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
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.
Business Administration