TINTSWALO MAGEZA
Merits Officer
PRETORIA
Summary
Dedicated and professional individual with a proven track record in a fast-paced claims environment. Seeking to transition into a new field. Hone strong analytical and conflict-resolution skills throughout career. Consistently provide precise and fair evaluations. Prepared to leverage expertise to bring value and efficiency to a new industry.
Overview
24
24
years of professional experience
1
1
Language
Work History
Claims Officer
ROAD ACCIDENT FUND
01.2002 - Current
- CLAIMS DEPARTMENT: 2002 TO 2005
- DIRECT CLAIMS DEPARTMENT: Acting senior in 2005
- DIRECT CLAIMS: Claims Officer 2006 to 2007
- SUPPLIERS DEPARTMENT: 2008 TO 2012
- CLAIMS DETERMINATION: Merits Department 2013 to Date
- Negotiated fair settlements with policyholders while maintaining positive relationships between the company and clients involved in disputes.
- Developed training materials for new Claims Officers, fostering professional growth and improving team performance.
- Implemented innovative strategies for reducing claim cycle time without compromising quality or accuracy of decisions made.
- Prepared comprehensive reports for upper management detailing key findings from investigations into complex claim cases.
- Followed up with customers on unresolved issues.
- Verified client information by analyzing existing evidence on file.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Supported departmental goals by contributing ideas during team meetings aimed at refining processes within the organization.
- Participated in the organizational transformation through the User Acceptance Testing for the project in preparation for Bokamoso ICMS system and as a Change Agent.
CANDIDATE ATTORNEY
ALVIN KHOSA ATTORNEYS
01.2001 - 12.2001
Education
B.Com Honours in Business Management - Still Awaiting Results
University of South Africa
Pretoria 04.2001 -
B.Com Marketing - Business Management
University of South Africa
Pretoria 04.2001 -
B.Proc - Law
University of Limpopo
Polokwane, South Africa 04.2001 - 12.1998
Legal Training - Law School
SCHOOL FOR LEGAL TRAINING
Polokwane 07.2017 - Current
Matric -
Risinga High School
Giyani 05.1999 - 12.1999
Skills
Claims Evaluation
Analytical Investigation Techniques
Regulatory Analysis
Effective Collaboration
Analytical Problem-Solving
Regulatory Compliance Assessment
Critical Analysis
Networking Proficiency
Collaborative Teamwork
Regulatory Compliance Expertise
Effective Negotiation Strategies
Proficient Time Management
Telephone Numbers
- 0812988336
- 0124295686
Health
EXCELLENT
Hobbies And Interests
- MUSIC
- READING
- TRAVELLING
Personal Information
- ID Number: 7507280784080
- Date of Birth: 07/28/75
- Nationality: SOUTH AFRICAN
- Driving License: CODE B
Timeline
Legal Training - Law School
SCHOOL FOR LEGAL TRAINING
07.2017 - Current
Claims Officer
ROAD ACCIDENT FUND
01.2002 - Current
B.Com Honours in Business Management - Still Awaiting Results
University of South Africa
04.2001 -
B.Com Marketing - Business Management
University of South Africa
04.2001 -
B.Proc - Law
University of Limpopo
04.2001 - 12.1998
CANDIDATE ATTORNEY
ALVIN KHOSA ATTORNEYS
01.2001 - 12.2001
Matric -
Risinga High School
05.1999 - 12.1999
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