Daniel Sumbua
Dar Es Salaam,02
Summary
Accomplished Claims Supervisor at Sanlam General Insurance, adept in claims analysis and MS Office Suite, significantly increased department efficiency. Renowned for fostering teamwork and enhancing customer satisfaction, my proactive problem-solving and decision-making skills led to notable improvements in claims handling processes and resource allocation.
Knowledgeable Claims Supervisor with solid background in claims management and team supervision. Supervised claims processing, ensuring accuracy and compliance, while fostering collaborative work environment. Demonstrated problem-solving skills and effective communication in resolving claims issues.
Overview
12
12
years of professional experience
Work History
Claims Supervisor
Sanlam General Insurance
09.2024 - Current
- Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
- Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
- Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes to ensure optimal decision-making in the claims management process.
- Managed a diverse caseload, prioritizing tasks effectively to meet strict deadlines and maintain quality standards.
- Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
- Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within the department.
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
- Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
- Collaborated with various departments to develop and implement strategies for improving overall claims handling process.
- Documented and communicated timely claims information while supporting accurate outcomes.
Claims Technician
Sanlam General Insurance
07.2013 - Current
- Developed strong relationships with insurance carriers to facilitate prompt payment of claims.
- Expedited claim settlements by negotiating fair and reasonable payments with clients and claimants.
- Collaborated with team members to improve communication, resulting in a more productive work environment.
- Coordinated with outside vendors such as appraisers or adjusters for timely completion of necessary evaluations or assessments related to claims handling process.
- Evaluated complex claims situations, providing expert guidance to support informed decision-making processes.
- Balanced competing priorities effectively while managing a diverse caseload, ensuring timely and accurate claim resolution for clients.
- Enhanced customer satisfaction by promptly addressing and resolving claims issues.
- Saved company resources by identifying fraudulent or exaggerated claims through thorough investigation techniques.
- Compiled detailed reports on claim trends for management review, leading to data-driven improvements in operations.
- Maintained accurate records of all claims processed, ensuring compliance with company policies and industry regulations.
- Investigated claims for accuracy, verifying proper documentation to prevent fraud.
- Followed up with customers on unresolved issues.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Posted payments to accounts and maintained records.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Education
Postgraduate Diploma In Financial Management - Accounting And Finance
Institute Of Finance Management
Dar Es Salaam, Tanzania09-2012
Advanced Diploma in Insurance And Risk Management - Insurance And Risk Management
Institute Of Finance Management
Dar Es Salaam09-2010
Certificate of Information Technology - ICT
Dar Es Salaam Institute of Technology
Dar Es Salaam01-2006
Certificate of Secondary Education Examination - O - Level
National Institute of Transport
Dar Es Salaam12-2005
Certificate of Secondary Education Examination - O - Level
Horombo Sercondary School
Kilimanjaro10-2003
Skills
- Team motivation
- MS office suite
- Teamwork and collaboration
- Customer service
- Problem-solving abilities
- Multitasking Abilities
- Active listening
- Decision-making
- Customer relationship development
- Task prioritization
- Claims analysis
Languages
English
Professional Working
Kiswahili
Native or Bilingual
Timeline
Claims Supervisor
Sanlam General Insurance
09.2024 - Current
Claims Technician
Sanlam General Insurance
07.2013 - Current
Postgraduate Diploma In Financial Management - Accounting And Finance
Institute Of Finance Management
Advanced Diploma in Insurance And Risk Management - Insurance And Risk Management
Institute Of Finance Management
Certificate of Information Technology - ICT
Dar Es Salaam Institute of Technology
Certificate of Secondary Education Examination - O - Level
National Institute of Transport
Certificate of Secondary Education Examination - O - Level
Horombo Sercondary School
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