Hello… an exciting new opportunity has just become available in our Hollard Insure, Operations, Claims area.
We are looking to recruit a manager: Compliance Risk and Quality Assurance.
Role Objectives: To ensure that Hollard's business processes comply with relevant laws, regulations, and standards, while also maintaining quality and risk management.
Key Responsibilities: Define, implement and manage the Claims and Claims Procurement Quality Assurance, Quality Controls, Risk and Compliance process by: Setting up quality standards and quality procedures Implement and train the team on the Quality review process.
Design the reporting template for the reviews and the minimum requirements for each report...
Ensure monthly claims reviews in respect of processes, policies, MI, systems and decision making.
Analyze and report on non-compliance Identify risks and recommendations to improve the process Structure the reviews for the next 12 months.
Ensure that the team adhere to these time lines. Manage the regions expectations and understanding of the review process.
Ensure that each area of claims is attending to their required Self assessments.
Manage and improve both internal and external relationships Manage the reviews of external business partners and service providers.
Develop a Dashboard to assist and manage the Teams performance and assist with reporting.
Ensure the team meets all targets and timelines.
In collaboration with the claims management team assist in identifying and managing their teams training needs.
Review all reports prior to releasing the findings to business and management Ensure on consultation with the relevant persons in each branch/region on the review's findings Constantly strive to drive the team to identify any possible risks in the entire claims process and recommend appropriate controls to ensure no material loss and improve on non- material losses.
Interact with FCRM and Internal Audit on Compliance matters ensuring compliance and risk standards are met.
Review and align all processes for Claim compliance within Hollard Internal processes as well as Industry best practice.
Ensure Internal and external SLA's is being adhered to.
Report any irregularities to the appropriate Teams (Procurement, Business etc.)
People: Implement and management a high-performance culture with all team members.
Clear succession planning Clear development plan for all staff Define each team members KPI Annual reviews of KPI's Quarterly performance evaluations against staff role profiles and key performance indicators Leave management Performance management Reporting On time and accurate and in the requested format Monthly Manco Monthly review of EVR and feedback to finance Staff performance report Ad-hoc reports as and when required Budget Management Budget preparation Budget tracking and monitoring Monthly review of EVR and feedback to finance