Quality Assurance Analyst at FEM

Job Description

• Applicants are invited to apply for the Quality Assurance Analyst position in Head Office. Reporting to the Quality Assurance Manager, the primary purpose of this role is to ensure that claims operations and policy administration areas within FEM conform to regulatory and operational requirements from inception to finalisation.  The primary focus of this role is the early identification and reporting of control weaknesses and process deficiencies to mitigate risk and ensure adherence to operational and were applicable, financial best practices.

The successful candidate will be responsible for:

• Conducting divisional quality assurance reviews by assessing potential risks and non-compliance with prescribed rules, procedures and standards of quality,
• Reporting and analysis of all reviews completed,
• Identifying training needs based on findings,
• Preliminary investigation of suspected fraud cases,
• Updating the Operational risk register,
• Analysing reports received from the Board of Healthcare Funders to identify the impact on FEM claims,
• Engage with internal stakeholders including the legal, risk and compliance functions.

The minimum requirements of the position are a Matric with a least 3 years’ experience as a supervisor or team leader in a disability claim or policy administration related environment. Certification in COIDA Total Quality Management or Auditing are an added advantage. Sound knowledge and understanding of COIDA insurance claims and policy administration operations and related risk management are requirements for the position. Excellent customer focus, the ability to work in a highly pressurised environment, quality orientation, reliability, report writing, and excellent communication skills complete our requirements.