Monique Oosthuizen

Experience

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  Miway Financial Services Provider

  Oct 2008 - May 2014

  Claims Team Manager

  Started my career as a claims advisor where responsibilities included working in a high-pressured call centre. Registering of insurance claims including motor and non-motor claims. Responsible for the entire validations process of the claim including the settlement or rejection of the claim. Responsible for moving vehicles to towing destinations and negotiating release fees with service providers. Repair follow ups was part of the daily tasks. Promoted to a Claims Team Leader where I was responsible for overseeing a team of ten individuals. Report writing on a monthly and quarterly basis. Training and coaching of staff. Dealing with customer complaints on all social media platforms and writing formal responses on complaints received. On the floor coaching and training with staff members on a weekly and monthly basis. Responsible for payments to service providers and clients. Achievements in my career was receiving several awards for Top Performer as a claim’s advisor as well as the reward for the Top Claims Team Manager. Assisted with facilitation, as well as facilitation documents, procedures and systems training for the claims department Show less

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  King Price Insurance

  Jun 2014 - Jul 2020

  Managing a team of 6 investigators (Motor,Theft & Non Motor)Investigation of claims from start to finishTarget claims per month 13 per investigatorPreparing and presenting claims in the weekly claims meetingMonthly AuditsCoaching and Training SessionsMonthly report writingAnalyzing of Stats for the team.Drafting of all rejection lettersQuality check of all rejection lettersDisciplinary actions with investigatorsIdentifying and checking claims on a daily basis for InvestigationMaintain Cost Saving Ratio on numbers and amounts as per KPI targetsMaintain a Turn Around Time of 10 working days or less Show less

  • Investigation Team Manager

    Jun 2018 - Jul 2020

  • Operational Claims Manager

    Jul 2017 - May 2018

  • Claims Team Manager

    Aug 2015 - Jun 2017

  • Desktop Investigation Team Manager

    Jun 2014 - Aug 2015
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  Freelance

  Jul 2020 - Oct 2020

  Insurance Validator

  I am responsible for the validation of all commercial as well as personal line claims. the claims consist of Motor and Non Motor claims. Part of my duties is to, have assessment with clients, confirm information with Third Parties, Hospital Records, obtaining video footage, confirm the information given on the claim documentation and ensure that this is in line with the companies policy documentation, terms and conditions. Claims to be validated in a turn around time of 10 days. Responsible for report writing and submitting the the insurer with a recommendation. Show less

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  PSG Insure

  Nov 2020 - Jul 2021

  Claims Team Leader - Commercial & Personal Lines
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  FNB South Africa

  Jul 2021 - now

  Claims Manager at FNB Short Term Insurance