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Senior Claims Administrator with Diploma in Human Resources Management

Location:
Johannesburg, Gauteng, South Africa
Posted:
September 14, 2022

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Resume:

Curriculum vitae for MabuselaTlou Daniel

** ****** ******

Tokoza

1426

Tel: 071*******/081*******

Email: adsko4@r.postjobfree.com

Personal Details

Date of Birth : 31 March 1986

ID No : 860**********

Nationality : South African

Gender : male

Drivers License : C1

Education Details:

Institution : Damelin College

Qualification : 3 year Diploma in Human Resource

Management (NQF6)

Modules

Human Resource Management

Industrial Psychology

Industrial relation

Training Management

Project Management

Work integrated learning

Institution : Damelin College

Qualification : Certificate in Human Resource Management (2008) Modules

Business Calculations

Human Resource Management

Industrial Psychology

Training and Development

Labor Law

Business Communications

Computer Skills

School attended : Thoko-Thaba High School

Highest grade passed : Grade 12

Year Completed : 2004

Work Experience

Company: Metal Industries Benefit Fund Administrators (MIBFA) Position: Senior Claims Administrator (Employee Benefits) Duties:

Administration of Claims nationally and internationally (Death, Retirement & Monies in Trust)

Corresponding with members/beneficiaries in receipt of a pension/Installment via mail or email

Calculating various benefits payable

Completing and submitting necessary statistical reports

Handling of tax queries and issuing certificates

Customer queries relating to pension maintenance and general enquiries

Liaise and collaborate with other departments to resolve problems and improve customer service levels

Period: From June 2016 to September 2022

Reason for leaving: To grow and explore other options externally Work Experience

Company: Metal Industries Benefit Fund Administrators (MIBFA) Position: Surplus Call Centre Agent

Duties: Handling Surplus Enquiries, Surplus Statements and, Payment confirmation

Document Checker and Funds Adviser

Administrative Duties: Spreadsheet logging, scanning and, printing of documents

Surplus Email queries and, multilingual communications agent Period: From March 2016 to May 2016

Reason for leaving: Promoted to another position

Work Experience

Company: Metal Industries Benefit Fund Administrators (MIBFA) Position: Surplus Administrators

Duties:

Handle mail from/to post office and internal departments/attend to Surplus Mailbox queries

Update incoming mail spreadsheets and compile statistics

Trace member records, establish Fund membership, membership status (i.e. Former Member, Current Member, Deceased etc)

Check, scan onto Oculus 8/validate or verify authenticity of surplus documentation as per departmental standards

Assist supervisor and team leader with on the job training if necessary

Finalize and close claims

Prepare claims for payment of surplus benefits

Undertake all administrative responsibilities such as faxing, posting and general office procedures

Correspond with members, Former Members telephonically and Emails

Assess surplus claims and requirements in line with company standards and procedures

Handle telephone queries professionally in a clear, courteous and professional manner as it relates to the fund/Transfer member queries to relevant department, I.e. Funds

Check that the documents received is surplus related, if not send to the relevant department

Specify if documents are a photo copy or faxed copy by using the relevant stamps

Filing

Data Capturing

Receiving and organizing post

Ensure that client submitted the correct documents: ID copy, Bank statement and Proof of residence

Stamping documents

Period: From May 2015 to February 2016

Reason for leaving: Promoted to another position

Work Experience

Company: Sanlam

Position: Claims Assessor

Duties

Reported to the team leader

Captured new claims on the system to be available for record purposes

Claims processed: x 40 per day

Ensured claims payments were being transferred to the correct banking details

Declined claims which were invalid based on the terms and conditions of the company

Responsible for writing letters to the clients when required

Wrote repudiations, limitations and requirement letters to clients on the reasons for requirements, repudiated or limited the claim, processed x 20 letters per day

Filed client documents on the Pavlov system, i.e.. identity document, claim forms, bank statements and hospital files

Ensured that client provided relevant documents e.g. complete claim forms, signed declaration by the policy holder, PMA report, copy and bank statement

Cancelled policies as advised by underwriters due to fraud or non-disclosure and refunded premiums

Updated clients banking details, contact details, addresses and rectified policy numbers

Filed documents on the system

Period: From July 2013 to January 2015

Reason for leaving: Contract ended

Work Experience

Company: Westfalia Fruit Estate

Position: Human Resources Management Intern

Duties:

Help management with recruitment process, methods and steps to follow in the recruitment process

Identified and hire the perfect candidate who meet the job requirements

Capturing employee’s information and disciplinary records on the system

Gathering information from job applicants in a form of asking questions to know the job applicant if he can do the job

Asking employees questions about their jobs, responsibility, expectations and working conditions

Writing down minutes of meetings for records purposes

Ensuring that employees’ information on the file is up to date, employees provided bank statement, qualifications and all other relevant information required in the file

Selecting candidates who meet the requirements of the job so that they could be interviewed

Identify employees who are reaching retirement age so that the company could start early with their pension fund

Assisting management in making decisions such as the methods of training to be used for staff and on hiring the best candidates who meet the job requirement

Calculating job applicants interviews scores

Assisting management on handling disciplinary actions Period: October 2011 to April 2012

Reason for leaving: Contract ended

Work Experience

Company: Hans Merensky Holdings (Pty) Ltd

Duties: Filing and General work as requested by supervisor Period: On an adhoc basis

Personal Skills and Competencies

Computer Skills : Microsoft Office (Microsoft Word, Excel, PowerPoint, Outlook and Access, Internet and Email)

Leadership skills : Strategic Decision Making, Conflict Management Skills Interpersonal skills : Punctual, Patience, Honestly and Integrity In-House Training

Customer Service, Retirement Fund, Effective Writing for Business Programme, Session System, CRM System, Oculus 8

and 7, The Alex System, Future Fit Session1, HIV Training, Conflict of interest, FICA,Pavlov, Athena

&Docix, Fafa Enquiry

Workshop, Fire marshal course

Achievements

Employee of the year 2019 (MIBFA)

Top performer for the month of January, September and October (Sanlam) References

1.Kenneth Molewa (Supervisor)

Metal Industries Benefit Fund Administrators (MIBFA) Contact Number: 082*******/011*******

2. Sanelisiwe Nyiphi (Claims Assessor/Checker)

Metal Industries Benefit Fund Administrators (MIBFA) Contact Number: 083*******/011*******

3. Mr. Richard Mabitsela (Supervisor)

Sanlam

Contact Number: 083*******/011*******

Email: adsko4@r.postjobfree.com

4. Mr. Negroes Nonyane (Human Resources Manager)

Westfalia Fruit Estate (LTD) PTY

Contact Number: 079*******/082*******



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