Kamohelo Thekiso
ADMINISTRATOR / SUPERVISOR
Naturena
Summary
I have consistently demonstrated a commitment to excellence, evidenced by a proven track record of delivering exceptional results. My proficiency encompasses a blend of technical expertise and strong leadership skills, all underpinned by a steadfast dedication to ensuring client satisfaction. This multifaceted skill set positions me as a valuable and indispensable asset in the field of administration.
Overview
6
6
years of professional experience
Work History
Claims Clerk
Metal Industries
06.2024 - Current
- Administration of monthly pensions claims.
- Assessment of documents in line with company standards and procedures.
- Corresponding with members or employers via mail, e-mail, electronically or telephonically.
- Calculating benefits payable.
- Completing and submitting necessary statistical reports.
- Customer queries relating to benefits and general enquiries in terms of the Pension Funds Act.
- Preparing claims for payment of benefits manually, workflow and mainframe systems draw conclusions from data.
- Work well under pressure and towards set deadlines.
Online orders Supervisor
Woolworths Dash (Onecart)
04.2022 - 06.2024
- Orchestrating the allocation and coordination of procurement agents, ensuring an optimal workforce to meet the demands of daily customer orders
- Proactively identifying and addressing instances of negligence among procurement agents and drivers to uphold operational standards
- Spearheading efforts to guarantee timely delivery of customer orders by closely monitoring and supervising driver schedules and routes
- Conducted regular audits to guarantee compliance with internal policies and regulatory requirements
- Diligently conducted data-capturing tasks to ensure accurate and comprehensive recording of essential information related to ambulance claims
- Proficiently managed the end-to-end processing of ambulance claims, demonstrating a keen understanding of healthcare billing codes, regulations, and documentation requirements
- Executed thorough reviews of claim documentation to verify accuracy and compliance with industry standards
- Facilitated regular interactions to address inquiries, provide clarifications, and ensure a seamless exchange of information crucial for claims validation
Claims Administrator
Ems Medical Claims Administrator
02.2019 - 03.2022
- Conducted thorough investigations for complex claims, collaborating with legal and investigative teams to mitigate risks
- Captured medical aid claims from ambulance services to medical aids
- Processed claims using the ICD 10 coding standard
- Conducted regular audits to guarantee compliance with internal policies and regulatory requirements
- Diligently conducted data-capturing tasks to ensure accurate and comprehensive recording of essential information related to ambulance claims
- Proficiently managed the end-to-end processing of ambulance claims, demonstrating a keen understanding of healthcare billing codes, regulations, and documentation requirements
- Executed thorough reviews of claim documentation to verify accuracy and compliance with industry standards
- Facilitated regular interactions to address inquiries, provide clarifications, and ensure a seamless exchange of information crucial for claims validation
Education
Matriculated - Accounting, Business studies, Economics, Mathematical Literacy
Hoer Tegniese Skool
Higher Certificate - Higher certificate in Accounting Sciences
Unisa
Bachelor's Degree - Bachelor of Accounting Science
UNISA
04.2001 -
Skills
- Claims Processing
- Customer Service
- Technology Integration
- Team Leadership
- Compliance
- Order Fulfillment
- Quality Control
- Data Analysis
Languages
- English
- Sesotho
- Isizulu
- Setswana
Timeline
Claims Clerk
Metal Industries
06.2024 - Current
Online orders Supervisor
Woolworths Dash (Onecart)
04.2022 - 06.2024
Claims Administrator
Ems Medical Claims Administrator
02.2019 - 03.2022
Bachelor's Degree - Bachelor of Accounting Science
UNISA
04.2001 -
Higher Certificate - Higher certificate in Accounting Sciences
Unisa
Matriculated - Accounting, Business studies, Economics, Mathematical Literacy
Hoer Tegniese Skool
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