
Sheila Shirley Setona
Insurance
About 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.
Experience
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.
Education
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.
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