Sithembile M.
Senior Employee Benefits Consultant
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Sithembile M. is an experienced Employee Benefits Consultant with over 10 years in the employee benefits administration sector, including medical aid, retirement funds, group risk, and health insurance. At Growthpoint Properties, she administered employee provident fund, medical aid, GAP cover, and group risk benefits for a large corporate workforce, focusing on 2-Pot System compliance and accurate claims processing via the Sygnia platform. Her responsibilities included resolving high-volume employee queries, managing statutory IOD claims with Marsh, and producing detailed EAP and benefits reports for management. During her tenure at Betaplus Group Solutions, Sithembile handled end-to-end claims processing, onboarding, international travel documentation, and wellness program coordination for multiple corporate clients. With previous roles at Discovery Health in contact centre and outbound services, she has developed solid expertise with Discovery and Sygnia portals, ensuring data accuracy and regulatory compliance across all benefit processes.
Experience
Employee Benefits Consultant
Growthpoint Properties · 2024 — 2025Administered employee provident fund, medical aid, GAP cover, and group risk benefits while ensuring compliance with internal policies and fund rules. Processed and tracked 2-Pot System claims, coordinating submissions with Sygnia for timely employee payouts. Resolved medical aid and claims queries, achieving high first-time resolution rates. Managed group risk claims, ensuring correct documentation per insurer requirements. Handled Injury on Duty (IOD) claims by completing statutory documentation and liaising with Marsh to reduce claim processing delays. Extracted and reconciled benefit statements via Sygnia and Discovery portals to support audits. Loaded and processed invoices on Fraxion for authorisation and prompt payment. Produced benefits reports providing insights on utilisation and claim volumes. Organised employee workshops to enhance understanding and benefit utilisation. Recorded accurate minutes during monthly HR meetings and supported Benefits MANCO governance activities.Health Specialist
Betaplus Group Solutions · 2019 — 2023Delivered medical aid administration support to various corporate clients, handling billing queries and benefit updates accurately. Assisted employees with claims processing and authorisations, leading to a decrease in repeat queries. Conducted onboarding for new employees, advising on medical aid options and benefit structures. Coordinated travel letters and benefit confirmations for employees traveling internationally. Presented retirement fund and group risk benefits to employer groups, enhancing awareness. Supported the organisation of corporate wellness days to engage employees. Maintained relationships with service providers such as Discovery, Fedhealth, and Bonitas to ensure seamless service delivery.Contact Centre Consultant
Discovery Health · 2015 — 2019Managed incoming calls from members and brokers, resolving queries efficiently while adhering to Discovery service standards. Logged customer interactions accurately to ensure comprehensive audit trails. Correctly applied medical aid rules and financial processes to minimise errors. De-escalated complex customer interactions professionally. Processed new medical aid memberships and withdrawals, ensuring data accuracy and compliance. Followed up on outstanding documentation, facilitating quicker policy activations. Updated member records and assisted the Team Leader with administrative tasks and reporting.
Skills & Expertise
Education
- National Diploma in Legal Assistance in LawTshwane University of Technology · 2004 — 2007
- Matric CertificateSandringham High School · 2003 — Present
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