RESPONSIBILITIES
Evaluate recorded calls and written correspondence to assess adherence to scripts, procedures, and compliance standards.
Monitor claims and underwriting processes for quality and regulatory compliance.
Identify and report gaps in service delivery, fraud risk, policy adherence, and regulatory non-compliance.
Conduct regular internal audits and quality checks in line with FAIS, TCF, and POPIA legislation.
Provide feedback and coaching to staff based on quality monitoring results.
Compile and present monthly QA reports to management, highlighting trends, risks, and areas for improvement.
Collaborate with Training, Legal, and Compliance teams to update SOPs and ensure alignment with industry best practices.
Participate in root cause analysis for recurring quality or compliance issues.
Assist in developing and maintaining a Quality Management System (QMS) aligned with ISO or local standards.
REQUIREMENTS
QUALIFICATIONS
Matric
National Diploma or Degree in Business Administration,
Insurance, Quality Management, or a related field.
FAIS Regulatory Exam (RE5)
Quality assurance or auditing certifications are beneficial.
EXPERIENCE
Minimum of 1years' experience in a quality assurance orcompliance monitoring role within an insurance environment.
Strong understanding of South African insurance regulations and policyholder protection rules.
Experience in claims processing or customer service within the motor and/or home insurance sectors is preferred.
SKILLS AND KNOWLEDGE
Excellent analytical and observational skills.
Strong communication and feedback skills (both written and
verbal).
Proficient in MS Office, CRM systems, and QA tools.
Attention to detail and a strong sense of ethics and
confidentiality.
Ability to work independently and as part of a team.
MNCJobs.co.za will not be responsible for any payment made to a third-party. All Terms of Use are applicable.