or building insurance assessor on claims
- Communicating feedbacks on claims, repudiate or discuss settlement
- Follow up on claims until the file is finalized
- Process payments to appointed services providers or insurance assessors
- Finalising claims captured within a specific timeframe
- Handling own complaints
- Arrangement for non-running vehicles to be taken to salvage yard
- Arrangements for written-off or stolen vehicles.
- Provide AWESOME service to client
Non-Motor Claims Consultant
OUTsurance Insurance Company
09.2013 - 09.2018
- Telephonically capture claims for all types of non-motor related claims
- Appointing services providers or building insurance assessor on claims
- Communicating feedbacks on claims, repudiate or discuss settlement
- Follow up on claims until the file is finalized
- Process payments to appointed services providers or insurance assessors
- Finalising claims captured within the agreed SLA
- Handling own complaints
- Provide AWESOME service to client
Building Claims Consultant
OUTsurance Insurance Company
09.2008 - 12.2013
- Telephonically assist clients by capturing claims
- Appointing services providers or building insurance assessor on claims for validations
- Communicating feedbacks directly with clients on claims captured, repudiate or discuss settlement
- Post authorization follow ups on claims until the file is finalized
- Process payments to appointed services providers or insurance assessors
- To adhere to SLA turn around times on all claims
- Resolve complaints within a timely manner
- To always provide AWESOME service to all clients
- Reason for leaving: Growth
Multi-Skilled Claims-Consultant
Old Mutual iWyze Insurance
04.2013 - 07.2013
- Capturing of all motor and non-motor related claims for personal lines
- Appointing services providers or building insurance assessor on claims for validations
- Communicating feedbacks on claims, repudiations or discuss settlement
- Follow up on claims until the file is finalized
- Process payments to appointed services providers or insurance assessors
- Finalising claims captured within a specific timeframe
- Handling complaints
- Arrangement for non-running vehicles to be taken to salvage yard
- Arrangements for written-off or stolen vehicles.
- Reason for leaving: Personal growth
Emergency Home & Road Side Rescue Consultant
OUTsurance Insurance Company
05.2007 - 08.2008
- Capture emergency calls for both home and road side assistance.
- Appointing of service providers to attend urgently on case opened for either home or road assistance
- Processes payments to services providers allocated on each case.
- To adhere to SLA turn around times for Home & Road side assist
- To capture vehicle inspections for newly added risks
- To always provide AWESOME service to all clients
- Reason for leaving: Growth
Education
GED -
INSITA
Centurion, South Africa 04.2001 -
High School Diploma -
Langlaagte High Technical School
04.2001 -
Skills
Database management
References
- Romano, Rambao, Supervisor/Team manager, 0826037716
- Xinilia, van Wyk, Team Manager, 0126733426, 0843014648
- Gordon, Maeta, Claims Manager, 0760455812
- Donavan, van Wyk, Team Manager, 0127495045, 0781669777
- Valerie, Manjengwa, Team Manager, 0644695008
- Kresin, Govender, Team Manager, 0847777001
Personal Traits
I am a hardworking, self-motivated individual who aims to make a difference in any area, position and enhance the efficiency of any field of interest. I am energetic and determined to succeed. I excel well under pressure and like to meet a challenge. A team player who enjoys obstacles and like to get the job done...on time.
Languages
English
Upper intermediate (B2)
Xhosa
Upper intermediate (B2)
Afrikaans
Elementary (A2)
Timeline
Non-Motor On The Road Business Assessor
OUTsurance Insurance Company
12.2022 - 05.2025
Non-Motor Business Desktop Assessor
OUTsurance Insurance Company
07.2021 - 12.2022
Business Claims Consultant
OUTsurance Insurance Company
08.2018 - 06.2021
Non-Motor Claims Consultant
OUTsurance Insurance Company
09.2013 - 09.2018
Multi-Skilled Claims-Consultant
Old Mutual iWyze Insurance
04.2013 - 07.2013
Building Claims Consultant
OUTsurance Insurance Company
09.2008 - 12.2013
Emergency Home & Road Side Rescue Consultant
OUTsurance Insurance Company
05.2007 - 08.2008
GED -
INSITA
04.2001 -
High School Diploma -
Langlaagte High Technical School
04.2001 -
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