Zamavikithi Nkomo
Healthcare Consultant
1441 Bongani Nzama Av, Amanzimtoti,Durban
Summary
I am a goal driven individual who strives in excelling in everything i do. I am very professional and enjoy dealing with people. I understand in depth the healthcare environment and have sufficient knowledge to advise on the respective Health products
Overview
11
11
years of professional experience
8
8
years of post-secondary education
Work History
Healthcare Consultant
Numsa Financial Services
Durban
05.2023 - Current
- Implemented process improvements for increased efficiency in service provision, as well as decreasing the pressure from the HR team in terms of the different healthcare providers billings.
- Assist the HR teams with inductions, claims, wellness days,member queries and for seeing the new business application process from beginning to end in making sure I am tracking the status of each application with the respective scheme.
- Analyze the existing processes, identify areas for improvement and develop strategies to achieve organizational goals while maintaining and improving quality of care for members
- Establishing a good and maintained relationship between the client and the healthcare service providers.
- managed approximately 30 emails daily, and maybe 10 plus call queries.
- Facilitated training sessions for members development and skill improvement.
- Oversaw accounting, budgeting, and financial reporting.
- Produced detailed and relevant reports for use in making business decisions.
Healthcare Consultant
Alexander Forbes
Durban
01.2018 - 04.2023
- I managed the overall member servicing, following up on new applications, claims, conducting inductions and organizing wellness days
- Provided medical aid support, also give benefits advice and recommendations to new and old employees, through conducting a full needs analysis.
- Assisted organization in strategic business development.
- Grew portfolio of clients by thirty percent over two years.
- Identified gaps in current systems, resulting in improved workflows.
Claims Assessor
Fedhealth Medical Scheme ( medscheme)
Roodepoort
01.2015 - 12.2017
- Resolved issues promptly by liaising with relevant departments.
- Demonstrated thorough understanding of policy terms and conditions for accurate assessments.
- Conducted in-depth investigations into disputed insurance claims.
- Kept meticulous records of all correspondence related to each claim, promoting transparency.
- Worked under strict deadlines without compromising quality of work or client service.
- Reviewed medical records meticulously for proper injury claim evaluations.
- Analysed complex data to identify fraudulent claims.
- Assisted Health care providers on making sure the correct information is received for claim processing.
- Attended to 60 email queries daily
Education
bachelor of disaster and safety management - Project Management
Lyceum College
01.2017 - 12.2020
. WEALTH MANAGEMENT NQF LEVEL 5 - Finance
Inseta
Durban, KwaZulu-Natal 01.2019 - 01.2020
IT certificate - Information Technology
IT Intelect
Durban, KwaZulu-Natal 01.2007 - 12.2008
Matric - English 2nd Language; IsiZulu 1st Language; Biology; Mathematics; Bible Studies and Physical scien
Rehoboth Christain College
Durban, KwaZulu-Natal 01.2006 - 12.2006
Skills
Budgeting proficiency
undefinedTimeline
Healthcare Consultant
Numsa Financial Services
05.2023 - Current
. WEALTH MANAGEMENT NQF LEVEL 5 - Finance
Inseta
01.2019 - 01.2020
Healthcare Consultant
Alexander Forbes
01.2018 - 04.2023
bachelor of disaster and safety management - Project Management
Lyceum College
01.2017 - 12.2020
Claims Assessor
Fedhealth Medical Scheme ( medscheme)
01.2015 - 12.2017
IT certificate - Information Technology
IT Intelect
01.2007 - 12.2008
Matric - English 2nd Language; IsiZulu 1st Language; Biology; Mathematics; Bible Studies and Physical scien
Rehoboth Christain College
01.2006 - 12.2006
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