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Cynthia Nomsa Mandala

Cynthia Nomsa Mandala

Claims administrator

Highest degree :

Bachelors

Field of study :

Business Administration

Location :

MALAWI

Citizenships :

Malawian

Experience :

4 Year(s)

Countries :

Malawi

Gender :

Female

Sectors :

Administration

Experience

UNDERWRITING CLERK

BLANTYRE

LIBERTAS GENERAL INSURANCE

February 2022

-

July 2023

Assessed risks, issued policies, managed records, and provided exceptional customer support. • Risk Assessment and Evaluation: Utilized comprehensive knowledge of insurance policies, guidelines, and industry regulations to evaluate and assess risks associated with insurance applications. Conducted thorough reviews of customer information, including personal and financial data, to determine risk factors. • Analytical Investigation: Employed analytical skills to identify and investigate discrepancies, anomalies, or inconsistencies within insurance applications. Applied underwriting guidelines and regulatory requirements to assess the acceptability of risks and determine appropriate premium rates. • Policy Generation and Issuance: Generated accurate and detailed insurance policies in adherence to company guidelines and underwriting standards. Ensured timely issuance of insurance disks, certificates, and relevant documents to policyholders, providing them with comprehensive coverage information. • Collaboration and Operations: Collaborated with internal teams to ensure policy documents were correctly prepared, signed, and distributed to clients, fostering efficient and streamlined operations. • Customer Service: Exhibited exceptional interpersonal skills to establish rapport with potential and existing customers, effectively understanding their insurance needs. Provided personalized assistance in selling insurance policies, ensuring customers were well-informed about coverage options, terms and conditions. • Records Management: Maintained comprehensive and up-to-date records of policy applications, assessments, and related documentation in accordance with company policies and legal requirements. Developed and implemented efficient document management systems for easy retrieval and organization of records.

CLAIMS ADMINISTRATOR

BLANTYRE

LIBERTAS HEALTH

July 2023

-

Present

Claims Processing: Efficiently routed all electronic and paper claims through a refined process, ensuring seamless progression to appropriate levels for timely processing. Proactively tracked and resubmitted any missing claims, ensuring zero oversight. • Adjudication and Posting: Receipted, adjudicated, and posted claims within stringent SLAs, maintaining unwavering adherence to organizational and departmental standards. Enforced accurate service codes, pricing, member, and provider details in alignment with agreed files and CSR records to prevent discrepancies. • Documentation and Reporting: Meticulously verified, signed, organized, and filed all claim summary sheets and posted claim documentation for proper record-keeping and easy retrieval. Provided daily reports on claim receipts, posting numbers, and critical claim matters to foster transparency and enable prompt resolutions. • Customer Service: Promptly investigated and resolved all stakeholder inquiries within 48-hour SLAs, delivering clear and comprehensive feedback. Diligently pursued outstanding claim information to facilitate accurate and expedited processing with no delays. • Provider Liaison: Coordinated closely with providers to validate coverage and benefits, ensuring foolproof claim processing backed by accurate benefit data.

Languages
English
Speak
Good
Read
Good
Write
Good
Chichewa
Speak
Good
Read
Good
Write
Good
Experience with financing agencies

Business Administration