Tshepiso Matlala
Johannesburg
Summary
Dynamic claims consultant with expertise in managing and resolving insurance claims efficiently. Known for enhancing customer satisfaction through clear communication and swift problem resolution while ensuring compliance and cost-effectiveness. Proven ability to multitask and prioritize effectively in a fast-paced environment.
Overview
12
12
years of professional experience
Work History
Senior claims consultant
Energy at Work (Standard Bank)
Johannesburg
09.2025 - 02.2026
- Managed building insurance claims processes, ensuring compliance and enhancing customer satisfaction while minimizing insurer losses.
- Guided clients on claim processes and necessary documentation, facilitating smoother claim submissions.
- Developed training materials for new claims consultants on best practices.
Case manager
Digicall S.A
Johannesburg
08.2021 - 08.2025
- Coordinated with healthcare providers to ensure comprehensive client care.
- Developed personalized care plans based on individual client needs.
- Managed case documentation and maintained accurate client records.
- Resolved client complaints and queries promptly to uphold customer satisfaction.
Call screener
Europ Assistance S.A
Johannesburg
02.2014 - 08.2021
- Answered inbound calls for Emergency MTN 112 and Cell C 112, actively listened to customers, addressed concerns promptly, and escalated major issues to supervisor. Adapted to flexible hours, including nights, weekends, and holidays, to meet customer needs.
- Coordinated with medical professionals to exchange accurate information and support customer inquiries.
Education
Short Term Insurance NQF Level4 - Insurance and Risk Management
GIFS
10-2024
Higher National Certificate -
Graduate institute of financial sciences (GIFS)
Johannesburg01-2022
High school diploma - English, S.sotho, Biology, Travel and tourism, Economic
Thabo Secondary State School
Johannesburg12-2006
Skills
- Claims processing
- Regulatory compliance
- Case management
- Reporting
- Problem solving
- Attention to detail
- Time management
- Multitasking
- Stakeholder engagement
- Verbal communication
References
- Precious Chelechele, Energy at Work, Precious.Chelechele@standardbank.co.za, 0739388376
- Aletta Ncube, Digicall S.A, Aletta.Ncube@digicallgroup.co.za, 0112115000 / 0825388066
- Amos Nduli, Europ Assistance S.A, 011 991 8000 / 0670965864
Hobbies and Interests
- Going out and socializing
- Cooking
- Listening to music
Personal Information
- Date of Birth: 11/03/89
- Nationality: South African
- Marital Status: Single
Languages
- Isizulu
- S.Sotho
- Sepedi
- English
- Isizulu
- S.Sotho
- Sepedi
Timeline
Senior claims consultant
Energy at Work (Standard Bank)
09.2025 - 02.2026
Case manager
Digicall S.A
08.2021 - 08.2025
Call screener
Europ Assistance S.A
02.2014 - 08.2021
Short Term Insurance NQF Level4 - Insurance and Risk Management
GIFS
Higher National Certificate -
Graduate institute of financial sciences (GIFS)
High school diploma - English, S.sotho, Biology, Travel and tourism, Economic
Thabo Secondary State School