Kagisho Mojela
@kagishomojela
Experienced insurance claims consultant specializing in policy administration, claim assessing, and customer-focused resolutions across insurance products.
South AfricaWhat I'm looking for
I am an experienced Insurance Claims Consultant with over 14 years in the financial services industry, built around accurate claim assessing, policy administration, and strong customer service. I handle end-to-end support across short-term, life, and commercial insurance, with a focus on validity checks, technical advice, and clear communication.
In my current role at Nedbank Insurance (Dec 2023–Current), I assess the validity of claims and verify policy information. I manage the Nedbank personal lines mailbox, provide technical policy advice, handle escalations, and support customer service and administration, including rejections and settlement approvals over mandate.
Previously, at Old Mutual Insure (Jul 2022–Oct 2023), I worked as a Claims Back-office Negotiator & Administrator by appointing assessors and repairers for motor, contents, and building claims. I also handled claims queries and complaints, processed invoice payments, and supported rejection and settlement approvals and claims negotiations.
I’ve also strengthened my claims and servicing foundation through roles including Standard Bank Insurance (HOC Claims Consultant, Temp), Momentum Insurance (Death Claims & Administration Consultant), and Telesure’s Australia Desk (Senior Claims & Servicing Consultant). Alongside my continued professional development, I am currently pursuing studies in Occupational Health and Safety Management, adding an extra layer of risk-aware, detail-driven decision-making to how I support customers and manage claims.
Experience
Work history, roles, and key accomplishments
Claims Consultant
Nedbank Insurance
Dec 2023 - Present (2 years 6 months)
Assessed claim validity by verifying policy information, managing the personal lines mailbox, and providing technical policy advice. Handled escalations and supported customer service and administration, including rejections and settlement approvals.
Claims Back-office Administrator
Old Mutual Insure
Jul 2022 - Oct 2023 (1 year 3 months)
Appointed assessors and repairers for motor, contents, and building claims while handling claims queries and complaints. Processed invoice payments and supported claims negotiations and settlement approvals within office administration.
HOC Claims Consultant (Temp)
Standard Bank Insurance
May 2022 - Jul 2022 (2 months)
Registered new home and contents claims and managed administration and assessor allocation. Supported full claims processing through customer communication and claims administration.
Death Claims & Administration
Momentum Insurance
Jan 2022 - Apr 2022 (3 months)
Handled funeral and retirement annuity claims, updating records and assigning assessors. Managed administrative functions and supported the claims process through accurate back-office administration.
Senior Claims & Admin Consultant
Telesure Investment Holdings
Mar 2016 - Nov 2021 (5 years 8 months)
Managed document processing, claims lodging, and back-office administration for an Australia desk. Handled bookings, invoicing, collections, and customer liaison, including complaint and enquiry management.
Senior Claims & Servicing Consultant
OUTsurance
Jun 2013 - Jul 2015 (2 years 1 month)
Provided full claims administration from start to finalisation, including assessment calculations and payment coordination. Resolved customer complaints and managed reporting discussions through the claims lifecycle.
Personal Events & Admin Consultant
Superbike Magazine
Jan 2012 - Jun 2013 (1 year 5 months)
Coordinated event bookings and planning and handled payments with basic bookkeeping. Supported administrative tasks related to events and customer coordination.
Sales Consultant (Insurance)
Outsourced ABSA Call Centre
Jan 2011 - Oct 2011 (9 months)
Sold motor vehicle and funeral insurance products through outbound/phone sales. Managed customer conversations and sales administration as part of call centre operations.
Education
Degrees, certifications, and relevant coursework
Higher Certificate in Archives & Records Management
Higher Certificate in Archives & Records Management, Archives & Records Management
2022 -
Studying toward a Higher Certificate in Archives & Records Management since 2022.
Occupational Health & Safety Management (current studies)
Studies in Occupational Health & Safety Management, Occupational Health and Safety
Currently pursuing studies in Occupational Health and Safety Management.
Certificate in Occupational Health & Safety in Mining
Certificate in Occupational Health & Safety in Mining, Occupational Health and Safety
Completed a Certificate in Occupational Health & Safety in Mining in 2025.
Certificate in Risk Management
Certificate in Risk Management (insuring against risk), Risk Management
Completed a Certificate in Risk Management (insuring against risk) in 2025.
ISO 9001:2015 Quality Management
ISO 9001:2015 Quality management, Quality Management
Completed ISO 9001:2015 Quality Management in 2026.
Construction Health and Safety Management
Construction Health and Safety management, Construction Health and Safety
Completed Construction Health and Safety Management in 2026.
HIRA (Hazard Recognition and Risk Assessment)
HIRA (Hazard Recognition and Risk Assessment), Risk Assessment
Completed HIRA (Hazard Recognition and Risk Assessment) in 2026.
ISO 31000 Risk Manager Training
ISO 31000 Risk Manager training, Risk Management
Completed ISO 31000 Risk Manager training in 2023.
Certified Quality Auditor Training
Certified Quality Auditor training, Quality Assurance
Completed Certified Quality Auditor training in 2023.
Operations Management
Short Course: Operations Management, Operations Management
Completed a short course in Operations Management in 2023.
Project Quality Management
Short Course: Project Quality Management, Quality Management
Completed a short course in Project Quality Management in 2023.
Introduction to Financial Accounting
Short Course: Introduction to Financial Accounting, Financial Accounting
Completed a short course in Introduction to Financial Accounting in 2023.
Matric (Grade 12)
Matric (Grade 12), General Education
Completed Matric (Grade 12) in 2007.
Office Administration Certificate
Office Administration Certificate, Office Administration
Completed an Office Administration Certificate in 2009.
Assist & Support Learners (NQF 4)
Assist & Support Learners (NQF 4), Education Support
Completed Assist & Support Learners (NQF 4) in 2011.
Short-term Insurance Modules (NQF 4)
Short-term Insurance Modules (28 credits, NQF 4), Short-term Insurance
Completed Short-term Insurance Modules (28 credits, NQF 4) in 2013.
Regulatory Examination (RE5)
Regulatory Examination (RE5), Insurance Regulation
Completed the Regulatory Examination (RE5) in 2014.
Certification in Human Resource Management
Certification in Human Resource Management, Human Resource Management
Completed a short-course certification in Human Resource Management in 2023.
Short Course: Customer Relationship Management
Short Course: Customer Relationship Management, Customer Relationship Management
Completed a Short Course in Customer Relationship Management in 2023.
Diploma in Workplace Health and Safety Management
Diploma in Workplace Health and Safety Management, Workplace Health and Safety
Completed a Diploma in Workplace Health and Safety Management in 2023.
Availability
Location
South AfricaAuthorized to work in
Job categories
Skills
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