Sheila Shirley Setona

Dynamic and skilled professional with expertise in healthcare risk management and compliance, financial administration, underwriting, and project management. I have 13+ years of combined working experience with special knowledge within the healthcare industry. I am adept at driving successful compliance control, financial & general administration, and continuous improvement initiatives, I am well-versed in building key relationships, determining needs, and growing revenue. I have the ability to adapt to the changing demands of a rapidly growing business. Adept in spearheading risk assessments and providing exceptional customer service, administration management, risk compliance, and new business development. I am skilled at identifying process improvements, cultivating, and maintaining relationships with clients, staff, and key stakeholders, and generating detailed and accurate reports. I am also skilled at directing and enforcing regulatory compliance, cost, and quality constraints to realize optimal productivity and revenue enhancement.

Compliance Risk Management Role: 

• Drafting Engagement Letters. • Conducting Compliance Monitoring and testing processes. • Drafting Reports. • Review Company Policies. • Conduct Compliance Risk assessments on CURA.

Underwriting Role: 

• Liaise/communicate with members and brokers regarding applications and underwriting procedures/exclusions to provide information on the status and progress of new applications. • Reporting on department and individual business registers daily • Provide professional after-sales support to maximize customer loyalty. Quality Assurance on processes and applying the correct underwriting as per the Counsel of Medical Schemes.  

Integrity academy: in Progress: RE1 for key individuals. 

The University of Johannesburg: PGD in SLP Compliance Risk Management. 

IIE Varsity College: PGD in Management Varsity College. 

IIE Varsity College: B.Com Strategic Management.