Center Agent Call
Resume:
NZWANA NGQALO
Team Player, quick and willing to Learn and always have a thirst for new discoveries.
Claims Assessor
Metropolitan Health Group, Cape Town
Assessing Both Edi and paper claims and ensure that scheme exclusions are applied. Processing foreign claims and facilitate amendments. Ensure all correspondence and archived and dealt within 24 hour turnaround time. review and decide if a claim needs to be forced through. Assist with Claims investigations and escalations.
Oct 2010 - 2013
Premium Management Correspondence Clerk
Metropolitan Health Group, Cape Town
Membership/Correspondence
Adding and terminating deceased dependents. Preparing Reconciliation statements. Sending requests for premiums, Calculating refunds and credits. Updatemember's profile (Status, address, contact details etc.) Requesting of outstanding Documents (telephonically, email and via messaging). Capturing of newMembership applications.
2013 - 2016
Membership Assurance
Metropolitan Health Group, J ohannesburg
Daily Reporting Identifying and reporting problems areas, trends and training needs with the focus on development of Membership Correspondence Agents and Team Leaders. 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. Prepareweekly and monthly audit reports. Attend and participate constructively in meetings with Senior Management.
2016 - 2018
Radio Presenter
CCFM 107.5, Cape Town
Presentinga3 6amWeekdayShowand6 7:30 am Sunday Show. Creating Content and overseeing the production for both Live and pre recordedprograms.
Mar 2014 - Feb 2018
Call Center Agent
Fero Mobile, Cape Town
Outbound call center
May 2010 - Aug 2010
Grade 12
J S Skenjana Senior Secondary, Eastern Cape
Subjects : Eglish, Xhosa, Mathematics,
Physical Science, Biology, Geography
2005 - 2005
Radio Presenter
Hot919FM Radio Training Academy, Cape Town
2019 - 2019
PERSONAL
Name
Nzwana Ngqalo
Address
No 1 Ntemi Mpiliso Street
2001 J ohannesburg
Phone number
******.******@*****.***
Date of birth
18-09-1988
Place of birth
Eastern Cape
Gender
Male
Nationality
South African
Marital status
S ingle
Driving licence
B (Code8)
INTERESTS
Hiking and Travelling
WORK EXPERIENCE
EDUCATION AND QUALIFICATIONS
Nondumiso Mbangi (Team Leader)
********@***.**.**
Metropolitan Health
Group
Gcotyelwa Mtati (Team Leader)
******@***.**.**
Metropolitan Health
Group
Lulie Masimini (Program Coordinator)
*****@****.***.**
CCFM 107.5
Microsoft Word
Microsoft Excel
MS Access
Microsoft Outlook
SAP
Reflections Program
REFERENCES
SKILLS
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