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
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Quality Assurance Consultant • Sandton, South Africa
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