Open to opportunities

Hlumelo Kambi

@hlumelokambi

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Claims and underwriting expert with 7 years in financial services.

South Africa

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What I'm looking for

I am seeking a role that offers growth opportunities, a collaborative environment, and the chance to leverage my claims and underwriting expertise.

I am a dedicated claims and underwriting expert with over seven years of experience in the financial services industry, particularly in long-term insurance. My journey has equipped me with a deep understanding of life and death claims, where I have consistently provided fair, detailed, and thorough service to both insured individuals and claimants. My ability to organize and prioritize time-sensitive claims has allowed me to establish collaborative relationships with claim managers and decision-makers, ensuring a smooth claims process from initial notice to final resolution.

Throughout my career, I have been involved in the automation and robotic engineering of legacy systems, working closely with business analysts and developers to enhance operational efficiency. My recent role as a Senior Claims Assessor at Old Mutual South Africa has honed my skills in validating claims, authorizing benefits, and managing complex cases. I take pride in my ability to meet daily claim targets with high accuracy while mentoring new staff and supporting my team in achieving our goals.

Experience

Work history, roles, and key accomplishments

Senior Claims Assessor

Old Mutual South Africa

Nov 2022 - Nov 2023 (1 year)

Responsible for validating GAP claim documents, authorizing benefits, and assessing claims based on policy terms. Managed complex cases and mentored new staff while meeting daily claim targets with high accuracy.

Claims Management Authorization Policy Management Mentoring Data Reporting Customer Service Technical Knowledge

Data Integration Administrator

Mr D

Jun 2021 - Jul 2022 (1 year 1 month)

Onboarded new restaurant partners and monitored data accuracy within operational platforms. Ensured quality KPIs were met and interacted with restaurants to establish menu requirements.

Monitoring Quality Assurance Workflow Management Onboarding KPIs Process Improvement Team Collaboration Data Quality

Claims Assessor

Old Mutual South Africa

Apr 2019 - May 2021 (2 years 1 month)

Handled inbound and outbound claims calls, assessed various claim types, and managed customer interactions according to business standards. Ensured timely resolution of claims and monitored business results.

Claims Management Interaction Time Management Risk Assessment Fraud Detection Claims

Underwriting Consultant

Old Mutual South Africa

Feb 2018 - Mar 2019 (1 year 1 month)

Assessed risks for various products using technical knowledge, managed medical underwriting processes, and provided support to clients regarding underwriting queries.

Risk Assessment Underwriting Compliance Monitoring

Trainee Underwriter

Old Mutual South Africa

Feb 2017 - Jan 2018 (11 months)

Evaluated proposals and evidence for underwriting decisions, processed reinsurance claims, and handled intermediary inquiries while adhering to business guidelines.

Proposals Reinsurance Underwriting