Summary
Overview
Work History
Education
Skills
Languages
Additional Information
Timeline
Generic

Sonwabile Mgabile

Akhona
Cape Town

Summary

Accomplished professional in claims processing and policy interpretation with extensive experience at Momentum Metropolitan. Demonstrates expertise in enhancing operational efficiency and client satisfaction through rigorous documentation review and adherence to professional ethics. Skilled in leveraging Business Process Management (BPM) systems to streamline operations, resulting in notable advancements in claims handling and policy accuracy.

Overview

11
11
years of professional experience

Work History

Claims Assessor

Momentum Metropolitan
Cape Town
03.2022 - Current
  • Improved claims processing efficiency by streamlining workflows and implementing best practices.
  • Facilitated smooth communication between all parties involved in the claims process – from clients to adjusters – resulting in efficient resolutions without undue delays or setbacks.
  • Increased efficiency in claims handling by developing streamlined processes and procedures for the team to follow.
  • Reviewed policy applications for accuracy, identifying errors that could impact future claims processing or payouts.
  • Enhanced client satisfaction by providing timely updates on claim status and offering personalized support.
  • Resolved complex claims, utilizing expert knowledge of policy coverage and industry regulations.
  • Developed customized solutions for unique client needs, taking into account individual circumstances while adhering to company guidelines.
  • Effectively managed high-pressure situations during peak periods of claims activity while maintaining professional demeanor and efficient performance levels.

Virtual Distribution Insurance Specialist

Momentum Metropolitan
Cape Town (Remote)
05.2020 - 02.2022

 Efficiently collect, organize, and manage client and policy data to ensure accuracy and completeness.
 Utilize advanced data management systems to maintain up-to-date records and generate insightful reports.
 Collaborate with the sales team to design and tailor insurance solutions that meet client needs and business objectives.
 Analyze client requirements and market trends to recommend and develop effective policy structures.
 Develop and execute strategic social media campaigns to promote insurance products and services.
 Monitor social media channels for engagement opportunities, industry trends, and customer feedback.
 Analyze client feedback and retention metrics to identify areas for improvement and develop actionable plans.
 Conduct regular follow-ups and review sessions with clients to address their evolving needs and concerns

Claims Consultant

Momentum Metropolitan
Cape Town, South Africa
10.2017 - 04.2020
  • Facilitated smooth communication between all parties involved in the claims process – from clients to adjusters – resulting in efficient resolutions without undue delays or setbacks.
  • Reviewed policy applications for accuracy, identifying errors that could impact future claims processing or payouts.
  • Conducted detailed reviews of insurance policies to ensure compliance with regulatory requirements and industry standards.
  • Conducted comprehensive risk assessments to identify potential exposures and recommend appropriate coverage options.
  • Assisted clients in navigating insurance policies and understanding their benefits, promoting informed decisionmaking.

Retention Consultant

Momentum Metropolitan
Cape Town, South Africa
02.2017 - 09.2017
  • Managed client relationships through regular check-ins and updates on project progress.
  • Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
  • Implemented customer relationship management (CRM) systems, improving client engagement and retention rates.
  • Developed and maintained strong client relationships, ensuring high levels of satisfaction and repeat business.
  • Streamlined communication processes for clients, enabling more effective collaboration and decision-making.
  • Collected, arranged, and input information into database system.

Administrative Intern

Northwood Financial Services
Cape Town, South Africa
08.2016 - 01.2017
  • Answered incoming phone calls pleasantly directed calls to appropriate personnel.
  • Sorted mail and dispersed to correct departments and employees.
  • Exceeded expectations by proactively identifying areas of need within the office and offering assistance, even when not specifically assigned to the task.
  • Entered data into system and accurately updated customer accounts.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Input data into spreadsheets and databases.
  • Reviewed files, records and other documents to obtain information to respond to requests.

Public Facilities Janitor

City Of Cape Town
Fish Hoek, South Africa
06.2013 - 12.2013
  • Improved facility cleanliness by performing daily maintenance tasks, such as sweeping, mopping, and vacuuming.
  • Responded immediately to calls from personnel to clean up spills and wet floors.
  • Supported waste management efforts by collecting trash, recycling materials, and disposing of them properly.
  • Kept building spaces premises clean inside and outside.
  • Reduced the spread of germs by sanitizing high-touch surfaces such as doorknobs and handrails.
  • Collaborated with other janitorial staff to complete large-scale cleaning projects efficiently.
  • Responded quickly to urgent maintenance requests from building occupants or management staff members.
  • Maintained a positive and professional demeanor while interacting with building occupants, promoting a respectful work environment.

Education

Matric Certificate -

Phakamisani High School
Hanover, Northern Cape
12.2012

National Diploma N6 - Business Management

False Bay College
Fish Hoek, South Africa
04.2001 -

Skills

Documentation Review

Professional ethics

Policy Interpretation

Financial Acumen

Claim evaluation

Claims Processing

Microsoft Office Suite

Case Presentation

MS Office

Zendesk

CICS

DMS

Organizational Skills

Policy analysis

Languages

English
Bilingual or Proficient (C2)
Afrikaans
Intermediate (B1)
isiZulu
Bilingual or Proficient (C2)
isiXhosa
Bilingual or Proficient (C2)
Sesotho
Intermediate (B1)
Setswana
Upper intermediate (B2)

Additional Information

Driver’s License: Code 10 (C 1)


References available on request.

Timeline

Claims Assessor

Momentum Metropolitan
03.2022 - Current

Virtual Distribution Insurance Specialist

Momentum Metropolitan
05.2020 - 02.2022

Claims Consultant

Momentum Metropolitan
10.2017 - 04.2020

Retention Consultant

Momentum Metropolitan
02.2017 - 09.2017

Administrative Intern

Northwood Financial Services
08.2016 - 01.2017

Public Facilities Janitor

City Of Cape Town
06.2013 - 12.2013

National Diploma N6 - Business Management

False Bay College
04.2001 -

Matric Certificate -

Phakamisani High School
Sonwabile MgabileAkhona