Key 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 risks, 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
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 (beneficial)
Experience and Skills Required
- Minimum of 1 year of experience in a quality assurance or compliance 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 (preferred)
- Excellent analytical and observational skills
- Strong written and verbal communication and feedback skills
- Proficient in MS Office, CRM systems, and QA tools
- High attention to detail with a strong sense of ethics and confidentiality
- Ability to work independently and collaboratively as part of a team