Yolande Prinsloo
Senior Claims Consultant
Vereeniging,GP
Summary
Hardworking and focused Person providing excellent communication, planning and prioritization skills demonstrated through 30 years of performance.
leadership skills with expertise in streamlining workflow to optimize personnel strengths.
Dedicated person with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support.
Responsible, punctual and productive professional when working with little to no supervision.
Professional and knowledgeable offering several years of experience in support and customer service. Highly efficient planning, problem-solving, and communication skills.
Overview
30
30
years of professional experience
6
6
Certifications
Work History
Commercial Administrative Consultant
Paladin Underwriting Managers
03.2022 - Current
- Assisted coworkers and staff members with special tasks on daily basis.
- Facilitated timely delivery of special projects to meet organizational and departmental objectives.
- Maintained accurate record-keeping systems, ensuring data integrity and easy retrieval when needed.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Provided exceptional customer service, addressing inquiries promptly and professionally to ensure satisfaction.
- Liaised between clients and vendors and maintained effective lines of communication.
- Volunteered to help with special projects of varying degrees of complexity.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Gained extensive knowledge in data entry, analysis and reporting.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
- Registering of new claims
- Handling of Third Party registration of claims and handling of third party claims administrative between client and attorneys
- Assist claim staff and management should task be allocated to me to attend
- Authorizing of certain payments in respect of suppliers
Senior Claims Consultant
SA Underwriters
11.2007 - 02.2022
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Registered claims
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Assessed and conducted negotiations within authority limits so settle claims
- Maintained knowledge of policies and procedures and insurance coverage benefit level's, eligibility systems and verification processes
- Mentored and trained new new hire employees in resolving complex liability disputes and policy analysis
- Communicated with other departments to establish action plans and manage open claims to closure
- Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
- Determined insurance coverage levels and restrictions by thoroughly examining claim forms and associated records
- Identified suspicious losses, immediately contacting Loss Analyst investigator to conduct further investigations
- Analyzed information gathered by investigations and reported findings and recommendations
- Delivered exceptional customers service to clients by communicating information and actively listening to concerns
- Drafted statement of loss to summarize damages, payments and underlying policy coverage
- Reduces loss ratios through fair and prompt processing and payment of claims
Claims Consultant
Brolink Insurance
03.2002 - 10.2007
- Provided quality customers service to assigned, insured and claimants throughout claims process to delivery timely service to customers
- Registration of new claims, appointing of assessor to determine the quantum of damaged risk
- Verified details with policy holders
- Reviewed documentation to determine validity
- Assessed policy coverage
- Supported efficient handling of complex claims and followed up on open or denied claims to complete the required time lines
- Reviewed information to determine validity of insurance claims and contacted clients about decisions
- Processed motor and non motor claims daily
- Assessed and conducted negotiations within authority limits to settle claims
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes
- Acted as intermediary between insurance companies and clients
Commercial Claims Consultant
Petrosure Underwriting Managers
03.2001 - 01.2002
- Adhered to company and insurance clients guidelines in claims processes, estimate writing and claims processing
- Review, evaluated and adjusted claims to promote fair and prompt settlements
- Negotiated and settled claims according to information and reports presented.
- Recommended settlement offers and negotiated payments
- Reviewed data to verify validity of claims and determine case-management actions
- Drafted settlements of loss to summarize damages, payments and underlying policy coverage
- Identified and obtained evidence to ascertain claim value
Underwriter
Mutual And Federal
02.1994 - 02.2001
- Evaluated applications to determine insurance coverage and appropriate risk classifications.
- Supported review, acceptance, or denial of new or renewal business after carefully reviewing all information.
- Reviewed applications for insurance coverage and reports from loss control specialists to determine risks.
- Made approval and denial recommendations by determining accurate risk levels.
- Analyzed data to identify trends and predict future insurance needs.
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
- Monitored underwriting teams' performance and provided mentoring to achieve personal and department production goals.
- Supported review and acceptance or denial of new or renewal business.
- Mentored junior underwriters, providing guidance on best practices and improving overall team performance.
- Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwritings.
- Strengthened communication skills through regular interactions with others.
- Developed and maintained courteous and effective working relationships.
- Self-motivated, with a strong sense of personal responsibility.
Education
High School Diploma -
Vereeniging High School
Vereeniging 04.2001 -
Skills
Led teams to achieve goals, earning recognition from upper management
undefinedCertification
Re Exam completed
Timeline
Commercial Administrative Consultant
Paladin Underwriting Managers
03.2022 - Current
Re Exam completed
01-2012
Senior Claims Consultant
SA Underwriters
11.2007 - 02.2022
Claims Consultant
Brolink Insurance
03.2002 - 10.2007
High School Diploma -
Vereeniging High School
04.2001 -
Commercial Claims Consultant
Petrosure Underwriting Managers
03.2001 - 01.2002
Underwriter
Mutual And Federal
02.1994 - 02.2001
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