Minenhle Mafu
Short Term Insurance Claims Adjuster
Mbabane,HH
Summary
Enthusiastic temp claims adjuster eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of claims assessment and verification and training in money laundering. Motivated to learn, grow and excel in the financial industry.
Overview
4
4
years of professional experience
9
9
years of post-secondary education
3
3
Languages
Work History
Claims Adjuster
Eswatini Royal Insurance Corporation
Mbabane, HHohho
11.2020 - Current
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after incident.
- Facilitated smooth transitions for policyholders during claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Achieved high customer satisfaction ratings between 80%-90% by providing clear and timely communication throughout claims process.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Attended industry conferences and workshops to stay current on trends and developments within field of claims adjusting.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Verified insurance claims and determined fair amount for settlement.
- Examined claims forms and other records to determine insurance coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Substantiated legitimate claims and denied unjustified claims.
- Submitted innovative ideas to improve work efficiencies.
- Assisted in identifying risks as risk champion.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after incident.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after incident.
- Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
- Attended industry conferences and workshops to stay current on trends and developments within field of claims adjusting.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Streamlined internal processes by implementing new claims management software, increasing overall productivity.
Temporal Employee - Claim Adjuster
Eswatini Royal Insurance Corporation
Manzini, MA
10.2019 - 12.2020
- Handled claims process and pursued recoveries.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials
- Developed comprehensive reports outlining investigation findings, settlement recommendations, and supporting evidence for use in both internal reviews and external negotiations
- Reduced backlogs of pending claims using effective time-management strategies such as prioritizing tasks based on urgency or complexity levels
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies
Education
Higher Certificate in Short Term Insurance - Short Term Insurance
Milpark Business School
JHB South Africa 01.2024 - Current
Certified Accountant - Accounting And Finance
ACCA
UK 03.2022 - Current
Certificate of Competence in Short Term Insurance - Insurance
Academy of Learning in South Africa
Midrand 01.2022 - 12.2022
Certificate in Reinsurance - Insurance And Risk Management
London School of Insurance And Africa Re
Online 01.2021 - 12.2021
Bachelor of Commerce in Accounting And Finance - Accounting And Finance
University of Eswatini
Matsapha 08.2015 - 12.2020
Skills
Claims Management
Claims reports and documentation
Claims evaluations
Claims Processing
Insurance claims analysis
Claims review
Claims assessments
Claims evaluation methods
Insurance policy coverage knowledge
Risk Assessment
Innovation and Creativity
Claims Investigation
Team Collaboration
Critical Thinking
Decision-Making
Accomplishments
In 2017 August to 2018 June I held the position of vice president of commerce society where I learnt how to manage people ,and how to be a leader .
In 2018 got awarded for being the most influential entrepreneur at the university of Eswatini where I was selling muffins , biscuits so I could pay for my basic needs .
In 2019 got awarded for best entrepreneur at the university of Eswatini during our charity awards .
Timeline
Higher Certificate in Short Term Insurance - Short Term Insurance
Milpark Business School
01.2024 - Current
Certified Accountant - Accounting And Finance
ACCA
03.2022 - Current
Certificate of Competence in Short Term Insurance - Insurance
Academy of Learning in South Africa
01.2022 - 12.2022
Certificate in Reinsurance - Insurance And Risk Management
London School of Insurance And Africa Re
01.2021 - 12.2021
Claims Adjuster
Eswatini Royal Insurance Corporation
11.2020 - Current
Temporal Employee - Claim Adjuster
Eswatini Royal Insurance Corporation
10.2019 - 12.2020
Bachelor of Commerce in Accounting And Finance - Accounting And Finance
University of Eswatini
08.2015 - 12.2020