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
Medical coding knowledge
Microsoft Office proficiency
Client relations
Knowledge of regulatory standards and obtained RE5
Healthcare industry awareness
Verbal and written Communication
Timeline
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