Microsoft Office Suite
SIYABONGA GUGU MASILELA
Negotiator Motor Clams
Summary
A highly motivated and results-driven professional with a strong background in claims management, customer service, and operational coordination.
Extensive experience in validating and settling claims, managing documentation, and fostering effective communication with brokers highlights strong attention to detail and analytical problem-solving skills. Proven ability to oversee financial aspects of claims processing while ensuring compliance with company standards enhances expertise in financial operations. Eager to transition into finance-focused roles that offer professional challenges, leveraging a commitment to process improvement and organizational success within a forward-thinking, growth-oriented environment.
Overview
5
5
years of professional experience
4
4
Languages
Work History
Negotiator Motor Claim
Old Mutual Insure
01.2023 - Current
- Claims Ownership and Management: Take full responsibility for the claims process, from initial assessment to final settlement, ensuring all actions are completed within company guidelines.
- Broker Communication: Respond to telephone and email queries from brokers promptly, utilizing updated logs to provide accurate and timely information.
- Claims Analysis and Coverage Confirmation: Assess claims thoroughly and confirm coverage, ensuring that all criteria are met before progressing with settlement or rejection.
- Rejection Letter Drafting: Draft clear and professional rejection letters when claims are denied, ensuring that all necessary information is communicated effectively.
- Policy and Documentation Review: Request and review policy files and associated documentation to ensure all relevant details are considered during the claims process.
- Assessor Appointment: Appoint assessors when necessary, ensuring that all assessments are conducted efficiently and in line with company procedures.
- Claims Settlement within Mandate: Settle claims within defined authority limits, adhering to company mandates and ensuring prompt, fair resolution.
- Payment Processing: Process claim payments efficiently, ensuring compliance with company policies and timely resolution for clients.
- Broker Communication on Progress: Keep brokers consistently informed of claim progress, ensuring transparency and fostering strong working relationships.
- Finalizing Claims in Compliance with Standards: Finalize claims according to Old Mutual Insure standards, ensuring accurate and complete closure of each case.
Negotiator Motor Claim (Learnership)
Old Mutual Insure
01.2022 - 01.2023
- Claims Ownership and Validation: Take full responsibility for each claim, ensuring all necessary documents are collected to validate the claim thoroughly.
- Document Collection and Validation: Ensure all required documentation is gathered to validate the claim accurately, updating the customer journey accordingly.
- Repairer Appointment: Appoint the preferred repairer on TIA, ensuring that all repair processes are initiated promptly and efficiently.
- Broker Communication: Respond to telephone and email queries from brokers, providing clear and timely updates based on the most recent claim information.
- Progress Updates to Brokers: Keep brokers consistently informed of the claim's progress, ensuring transparent communication throughout the process.
- Finalizing Claims in Compliance with Standards: Finalize claims according to Old Mutual Insure standards, ensuring all actions align with company procedures and guidelines.
Parker
Avernus Plastic
01.2021 - 01.2021
- Product Order Fulfillment: Pull and stack products based on daily orders, ensuring accurate and timely fulfillment of customer specifications.
- Order Accuracy and Timeliness: Ensure all customer orders are met within required timeframes, maintaining high standards of accuracy and efficiency.
- Product Organization and Rotation: Maintain organized product storage, ensuring proper rotation to meet inventory management standards and prevent product deterioration.
- Quality Monitoring and Reporting: Regularly monitor product quality, promptly reporting any issues to mitigate potential safety concerns and maintain high product standards.
Education
Financial Accounting - Payroll
Udemy
01.2022
Diploma - Accountancy
University of Johannesburg
01.2022
Programme - Commercial Accounting
University of Johannesburg
01.2018
Matric - undefined
Impande high School
01.2017
Skills
Claims Management: Overseeing the full claims process, ensuring timely and accurate resolutions
Broker Communication: Responding to broker inquiries and providing consistent updates
Claims Validation: Validating claims with accurate documentation and updates
Product Quality Monitoring: Identifying and reporting product quality issues to ensure safety
Order Fulfillment: Efficiently processing customer orders with accuracy and timeliness
Documentation Management: Maintaining accurate records for claims and orders
Repairer Coordination: Appointing and managing preferred repairers for claim resolution
Time Management: Effectively managing multiple tasks to meet deadlines
Problem-Solving: Addressing challenges and minimizing disruptions
Attention to Detail: Ensuring accuracy in all tasks and documentation
Customer Service: Delivering excellent service to brokers and customers
Team Coordination: Collaborating with teams to ensure smooth processes
Adaptability: Adapting to changing situations and improving processes
Open-mindedness
Influencing skills
Assertiveness
Active learning
Self-awareness
Problem-solving abilities
Active listening
Teamwork
Time management
Excellent communication
Decision-making
Time management abilities
Interpersonal skills
References
References: Available on request
Software
Operating System
Timeline
Negotiator Motor Claim
Old Mutual Insure
01.2023 - Current
Negotiator Motor Claim (Learnership)
Old Mutual Insure
01.2022 - 01.2023
Parker
Avernus Plastic
01.2021 - 01.2021
Diploma - Accountancy
University of Johannesburg
Programme - Commercial Accounting
University of Johannesburg
Matric - undefined
Impande high School
Financial Accounting - Payroll
Udemy