NO.* NTEMI-MPILISO STREET
CONTACT NO. 073*******
ID NO. 880**********
DATE OF BIRTH: 1988 September 18
LICENCE DRIVE: CODE 8
LANGUAGE SPEAK READ WRITE
ENGLISH GOOD GOOD GOOD
XHOSA GOOD GOOD GOOD
ZULU GOOD GOOD FAIR
PERSONAL SKILLS: Team player, quick and willing to learn, and always have a thirst for new discoveries.
HIGH HIGHEST SCHOOL SUBJECT ENGLISH MATHEMATICS STANDARD ATTENDED: 2ND PASSED: LANG PASSED: SG HG ISIXHOSA J.S SKENJANA MATRIC 1ST LANG (2005) SENIOR HG SECONDARY (2005) BIOLOGY PHYSICAL SG SCIENCE SG
GEOGRAPHY HOT919FM RADIO SG TRAINING ACADEMY: 2019 EMPLOYMENT HISTORY
Fero Mobile: (01 Outbound May 2010 Call – 30 Center August agent) 2010 Radio Presenter: CCFM 3 – 6am 107.week 5 (01 days March 14 – 28 February 18) Creating content and 6 – overseeing 7:30am Sundays the production for both live and pre-recorded programs. Metropolitan Health (Client Group: Learner service 1 ship October program) 2010- Monyetla Work Readiness Program Claims Membership
Claims Department Premiums
Assessing Processing both foreign Edi claims and paper and claims facilitates and amendments. ensure that scheme exclusions are applied Ensure Review all and correspondence decide if a claim are needs archived to be and forced dealt through. within a 24 hour turnaround time. Assist Metropolitan Membership with claims / Health Correspondence investigation Group: Premium and escalations. Management Correspondence Clerk Adding, terminating and deceasing of dependents.
Preparing Reconciliation statements.
Sending requests for premiums.
Calculating refunds and credits.
Updating member’s profile (Status, address, contact details…….) Requesting outstanding documents (telephonically, email and via sms) Capturing of new membership applications
Daily Reports – Identifying and reporting of problems areas, trends and training needs with Leaders: the focus on development of Membership Correspondence Agents and Team Investigating the council of medical aid scheme complaints and providing recommendations. Preparing SLA reports (ensuring that SLA is within the agreed turnaround time) Liaise with different partnering Service Provider Networks. Generating reports to monitor quality levels of work. Prepare ad hoc reports for management reporting purposes using database query skills. Prepare monthly and weekly audit reports.
Attend and participate constructively in meetings with Senior Manager. REFERENCES
Lulie Program CCFM Masimini 107.Coordinator 5
Email: Cell: 076******* firstname.lastname@example.org
Tel no: 021*******
Team Leader; (Premium Support Client services)
GEMS Business Unit
Metropolitan Health Group
Tel no; 021*******
Team Leader: (Membership Department)
Gems Business Unit
Metropolitan Health Group
Tell no: 082*******