Velma Annie Nqoko
Risk And Non Risk Claims Assessor
Johannesburg
Summary
Risk and non-risk assessor with 10 years’ experience in insurance customer service environment and 2 years & 9 months of claims assessing and payment up to R200 000. Claims assessor with deep knowledge of fraud practices and trends to look out for when processing claims and payments. Team player, always willing to learn and train the next person on new processes. Working within SLA to give excellent service to clients and minimize complaints.
Overview
15
15
years of professional experience
3
3
Languages
Work History
Risk and Non Risk Claims Assessor
Sanlam Developing Market
05.2021 - Current
* Assessing and validation of death claims with external forensics to minimize fraud.
* Assessing Sanlam Sky and Capitec death claims
* Payment of Cash due to clients (Cash backs, Surrenders, Maturities and Refunds)
* Non-risk payment up to R100 000
* Death claims payment to R200 000
* Paying claims within 4 hours SLA
* Repudiating fraudulent claims
Client Care Representative
Sanlam
04.2009 - 04.2021
* Attending to all policies related clients’ queries
* Claim Processing
* Payment Enquiries
* Payment of clients Loans/ Cash withdrawals and Surrender
* Payment of funeral claims
* Debit and stop order placements
* Leads Identification/ Generation
* Investigating complaints and Generating to Relevant Dept.
* Solving Clients enquiries within SLA
Education
National Diploma - Public Management
Durban University of Technology
Durban 04.2001 -
Skills
Data Verification
Excellent Communication
Time Management
Training and leadership
Teamwork
Additional Information
I'm willing to relocate to any province or country.
I'm available immediately to start when needed.
Timeline
Risk and Non Risk Claims Assessor
Sanlam Developing Market
05.2021 - Current
Client Care Representative
Sanlam
04.2009 - 04.2021
National Diploma - Public Management
Durban University of Technology
04.2001 -