Wendy linda Chileshe
Johannesburg
Summary
Dedicated claims consultant and professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Reliable employee seeking any position as per my CV . Offering excellent communication and good judgment. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to work any position. Ready to help team achieve company goals.
Overview
19
19
years of professional experience
9
9
years of post-secondary education
Work History
Recoveries and Liability
CONSTANTIA
Johannesburg
11.2020 - 08.2022
- Learned new skills and applied to daily tasks to improve efficiency and productivity.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Exceeded goals through effective task prioritization and great work ethic.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
- Prepared variety of different written communications, reports and documents.
- Process all payments and do all banking reconciliation
- Draw up bank statement for the department and allocate funds.
Senior Claims Consultant
CONSTANTIA
Johannesburg
06.2017 - 11.2020
- Implemented improvements in manual and electronic billing procedures.
- Directed claims negotiations within allowable limit of R250,00.00 and supported successful litigations for advanced issues.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Collected and tracked evidence in support of legal processes.
- Conducted full claim investigations and reported updates and legal actions.
- Examined claims forms and other records to determine insurance coverage.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Testified on behalf of agency as part of criminal and civic proceedings.
- Directed and coordinated various investigations conducted by field investigation team.
Business Insurance Consultant
TELESURE
Johannesburg
02.2015 - 06.2017
- Created sources for continuous client referrals within community and with businesses using extensive networking skills.
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
- Utilized direct marketing strategies such as mailings and phone contracts to approach potential clients and increase sales by 50%
- Exceeded goals through effective task prioritization and great work ethic.
- Calculated premiums and established payment methods for sales.
Dispute Resolution Specialist
TELESURE
Johannesburg
02.2012 - 02.2015
- Formulated focused and individualized resolutions aimed to peacefully settle disputes.
- Reviewed and analyzed opposing sides of disputes to objectively assess situations from legal perspective.
- Drafted settlement paperwork and gathered signatures from disputants to provide official documentation of agreed-upon solutions.
- Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
- Prepared written opinions or decisions regarding cases.
- Resolved conflicts and negotiated mutually beneficial agreements between parties.
Claims Processor
TELESURE
Johannesburg
06.2006 - 02.2012
- Investigated properties to determine extent of damage and estimate repair costs.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Analyzed information gathered by investigations to report findings and recommendations.
Assessment Administrator
HOTLINE RANDBURG
Johannesburg
06.2005 - 06.2006
- Monitored testing sites and regulation adherence.
- Coordinated with administrators about matching assessments with curriculum.
- Communicated professionally in written and verbal forms with team members, clients and staff.
- Assisted in discharge plan development and supported discharge planner when workload required.
Switchboard Receptionist
TELESURE
Johannesburg
02.2004 - 06.2005
- Managed 20 t0 25 calls line switchboard system for busy company.
- Attended safety training meetings to learn procedures for handling medical and fire emergency calls.
- Kept records of calls placed and charges incurred.
- Searched relevant directories to find contacts, business addresses, and processing payments confirmation for customers and employees.
- Performed clerical work such as sorting mail, restocking supplies and typing documents.
Education
High School Diploma -
Lusaka Girls High School
Zambia 01.1991 - 11.1996
GED -
Evelyn Hone Collage
Zambia 02.1997 - 11.1999
Skills
Liability understanding
undefinedTimeline
Recoveries and Liability
CONSTANTIA
11.2020 - 08.2022
Senior Claims Consultant
CONSTANTIA
06.2017 - 11.2020
Business Insurance Consultant
TELESURE
02.2015 - 06.2017
Dispute Resolution Specialist
TELESURE
02.2012 - 02.2015
Claims Processor
TELESURE
06.2006 - 02.2012
Assessment Administrator
HOTLINE RANDBURG
06.2005 - 06.2006
Switchboard Receptionist
TELESURE
02.2004 - 06.2005
GED -
Evelyn Hone Collage
02.1997 - 11.1999
High School Diploma -
Lusaka Girls High School
01.1991 - 11.1996
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