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Nqobile Sabela

@nqobilesabela

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Claims Medical Agent at [Company Name], resolving claims and reconciling payments for medical aid members.

South Africa

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What I'm looking for

I’m seeking a role in a dynamic organisation where I can apply my customer service experience and accounting knowledge.

At [Company Name], I assist medical aid members and healthcare providers with claims status, remittance advice, benefit explanations, and payment reconciliations. I investigate rejected claims and payment delays in line with scheme rules and SLAs.

At Nutun Digital Service, I prepared invoices, processed incoming payments, and updated customer account records in the CRM. In the retentions department, I addressed customer concerns and contributed to retention strategies.

At PLP Group, I assisted clients with flight bookings and explained ticket and lifestyle benefits through the Sanlam Reality app. I also prospected for customers and maintained records of client interactions.

I'm completing a Diploma in Financial Accounting at ICB Institute of Certified Bookkeepers, with coursework in bookkeeping, financial statements, and cost and management accounting. I’m looking to use my customer service and accounting knowledge in a dynamic organisation.

Experience

Work history, roles, and key accomplishments

Current

Claims Medical Agent

Current

Medical Aid Call Centre

Mar 2025 - Present (1 year 8 months)

Manage high volume of inbound calls from members and healthcare providers regarding medical claims. Provide remittance advice reprints, assist with claim reconciliation, and explain scheme benefits and tariffs.

Claims Management Medical Aid Remittance Advice (RA)Reconciliations PMB Tariffs Customer Service POPIA Compliance

Customer Service Agent

Nutun Digital Service

Oct 2023 - Mar 2025 (1 year 5 months)

Prepared and generated accurate invoices, processed payments, and updated account records on CRM. Retained existing customers by addressing concerns and offering tailored solutions to reduce churn.

Billing Invoicing Payment Processing CRM Customer Retention Problem Solving

Sales Consultant

PLP Group

Feb 2022 - Dec 2023 (1 year 10 months)

Assisted clients with booking flights and provided information on lifestyle rewards. Prospected and qualified new customers, maintaining detailed records and building long-term client relationships.

Sales Prospecting Customer Relationship Management booking systems Communication Skills

Lead Generation Agent

Spinnicar

Researched, tracked, and updated prospective leads in CRM system. Made outbound calls to develop new business opportunities and qualify prospects.

Lead Generation CRM Outbound Calling Prospecting Data Management

Education

Degrees, certifications, and relevant coursework

ICB Institute of Certified Bookkeepers

Diploma in Financial Accounting, Financial Accounting

Currently in final year of studies, with expected completion in April 2027. Coursework includes bookkeeping, financial statements, cost and management accounting, income tax returns, business literacy, and corporate strategy.