Thomas Zanekile
Cape Town
Summary
Personal Profile: I am a hard Working individual who believe in giving the best in every task am requested to do .I am friendly, honest, confident, punctual, energetic, self-disciplined, helpful and always willing and eager to learn.
Overview
16
16
years of professional experience
1
1
Language
Work History
Customer service Advocate
kryterion
03.2021 - 03.2024
- Customer Support Advocate (CSA) is the principle operational point of contact for support for all Kryterion exam platform. I am responsible for determining when an escalation is necessary, and I will determine the correct escalation path based on the issue(s). As CSA I use strong problem-solving skills, combined with excellent communication and support skill to maintain high levels of customer satisfaction. I track issues through system while I also documenting troubleshooting solution for use in a knowledge for common support.
Claims Assessor Gap Cover Insurance
Zestlife
01.2015 - 01.2020
- To adhere to the claims process and update the client information on the vinmware and magpi systems and capturing claims on the magpi and updating the zest life claims register accordingly
- To strive for 99% accuracy when capturing claim and client information
- To strive to archive a target of 20 claims pre capture per day
- To validate and pre capture a minimum of 15 gap claims per day within turnaround time
- To not exceeded the maximum turnaround time of 48 hours for all pre capture of claims onto the system
- To maintain your stats records on a daily basis for workflow management
- Interacting professionally and timeously with customers telephonically or via email in respect of their claim
- Reason for Leaving: Seeking New Challenge
Commercial Claims Administrator
Overseas Administration Management
04.2019 - 12.2019
- Assessing the claim as per damages, value
- First, a provision (maximum possible reimbursement amount) has to be registered in NSI in order to assess the risk.
- Given a client a preference for repairs of the items than to replace unless it’s in total loss.
- Give clients preference to provide repair quotes with one or 2 registered repairers of his choice.
- Should quotation not being reasonable, OAM will source another repairer locally.
- Capture a settlement proposal on NSI with the breakdown of the claim and go for validation
- Salvage on behalf of the insurers when the proposal corresponds to 100 % of the item value.
- Should the client not accept the proposal
- The file is reviewed taking in consideration the disagreement.
- The file is re-assessed in line with insurance policy, claims policy, the terms and conditions and insurance application form.
- The file will remain open and active until a settlement has been agreed on.
- When a client complete and return the Form of Discharge and Subrogation, email is sent to him to confirm that payment will be made between 10 – 15 working days
- Reason for Leaving: Seeking for growth
Gems Medical Aid Claims Specialist Clerk
Metropolitan Health
01.2010 - 01.2014
- Investigations, escalated complaints, and Client service queries
- Provide quality written feedback to claims queries.
- Liaise with external business partners.
- Create and update manuals and process flows.
- Provide feedback on reports to external partners.
- Assess both electronically and paper claims.
- Facilitate amendments to re-pricing of MHRS hospital claims
- Summarise major issues and take action, which will benefit both the client and the business
- Reason for Leaving: Promoted
Gems Medical Aid Claims assessor
Metropolitan Health
01.2009 - 01.2010
- Capturing and processing of all incoming paper image and/ or EDI claims within service level agreement
- Ensuring that all claims are paid according to the Rules of the Medical Schemes Act and Scheme Rules
- Achieving predetermined standards and quality levels.
- Reprising of claims and or preparation of international claims where applicable
- Escalating of queries where necessary for further investigation
- Filing of Documentation when the need arises.
- Reason for Leaving: Promoted
Claims Management Consultant
Dental Information Services (DENIS)
02.2009 - 12.2009
- Processing claims
- Answering internal and external telephone calls regarding products.
- Offered on the Dental Insurance and application procedures Managing the clients that are suspended monthly.
- Capturing application forms Assisting clients with competing their application forms.
- Filling of all correspondence received manually and electronically.
- Reason for Leaving: New Challenge
Customer Care Consultant
Medway Marketing co.
02.2008 - 01.2009
- Providing effective and efficient customer service telephonically and in writing to customers and office departments internal/external
- Updating the existing database.
- Capturing of data, typing and compiling document
- Taking ownership of queries and ensuring they are resolved timeously and effectively
- Reason for Leaving: Retrenched
Education
Certificate - COB Short-term insurance commercial line
Moonstone
Cape Town, South Africa01.2020
Advance Diploma in Financial Planning - Management in Financial Planning Level 7
University of Western Cape
Cape Town, South Africa 04.2001 -
RE5 Certificate -
Moonstone
Cape Town, South Africa01.2019
Wealth Management NQF Level 5 -216 credit - Long and short term
INSETA
Cape Town, South Africa12.2014
Grade 12 -
DR Nelson Mandela High School
Cape Town, South Africa01.2006
Skills
Problem-solving
References
- Sylvia, Africa, Team Leader, 021 8183373, 0648350374, Overseas administration management
- Tania, Adams, Team Leader, 021 11804382, 0826068902, Zestlife
- Gerhard, Riffel, Team leader Claim Specialist, 021 468 2669, 071 8755 268, Metropolitan heath group
- Mrs Pumla, Mukeba, Manager, 021 9406188, 084 843 3566, Medway Marketing co.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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PRIVATE AND CONFIDENTIAL PROFILE
- Cell: 0837753840
- E-Mail: 72tomzito@gmail.com
- PROFILE OF THOMAS ZANEKILE
- Current Employment: Unemployed
- Availability/Notice Period: None
- Surname: Zanekile
- First Names: Thomas
- Citizenship: South African
- Identity No.:
- Gender: Male
- Driver's licence: Code 8
- Residing in: Cape Town
- Areas to consider: Willing to Relocate
- Languages Spoken: English
- Expectation: Negotiable
Languages
English
Bilingual or Proficient (C2)
Xhosa
Advanced (C1)
Timeline
Customer service Advocate
kryterion
03.2021 - 03.2024
Commercial Claims Administrator
Overseas Administration Management
04.2019 - 12.2019
Claims Assessor Gap Cover Insurance
Zestlife
01.2015 - 01.2020
Gems Medical Aid Claims Specialist Clerk
Metropolitan Health
01.2010 - 01.2014
Claims Management Consultant
Dental Information Services (DENIS)
02.2009 - 12.2009
Gems Medical Aid Claims assessor
Metropolitan Health
01.2009 - 01.2010
Customer Care Consultant
Medway Marketing co.
02.2008 - 01.2009
Advance Diploma in Financial Planning - Management in Financial Planning Level 7
University of Western Cape
04.2001 -
Certificate - COB Short-term insurance commercial line
Moonstone
RE5 Certificate -
Moonstone
Wealth Management NQF Level 5 -216 credit - Long and short term
INSETA
Grade 12 -
DR Nelson Mandela High School