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Durban
Lloyd Leigh

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About Lloyd Leigh:

Good day Sir/Madam
Please find, as requested, enclosed herewith a cover letter, my resume and photo – for
vacancy advertised.
Given my related experience and excellent capabilities I would appreciate your
consideration for this vacancy, as my skills are an ideal match for this position.
I am an adaptive, mature, assertive, enthusiastic, self disciplined, organised individual,
that is able to work well under pressure unsupervised & also within a team
environment.
The opportunity presented will enable me to reflect my experience and personality,
thus making me a very competitive candidate. The key strengths that I possess for
success in this position are included in my resume. I will be very willing to supply
additional documentation if required.
I can be reached anytime via email ie. lloydlee23@gmail.com or cellphone ie.
0742366285 
Thank you for your time and consideration.
Sincerely,
Lloyd Lee Venketsamy

Experience

  • Assisting with claim inquiries, patient maintenance, checking if claims had been captured correctly under company compliance, confirmation of details, escalating queries to relevant department. Ensure first call resolution and SLA is met, forwarding queries to relevant department for resolution. Claim analysis Knowledge of other Medscheme and auxiliary systems
  • Completion of daily tasks/reporting daily/monthly or as required.
  • The ability to effectively plan, schedule, perform and or distribute work to ensure completion within the required timeframe.
  • Assist all stakeholders, internal and external with related queries.
  • Displaying company Values in all interactions with internal and external stakeholder Confidentiality and Integrity
  • Relevant Legislation knowledge
  • Ability to analyse data and identify non conformance
  • Attention to detail and quality driven
  • Strict error detection and fraud prevention
  • Knowledge of related Policies and Procedures
  • Understanding of ISO requirements
  • Knowledge of related industry developments and contribution to Innovation
  • Effectively contributing to own and departmental goals
  • Ability to work in a team environment.
  • Train and Coach Internal or external stakeholders on processes or enhancements where required.
  • Assist with technical department functions when required
  • Pharmaceutical claims on live system and view of chronic conditions loaded and medication
  • Multi-skilled in dealing with queries across all medical aids administered by Medscheme.
  • Reversal and reprocessing to ensure accurate benefits are applied to claims submitted by healthcare professionals

Education

Matric and optic and medical courses internally

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