QAuality Assurance Specialist

2 weeks ago

Johannesburg, South Africa PC Staffing Solutions Full time

**Purpose of the job**:
The purpose of the role is to conduct quality assurance assignment to monitor compliance with the organisation's agent outsourcing agreement, internal policies, procedure and applicable regulations or laws. Establish proactive analytical and systematic processes to review data, information, and operating systems, while assisting the organisation to mitigate its risks and achieve its objectives. Be proactive with own development and provide innovative ways to efficiently complete own tasks.

**Qualifications**:
Bachelors degree or a 3-year diploma in auditing, insurance, risk management or accounting

**Advantageous**:
Completed or enrolled for one of the following:
Post graduate qualification in Insurance or commercial studies.
Certification in Insurance, QA, CIA, or any other related qualification.

**Experience**:
***2 years of full-time work experience in quality assurance, Auditing, Accounting, or Risk Management.
Non-life Insurance industry experience.

**Duties and responsibilities are, but not limited to**;**

**Quality Assurance Reviews, Projects**:
a) Validate, test the accuracy and completeness of the Underwriting Process by reviewing (but not limited to):
Recalculate the premium for accuracy.
Review the covers for insurability and compliance with the organisation's underwriting regulations.

b) Review the Policy and Coupon Administration Process for adequacy and effectiveness by;
Checking if the organisation coupons and policies are issued correctly and completed in full.
Check that the organisation coupons and policies are issued in time.
Ensure that the organisation coupons are not backdated without prior authorisation from the organisation.

c) Review Compliance with the relevant laws and regulations by testing and correcting the following requirements:
Disclosure of sections that are covered by the organisation's policy.
Cost of cover.

Inclusion of the correct and complete disclosure information.
Distribution of organisation's policy wordings.

d) Review the month end process (premium transfer to the organisation) for accuracy and completeness by checking the following processes:
Determine if the process of gathering and collating premiums (month-end reports) from different business areas and systems is adequate and effective to ensure accuracy and completeness of organisation's premium.

e) Review of administrative compliance with the Organisation's regulations, which includes but not limited to;
Claims, Finance processes and so on to;
Ensure that the agent has established a process to identify and report the organisation's claims.
Ensure that the organisation's claims are reported on time in line with the organisation's Outsourcing Agreement and Regulations.

f) Provide consultation and review feedback to the organisation's support department with regards to:
Shortcomings and required improvements on Organisation's Regulations.
Report inadequate process design (Organisation's Regulations and directives) to management.
Conduct follow-ups to ensure that management have reviewed the regulations or implemented the corrections on any directives that are issued to agent companies.

**Operational: Administration of QA projects (Organisation's Agent Companies)**:
Using the QA annual plan, identify and contact the agent company to be reviewed at least 6 weeks in advance.
Identify and contact the relevant process owners to prepare and arrange the project planning and startoff session.
Set up and conduct interviews with all process owners and relevant support staff members or functions to scope and develop the project plan or start of the fieldwork.

**Customer Relations: Internal departments or Ad-hoc QA projects**:
Determine the deliverables of the project.
Scope and obtain approval of the project.

**Policy and Procedure**:
Provides input on the improvement of strategic audit plan and annual plan.
Assists the manager with the research and benchmarking process of the quality assurance review approach and procedures with the view to improve same.

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