Tiyiselani Mabunda
Sandton
Summary
I am a self motivated and progress driven individual with an excellent background in the financial industry. I have developed and executed strategies that I believe will bring value to any organisation. With over 8 years in the financial industry, I gained diverse knowledge and experience. I am always eager to learn more to enhance my career, Throughout my career, I have been recognised multiple times for achieving great results.
Overview
8
8
years of professional experience
Work History
Claims Consultant Auto & General Australia
Telesure Investment Holdings
Dainfern
03.2023 - Current
- Work with claims adjusters and examiners to expedite processing in alignment with procedures.
- Followed up with customers on unresolved issues.
- Evaluated and settled complex insurance claims in strict timeframes.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Lodge and register new claims
HOC Claims consultant
Standard Bank
Roodeport
08.2022 - 02.2023
- Evaluated and settled complex insurance claims in strict timeframes.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Followed up with customers on unresolved issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Maintained suspicious claims database and prepared reports for supervisors.
- Analyzed information gathered by investigation and reported findings and recommendations.
Complaints consultant
Digicall Assessing Solutions
Craighall Park South Africa
04.2022 - 07.2022
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Evaluated customer needs and feedback to drive product and service improvements.
Frontline Team Leader
Digicall Assessing Solutions
Craighall Park South Africa
08.2020 - 03.2022
- Improved customer satisfaction ratings by addressing issues and fostering timely resolution.
- Resolved concerns with products or services to help with retention and drive sales.
- Exceeded service objectives by applying proven customer service and sales best practices.
- Responded to customer calls and emails to answer questions about products and services.
- Offered basic technical support for clients on wide range of company products.
- Delivered prompt service to prioritize customer needs.
- Sought ways to improve processes and services provided.
- Enhanced productivity levels by anticipating needs and delivering outstanding support.
- Maintained up-to-date knowledge of product and service changes.
- Trained staff on operating procedures and company services.
- Trained new personnel regarding company operations, policies and services.
- Responded proactively and positively to rapid change.
- Bolstered customer retention by creating and offering unique discount options and inspiring interest in new product lines.
- Increased efficiency and performance by monitoring team member productivity and providing feedback.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Frontline Consultant ( HOC)
Digicall Assessing Solutions
02.2020 - 08.2020
- provide excellent customer service, as well as handle customer complaints and inquiries in a polite and professional manner.
- listen sincerely and understand what is most important to the customer in order to solve the problem and meet (and hopefully exceed) their expectations
- provides essential services at their company
Claims Administrator ( Nedbak)
Digicall Assessing Solutions
05.2019 - 01.2020
- Optimized case management with establishment of best practices.
- Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
- Negotiated disputed bills.
- Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Sales and Service consultant
First National Bank
Randburg, South Africa
11.2016 - 11.2017
- provided essential services of the company
- Explaining products and services.
- Build and maintain relationships with clients
- Sell the company's products and services
- Identify opportunities for new client acquisition
Sales Consultant ( Funeral Plans)
Liberty Life
Braamfontein South Africa
04.2016 - 10.2016
- Used consultative sales techniques to understand customer needs and recommend relevant products and services.
- Created detailed sales presentations to communicate product features and market data.
- Cold called and conducted face-to-face sales calls with C-level executives and directors in assigned sales territory.
- Responded to telephone and in-person requests for information.
- Achieved top performance by strategically adapting to rapidly changing, competitive environment.
Education
High School -
Makheto High School
Limpopo South Africa 01.2010
Skills
- Investigation techniques
- Claims analysis
- Policy Interpretation
- Claims Investigation
- Relationship Building
- Active Listening
- Settlement Negotiations
- Team Collaboration
- Claims Processing
- Multitasking Abilities
- Time Management
- Familiar with fraud statutes
- Coaching and Mentoring
- Organizational Skills
- Customer service and support
- Teamwork and Collaboration
References
- Brendon VanRooyen, Telesure, Manager, 060 817 1235
- Kagiso Selele, Liberty Life, Team Leader, 079 937 5723 & 011 408 4498
- Jogee Mhemood, Fnb, Team leader, 071 3529265 &011 632 2000
- Samantha Ramjee, Digicall Assessing Solutions, Manager, 0651791823
Timeline
Claims Consultant Auto & General Australia
Telesure Investment Holdings
03.2023 - Current
HOC Claims consultant
Standard Bank
08.2022 - 02.2023
Complaints consultant
Digicall Assessing Solutions
04.2022 - 07.2022
Frontline Team Leader
Digicall Assessing Solutions
08.2020 - 03.2022
Frontline Consultant ( HOC)
Digicall Assessing Solutions
02.2020 - 08.2020
Claims Administrator ( Nedbak)
Digicall Assessing Solutions
05.2019 - 01.2020
Sales and Service consultant
First National Bank
11.2016 - 11.2017
Sales Consultant ( Funeral Plans)
Liberty Life
04.2016 - 10.2016
High School -
Makheto High School