Quality Assurance Specialist

**Job Details**:

- Department Quality Assurance- Minimum experience Associate- Company primary industry Insurance- Job functional area Functional Area- Salary R500 000 - R670 500 per annum-
**Introduction**
One of the biggest short-term insurance company based in Sandton is looking for a Quality Assurance Specialist to join their team.**Purpose of the Role**
Performs complex level proactive (risk) reviews, quality assurance follow-ups, continuous monitoring projects and general quality assurance support to key stakeholders. Works involves leading and conducting financial, risk, product/specialised and compliance proactive and follow-up projects. Provides consultation to Agents and Internal Departments during to the development and implementation of manual and

IT/system controls.

Develop and maintain productive relations with agent companies and management by facilitating support and training of key staff members. Works independently under general supervision with considerable latitude for initiative and independent judgement.

**Key Responsibilities**:

- Provides input during the development of the quality assurance department’s strategic plan.
- Is actively involved during the development of the department’s plan.
- Is actively involved during the development of department’s key performance indicators.
- Provides input during the development of the department’s budgets.
- Is required to identify business risks that are related to their work.
- Develops annual project plans and for tasks/areas that have been allocated to them.
- Manage and ensure regular and monthly reports of projects under own supervision.
- Develop, update, and submit for approval, QA procedures/process flows, and templates for tasks/areas that have been allocated to them.

**Technical Follow-up and Proactive Reviews**
- ** 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 Company underwriting regulations.

? Review the final policy schedule and/or coupon for accuracy and completeness.

? All relevant endorsements and annexures forming part of the insurance contract are attached, distributed or communicated to policyholders.
- ** b) Review the Policy and Coupon Administration Process for adequacy and effectiveness.**:

- c) Review Compliance with the relevant laws and regulations by testing and correcting the following requirements:
? Disclosure of sections that are covered by the policy.

? Cost of cover.

? Inclusion of the correct and complete disclosure information.

? Distribution of policy wordings.

d) Review the month end process (premium transfer to Company) for accuracy and completeness.

e) Review of administrative compliance with Company regulations, which includes but not limited to:
? Ensure that the agent has established a process to identify and report Company claims.

? Ensure that Company claims are reported on time in line with Company Outsourcing Agreement and Regulations.

? Data Submission

? Ensure that the agent has a data effective data submission process.

? Ensure that data is submitted on time with the month end payment and submission schedules.

? Risk Management and Security.

? Ensure that the agent has business continuity and/or disaster recovery plan.

? Enquire and observe the agent’s data security plan and processes.

? Enquire and observe the agents risk management process to confirm if Company risks are considered.

f) Provide consultation and review feedback to Company support department with regards to:
? Shortcomings and required improvements on Company Regulations.

? Report inadequate process design (Company 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.

**Policy and Procedure development**
- 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.
- Continuously review and revise the QA procedure manual.
- Represents the quality assurance department on:

- Company project teams;
- Internal company staff committee meetings (on request, i.e. Transformation committee and the Health and Safety committee meetings and so on );
- Company management meetings; and
- External assurance providers or organisations, as and when required.

**Financial**
- Provide input into the operational budget for i.e.:

- The travelling budget;
- Specific QA projects’ budgets.

**Perform ad hoc tasks**
- Perform any reasonable task as and when required by the Line Manager.

**Minimum experience & qualifications required**
- Bachelor’s degree or recognised 3-year undergraduate qualification in Insurance/auditing/accoun