Nompilo Mazibuko Email & Phone Number

Bellville, Western Cape, South Africa

• Assess and underwrite insurance applications for health-related policies.• Review and analyze medical histories, test results, and other relevant information to evaluate risk.• Utilize medical knowledge and expertise to determine the insurability of applicants based on their health conditions.• Collaborate with healthcare professionals, underwriting teams, and other stakeholders to gather and assess medical information.• Evaluate the impact of pre-existing conditions on insurance coverage and determine appropriate terms and premiums.• Stay updated on medical advancements, treatment protocols, and industry trends to inform underwriting decisions.• Communicate with applicants, agents, and healthcare providers to gather necessary information and clarify medical details.• Analyze data and use actuarial tools to calculate appropriate insurance premiums based on risk factors.• Ensure compliance with regulatory standards and company policies in the underwriting process.• Provide guidance and support to colleagues in the underwriting department.• Stay informed about changes in healthcare policies, regulations, and emerging medical risks that may affect underwriting decisions.

Cape Town, Western Cape, South Africa

Locum Nurse in different ICU, Medical and Surgical Wards in different hospitals.

Cape Town, Western Cape, South Africa

-Creating and updating requests for hospital admissions and/ procedures.-Declining scheme exclusions-Applying clinical discretion in certain cases to correctly approve or decline a hospitaladmission or procedure that may not be standard operational procedures.• Resolving authorization, pre-authorization queries that come through telephonicallyand via email.• Ensuring queries are resolved within the agreed SLA• Interpretation of ICD 10 codes, RPL codes, CPT codes and Nappi codes. • Distinguishing what qualifies as a Prescribed Minimum Benefit condition• Interpretation of CPT (current procedural terminology) codes, BHF codes, NHRPL• Provide feedback via email to clients• Ensuring that the company’s clinical standard operating protocol is always adheredto. • Clinical overrides for authorization request and application of scheme rules.• Teaching and assisting agents with authorization queries (floor covering)• Authorization reports, dealing with urgent requests and assessing authorizationreleased for accuracy.• Communication with members and providers regarding approved and declinedauthorizations and scheme rules.• Processing back-office authorization request• Telephone etiquette and cost management• Liaising with case management and claims department for problem solving.

Western Cape, South Africa

•Handle telephone queries within standards and service level agreements.• Correctly route all escalated calls to correct departments. • Professionally handle automated authorisations.• Accurately capture data.• Assist in other departments when the need arise. • Meet delivery objectives through working with other team members within andlinked to the department/project.• Resolve operational performance variations and problems and escalate unresolvedissues to higher levels. • Ensure delivery targets/objectives are met and operate in a supportive manner toachieve successful delivery.

Cape Town, Western Cape, South Africa

- Ensure clinical approval of authorised treatment plan - Ensure the cost effective management of authorised treatment plan - Ensure appropriate and cost effective out of hospital care for members -Perform quality system updates to ensure correct payments of treatment - Attend to High Level Queries and ex-gratia updates - Meet delivery objectives through working with other team members within and linked to the department/project - Resolve operational performance variations and problems and escalate unresolved issues to higher levels- Ensure delivery targets/objectives are met and operate in a supportive manner to achievesuccessful delivery - Contribute to cost savings within the department to assist with financial goals and targets

Roodepoort, Gauteng, South Africa

Johannesburg Area, South Africa

• Practice proper patient identification, especially when working on hospitalfloors.• Label vials with patient names and dates.• Decipher the best method for drawing blood depending on the specific patient. (Phlebotomy duties) • Draw bloods on special case patients like renal and ICU patient.• Practice infection control standards at all times when working with patientsand equipment.• Conduct Data Capturing and Shipping of blood. Manage money/ cash flow of Phlebotomy services rendered.

Johannesburg Area, South Africa

Key Responsibility:Measure, interpret and record vital data• Top and tailing• Assist and prepare putting up of drips• Administer of oral and intravenous medication as prescribed by the doctor• Prepare patient for diagnostic and surgical procedures• Maintain nutrition, physical comfort and hygiene of patientsInsert orogastric and nasogastric tubes in neonates and collect specimen• Give health education to patients and mothers of patients• Admit and discharge patients• Dress wounds and assist with suturing

Diploma In General Nursing, Professional Nurse

Diploma, Registered Nurse/Professional Nurse

Certificate, Enrolled Nurse

Matric, High School/Secondary Diplomas And Certificates, Grade 12