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Pretoria
kgaugelo marcus

kgaugelo marcus

Claims administrator

Non-profit / Volunteering

Pretoria, City of Tshwane Metropolitan Municipality

Social


Services offered

 

Experience

 POSITION HELD: ADMINISTRATOR (SANDF GLIS/SOUTH AFRICAN ARMY FOUNDATION

 Company Name: South African army foundation

 PERIOD: April 2013-28february 2021

 

MOVEMENT CLERK

  • Collecting claims from Army headquarters daily.
  • Register the incoming post.
  • Record receiving data in company database.
  • Submitting payment schedule of claims paid to HR AND MAINTANANCE for filing and audit.

 

CLAIMS ADMINISTRATOR (SANDF GLIS AND ARMY FOUNDATION)

  • Registration of claims.
  • Assist clients with claims related problems and report all deviations to reporting level.
  • Dealing with clients and processes in line with company procedures.
  • Handling all information on basis of trust.
  • Gathering all the relevant supporting documents to further the claims process.
  • Ensure adherence to claims and underwriting guidelines.
  • Attend to walk-in clients to complete claim forms (funeral, life cover and disability).
  • Management of calls in a professional and efficient manner.
  • Follow up calls where and when necessary.
  • Load claims information onto claims system.
  • Creating a client file.
  • Ensure that claims item is deleted with insurer after finalization of claim.
  • Compile and submit outstanding claims report as per set standard.
  • Improving turn-around times on claims by delivering service excellence
  • Ensure data integrity on all system. 
  • Data collection and processing of transactions.
  • Recon the batch paid, courier claims to the underwriter of the scheme.
  • Attend to general correspondence and e-mails to insurer’s according to company standards.
  • Attend to client queries where it is required.
  • Ensure confidentiality of database information.
  • Any other instruction from Management.

 

ADMINISTRATOR (SOUTH AFRICAN ARMY FOUNDATION)

  • Meeting and greeting clients /visitors to the office.
  • Operating office equipment including printers, copiers, fax machine and multimedia instruments.
  • Check incoming paperwork (correspondence, claims etc.).
  • Sort all papers alphabetically and according to content, dates, significance.
  • Create or update records with new files and information.
  • Store all paperwork in designated places securing the important document according to POPIA.
  • Enter paperwork into an electronic system either by data entry or by using optical scanners.
  • Setting up appointments, distributing reports and managing correspondence between the office and external bodies.
  • Answering phone calls and calling clients to follow ups on appointments and payments.
  • Answering customer question, providing information regarding the status of claims.
  • Data capturing
  • Taking minutes during meetings when appropriate.
  • Respond to customer enquiries via telephone, internet (emails) and in person applying TCF principle.
  • Switchboard operation when appropriate.
  • Preparing board packs when appropriate.
  • Monthly recon for officer’s fund scheme.
  • Assisting with reservations for rainbow holiday club when appropriate.
  • Generate reports from information system as required.
  • Minimize or ZERO cancellations through regular and pro-active dealings with clients.
 

Skills

 

  • Planning and organizing
  • Computer literacy (word, excel, power point, outlook, access)
  • Communication skills
  • Database 
  • POPIA ACT
  • TCF principles
  • Record keeping, filing  and maintenance of database.
  • System A knowledge
  • Q link knowledge
  • Mainframe knowledge
  • Fund managers knowledge
  • Customer service
  • Fica act
  • Problem solving
  • Services knowledge

 

 

 

ACHIEVEMENTS

 

  • Received awards 
  • Recognition letters and thank you cards
  • Responded to customers daily and solved 90% of their concerns.

 

 

 

  • Contributed to good customer service.
  • Incentive bonus from management every year
  • Contributed in SANDF GLIS SCHEME account growth.
  •  
Approximate rate: ZARR 40 per hour

Experience

 

Experience

 POSITION HELD: ADMINISTRATOR (SANDF GLIS/SOUTH AFRICAN ARMY FOUNDATION

 Company Name: South African army foundation

 PERIOD: April 2013-28february 2021

 

MOVEMENT CLERK

  • Collecting claims from Army headquarters daily.
  • Register the incoming post.
  • Record receiving data in company database.
  • Submitting payment schedule of claims paid to HR AND MAINTANANCE for filing and audit.

 

CLAIMS ADMINISTRATOR (SANDF GLIS AND ARMY FOUNDATION)

  • Registration of claims.
  • Assist clients with claims related problems and report all deviations to reporting level.
  • Dealing with clients and processes in line with company procedures.
  • Handling all information on basis of trust.
  • Gathering all the relevant supporting documents to further the claims process.
  • Ensure adherence to claims and underwriting guidelines.
  • Attend to walk-in clients to complete claim forms (funeral, life cover and disability).
  • Management of calls in a professional and efficient manner.
  • Follow up calls where and when necessary.
  • Load claims information onto claims system.
  • Creating a client file.
  • Ensure that claims item is deleted with insurer after finalization of claim.
  • Compile and submit outstanding claims report as per set standard.
  • Improving turn-around times on claims by delivering service excellence
  • Ensure data integrity on all system. 
  • Data collection and processing of transactions.
  • Recon the batch paid, courier claims to the underwriter of the scheme.
  • Attend to general correspondence and e-mails to insurer’s according to company standards.
  • Attend to client queries where it is required.
  • Ensure confidentiality of database information.
  • Any other instruction from Management.

 

ADMINISTRATOR (SOUTH AFRICAN ARMY FOUNDATION)

  • Meeting and greeting clients /visitors to the office.
  • Operating office equipment including printers, copiers, fax machine and multimedia instruments.
  • Check incoming paperwork (correspondence, claims etc.).
  • Sort all papers alphabetically and according to content, dates, significance.
  • Create or update records with new files and information.
  • Store all paperwork in designated places securing the important document according to POPIA.
  • Enter paperwork into an electronic system either by data entry or by using optical scanners.
  • Setting up appointments, distributing reports and managing correspondence between the office and external bodies.
  • Answering phone calls and calling clients to follow ups on appointments and payments.
  • Answering customer question, providing information regarding the status of claims.
  • Data capturing
  • Taking minutes during meetings when appropriate.
  • Respond to customer enquiries via telephone, internet (emails) and in person applying TCF principle.
  • Switchboard operation when appropriate.
  • Preparing board packs when appropriate.
  • Monthly recon for officer’s fund scheme.
  • Assisting with reservations for rainbow holiday club when appropriate.
  • Generate reports from information system as required.
  • Minimize or ZERO cancellations through regular and pro-active dealings with clients.
 

Skills

 

  • Planning and organizing
  • Computer literacy (word, excel, power point, outlook, access)
  • Communication skills
  • Database 
  • POPIA ACT
  • TCF principles
  • Record keeping, filing  and maintenance of database.
  • System A knowledge
  • Q link knowledge
  • Mainframe knowledge
  • Fund managers knowledge
  • Customer service
  • Fica act
  • Problem solving
  • Services knowledge

 

 

 

ACHIEVEMENTS

 

  • Received awards 
  • Recognition letters and thank you cards
  • Responded to customers daily and solved 90% of their concerns.

 

 

 

  • Contributed to good customer service.
  • Incentive bonus from management every year
  • Contributed in SANDF GLIS SCHEME account growth.
  •  

Education

 

Education

 GRADE 12(FULL EXEMPTION)

  Tubake secondary school

  2003-2007

  Subject passed: Sepedi 

                               English

    Afrikaans

    Mathematics

    Physical science

    Geography

 

NATIONAL HIGHER CERTIFICATE (NATED) BUSINESS MANAGEMENT

Capricorn College for FET

2011-2012

Modules passed N4: Management communication 

          Financial accounting

          Entrepreneurship and business management

          Computer practice

Modules passed N5: Financial accounting

          Entrepreneurship and business management

          Computer practice 

          Sales management

Modules passed N6: Sales management

          Computer practice

 

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