Client Support & Claims Specialist in Insurance/EMS

TM

TSHEPISO MATLALA

*****************@*****.*** 079******* Johannesburg, South Africa 1861

Dynamic claims consultant with expertise in managing and resolving insurance claims efficiently. Known for enhancing customer satisfaction through clear communication and swift problem resolution while ensuring compliance and cost- effectiveness. Proven ability to multitask and prioritize effectively in a fast-paced environment.

• Claims processing

• Regulatory compliance

• Case management

• Reporting

• Problem solving

• Attention to detail

• Time management

• Multitasking

• Stakeholder engagement

• Verbal communication

Energy at Work (Standard Bank)

Johannesburg, South Africa

Senior claims consultant

09/2025 - 02/2026

Managed building insurance claims processes, ensuring compliance and enhancing customer satisfaction while minimizing insurer losses.

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Guided clients on claim processes and necessary documentation, facilitating smoother claim submissions.

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• Developed training materials for new claims consultants on best practices. Digicall S.A Johannesburg, South Africa

Case manager

08/2021 - 08/2025

Coordinated with healthcare providers to ensure comprehensive client care.

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• Developed personalized care plans based on individual client needs.

• Managed case documentation and maintained accurate client records. Resolved client complaints and queries promptly to uphold customer satisfaction.

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Europ Assistance S.A Johannesburg,

South Africa

Call screener

02/2014 - 08/2021

Answered inbound calls for Emergency MTN 112 and Cell C 112, actively listened to customers, addressed concerns promptly, and escalated major issues to supervisor. Adapted to flexible hours, including nights, weekends, and holidays, to meet customer needs.

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Coordinated with medical professionals to exchange accurate information and support customer inquiries.

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GIFS

Short Term Insurance NQF Level4 in Insurance and Risk Management 10/2024

Graduate institute of financial sciences (GIFS) Johannesburg Higher National Certificate

01/2022

Summary

Skills

Experience

Education

Qualification focuses on equipping leaners with foundation knowledge, skills and competencies needed to operate effectively in the short term insurance industry

Thabo Secondary State School Johannesburg

High school diploma in English, S.sotho, Biology, Travel and tourism, Economic 12/2006

• Precious Chelechele, Energy at Work, ********.**********@************.**.**, 073*******

• Aletta Ncube, Digicall S.A, ******.*****@*************.**.**, 011******* / 082*******

• Amos Nduli, Europ Assistance S.A, 011-***-**** / 067*******

• Going out and socializing

• Cooking

• Listening to music

• Date of Birth: 11/03/89

• Nationality: South African

• Marital Status: Single

• Isizulu

• S.Sotho

• Sepedi

• English

• Isizulu

• S.Sotho

• Sepedi

References

Hobbies and Interests

Personal Information

Languages

Contact this candidate