Tesetso Tshoma
Non-medical claims assessor
Johannesburg
Summary
Dedicated and self-motivated professional with a strong aptitude for critical thinking and a commitment to delivering exceptional customer and client service. Eager to contribute to a dynamic team by leveraging skills and knowledge to drive organizational success. Confident in the ability to make a meaningful impact with a steadfast dedication to advancing company goals through determination and professionalism. Prepared to embrace new challenges and foster growth within the organization.
Overview
10
10
years of professional experience
Work History
Non-medical claims assessor
Capitec Bank
09.2024 - Current
- Efficiently assess and process funeral claims with established SLAs, ensuring timely resolution.
- Proactively engage with members, claimants, and service providers to address queries, obtain necessary information, and deliver consistent feedback.
Funeral Claims Administrator
Affinity Health
10.2022 - 08.2024
- Process, and capture, funeral, and repatriation claims’ information.
- Engage with members/claimants and service providers regarding queries, obtain additional information and provide ongoing feedback.
- Perform general administrative tasks.
Customer Care Agent
Affinity Health
07.2021 - 09.2022
- Identify customer needs and clarify information.
- Report daily on completed tasks and acknowledgements.
- Attending to inbound and outbound calls within SLA.
- Managed high call volume while maintaining exceptional service quality for all customers.
- Enhanced customer satisfaction by addressing and resolving issues promptly and professionally.
Sales and Finance Administrator
STA Travel
04.2018 - 09.2020
- Basic accounting duties.
- Receiving payments, adding adjustments (for flights, tours, transferring funds and refunds) and reversals.
- Preparing documents for refunds.
- Handling queries regarding travel folders.
- Payments to creditors.
- Drafting of creditors and debtors’ journals and do payment reconciliation.
- Perform manual swipes and receipt accordingly.
- Prepared and posted receipts and deposits to facilitate standard bookkeeping.
- Reconciled accounts and investigated variances.
Registrations Officer / Career Centre Ambassador
Varsity College Pretoria
12.2015 - 02.2017
- Welcome prospective students to the campus and direct them to where they should go.
- Take prospective students though the whole registration process which entails; making sure they followed every step (from seeing a student adviser, applications, getting a student number, etc.) Assist prospective students with completing their registration contracts (this involved explaining the sections on the contract) and assisting them in any queries they might have.
- Filed students’ documents along with their contracts.
- Give prospective students information about the Career Centre.
Education
BC of Laws - Law
UNISA
Pretoria 04.2001 -
BC of Commerce - Law
Varsity College
Pretoria01.2016
Skills
Customer/client retention
Analytical problem solving
Professional correspondence skills
Computer literacy
Strong attention to detail
Claims processing
Investigative skills
Teamwork
Time management abilities
Decision-making
Timeline
Non-medical claims assessor
Capitec Bank
09.2024 - Current
Funeral Claims Administrator
Affinity Health
10.2022 - 08.2024
Customer Care Agent
Affinity Health
07.2021 - 09.2022
Sales and Finance Administrator
STA Travel
04.2018 - 09.2020
Registrations Officer / Career Centre Ambassador
Varsity College Pretoria
12.2015 - 02.2017
BC of Laws - Law
UNISA
04.2001 -
BC of Commerce - Law
Varsity College
LINK
LinkedIn: www.linkedin.com/in/tesetso-tshoma
References
Mark Diedericks
Capitec Bank
Contact : 0729708657
Prince Khumalo
Affinity Health
Contact : 0656078530
Anita Roos
STA Travel
Email: anita.roos@statravel.com