I am an ambitious and hardworking
individual with a clear idea on what my
goals are. My creativity and people
skills make me an ideal team player,
while I also enjoy responsibilities and
pressure that accompany individual
assignments. I regard professionalism
very highly and reliability is one of my
strong points. I am practical at problem
solving and am able to make decisions
leading to a positive outcome as I
always strive for perfection.
P R O F I L E
E X P E R I E N C E
***********@*****.***
C O N T A C T
Attention to detail and
accuracy.
Excellent communication
skills, both written and
verbal.
Ability to work under
pressure while being client
centric at all times.
Self-Management and
results-driven
Ability to be creative,
innovative and a problem
solver with collaboration and
inclusiveness.
S K I L L S
CLAIMS SPECIALIST (CONTRACT)
MOMENTUM METROPOLITON JULY 2019 - PRESENT
Investigating and accessing claims both electronic and paper based.
Managing claims flows between business partners
Ensuring all investigations, complaints and client service queries are dealt with in a timely manner.
In-depth understanding on various process
methodologys
CLAIMS ASSESSOR
MOMENTUM METROPOLITON JUNE 2016 - JUNE 2019
Capturing and processing claims within desired level of service
Ensuring that all claims are paid accordingly
Escalating problematic queries for further investigation Overseeing team daily reports to ensure that any errors are fixed.
Leading team training on new processing systems
E D U C A T I O N
ND:COST AND MANAGEMENT ACCOUNTING
CAPE PENINSULA UNIVERSITY OF TECHNOLOGY
2008 - 2011
SUBJECTS PASSED:
FINANCIAL ACCOUNTING
MANAGEMENT ACCOUNTING
TAXATION
CORPORATE PROCEDURES
BUSINESS STATISTICS
ORGANIZATIONAL MANAGEMENT
R E F E R E N C E S
DUE TO PRIVACY CONCERNS ALL REFERENCES WILL BE
MADE AVAILABLE UPON REQUEST
J A Q U E R E N E
P I E T E R S E N
MEDICAL
CLAIMS
SPECIALIST
DOCUMENT PROCESSING CLERK
MOMENTUM METROPOLITON OCT 2014 - MAY 2016
Processing of all paper documents into electronic
systems
Fulfilling membership claims requests and claims
statements