Experience

MEDSCHEME HOLDINGS

• South Africa
• Financial Services
• 400 - 500 Employee

• Healthcare professional contact centre agent

  • Sep 2014 - Present

  Duties:My main responsibility is assisting health care professionals with claim queries / benefit enquiries at a first time call resolution, account reconciliation and remittance advice requests Clarification of PMB, NHRPL and knowledge of ICD10 coding. I have experience with the Medscheme website enquiries portal. Calls response time is kept within agreed average durations. All calls are handled in a professional and courteous manner.I have actively taken on many duties with the following responsibilities during my time in call centre:- IVR Project: I have assisted with loading of benefits for speciality physiotherapy for all schemes.- Back office: I have assisted with attaching of faxes, then email claim queries from health care professional, re-processing, interventions, unresolved queries that are referred from call centre to back office.- Back office: Appliance authorisations and queries department, assisted with new approvals, referrals to different schemes and sending out correspondence.- Outbound Campaign: I had the opportunity of liaising with different providers and practice managers to assist with bulk queries and re-processing of accounts outstanding. Assisted with calling different specialities to educate them about different ways of resolving or querying accounts or benefits confirmation.- Oncology Department: I was in oncology for 1 and a half year: I had the opportunity to work 1st in oncology call centre where I was trained to created new authorisations on ums on a first time call resolution, send out correspondence via Ums. I was there after taken to assist oncology admin department, where I assisted with email queries, I have experience in loading new authorisations on ums, updating schedules and approving authorisations. I have full understanding of loading a new authorisation and the process on Ums system.- RCA – I have done the RCA training and was given tasks to complete



The Creative Counsel

• South Africa
• Advertising Services
• 300 - 400 Employee

• Promoter

  • Apr 2014 - Sep 2014

  Responsibility for promoting the Clover brand at a major food distributor –ShopriteResponsibilities were to meet a set target on a daily basis and increases sales thatwere previously made at the location of promotion.I had the opportunity of promoting the brand and giving out coupons, tasters andfree products when purchasing certain products Responsibility for promoting the Clover brand at a major food distributor –ShopriteResponsibilities were to meet a set target on a daily basis and increases sales thatwere previously made at the location of promotion.I had the opportunity of promoting the brand and giving out coupons, tasters andfree products when purchasing certain products



Woolworths Group

• Australia
• Retail
• 700 & Above Employee

• Sales Consultant

  • Dec 2012 - Sep 2013

  Responsibility for assisting customers in finding the perfect clothingResponsibility of achieving sale targetsI had the opportunity of success of visual merchandising.Maintaining personal grooming standards to reflect the high-end brand Responsibility for assisting customers in finding the perfect clothingResponsibility of achieving sale targetsI had the opportunity of success of visual merchandising.Maintaining personal grooming standards to reflect the high-end brand