Anton van Rooyen

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Supervisor Client Support Services
Location: Khobar, Saudi Arabia

CURRICULUM VITAE

PERSONAL PROFILE

SURNAME : VAN ROOYEN

FULL NAMES : ANTON

RESIDENTIAL AREA : Al KHOBAR, SAUDI ARABIA

NATIONALITY : SOUTH AFRICAN

LANGUAGES : ENGLISH, AFRIKAANS, DUTCH, limited Arabic

EDUCATION

NAME OF SCHOOL : SASOLBURG HIGH SCHOOL, SOUTH AFRICA

TERTIARY EDUCATION : HUMAN RESOURCE MANAGEMENT,
PRETORIA TECHNIKON, SOUTH AFRICA, 1995 (incomplete Diploma)

COURSES ATTENDED :

• Certified Compliance Officer (CCO) by the Institute of Banking ( in 2013)
• Qualified as Internal Quality Auditor, with Moody International – ISO 9001:2010 and IRCA
• Passed the IFCE Exam (Insurance Foundation Certificate Exam) prescribed by SAMA and the Institute of Banking.
• Introduction to ISO
• Management Orientation
• Discipline and Grievances
• Quality Management: basic – Intro-, Operations -, Strategic- and Financial modules

Computer literate: ORACLE, MS Office, Power Point, Visio

EMPLOYMENT HISTORY (Since 31 Oct 2017 – current)

CURRENT EMPLOYER : AL ETIHAD CO-OPERATIVE INSURANCE CO

POSITION : Client Support Services Supervisor, Medical Department

DUTIES :

• Overseeing all Quality related policy matters within the Medical department
• Receiving, and processing of all reimbursement claims according to policy terms and conditions.
• Arrange for pre-approvals.
• Oversee payment of all claims.
• Interact directly with the Sales Director as he holds the bigger accounts eg. Al Kifah, etc
• Interact between customers and TPA for difficult cases, including CCHI cases.
• Checking of all direct billing payments to service providers.
• Issue letters confirming member cover to embassies for visa purposes.
• Generating loss reports (MIS) per company, per month, and analysing them according to top claims, service providers, etc. Based on these results I then interact with company representatives to highlight risks and discussing ways to improve loss ratios.
• Document control:-
• Responsible for the document control of all underwriting section’s documents. Responsible for opening new files and to sort and file all documents related to new and old policies (additions, deletions, change of policy conditions,etc)
• In control of almost 8000 files in the INFOFORT archive. Arranging archiving, retrieval, refiling etc. for Al Etihad and Total Care Saudi (our TPA).

PREVIOUS EMPLOYER : AL SABIL INSURANCE AGENCY (Exclusive agent for Trade Union Cooperative Insurance (Al Etihad))

POSITION : Internal Auditor and Compliance Manager

DATES OF SERVICE : 4 February 2010 – 30 Oct 2017

DUTIES:

• In 2010 I Assisted Management to establish a Quality awareness and general acceptance towards compliance in the Jeddah, Riyadh and Al Khobar branches. .
• Developed policies/ procedures and forms in order to meet the regulatory requirements. (On-going updating was required by the legalising authority)
• Developing successful systems that would ease compliance to new and updated policies/procedures/flow charts/forms.
• Training of staff on compulsory courses prescribed by CCHI e.g. Anti Money laundering, Combating Terrorism funding, Code of Ethics, etc. Reporting progress of Training and exams written monthly to the Institute of Banking.
• Developed Customer due diligence procedure as well as Customer Information -, and Customer Complaints forms and associated procedures
• Monitoring of transactions and highlighting, recording and reporting any suspicious cases and ensures corrective measures to prevent similar incidents.
• Interacting with Insurance Company’s Auditors on an ongoing basis supporting them with any compliance investigation, reporting it in the prescribed manner to Top Management and SAMA.
• Conducted Quality meetings in order to identify and rectify any possible non conformances.
• Arranged and executed Management Meetings in order to address Quality – and other issues on an ongoing basis.
• Ensured full compliance with regulations stipulated by the Saudi Arabian Monetary Association (SAMA) as well as the Institute of Banking (IOB).
• Regularly reviewed and tested the control systems
• In charge of safe and reliable record keeping and archiving of old records.

• Assisted the company with several cost control exercises e.g. Stationery, car printing, booklets, (Manged to save SR 350 000 by doing things differently)
• Reported directly to the Chief Executive Officer and assisted him with all Quality and Compliance matters
• Audited all new policies issued, on an on-going basis for compliance to the guidelines of Insurers / CCHI.
• Issued non-compliance reports and ensuring successful rectification.
• Advised HR on any doubtful non-compliance matters, reporting and recommending any solutions. Following up on proper execution.
• Assisted with the collection of very old outstanding balances and managed to collect around SR 1 million for Trade Union (TUCI)

NAME OF EMPLOYER : OMCI International, Jeddah, Kingdom of Saudi Arabia (Consulting)

POSITION : Quality Assurance and Admin Manager

DATES OF SERVICE : 18 FEBRUARY 2004 – 18 February 2010

DUTIES:

Quality Assurance (ISO 9001:2002): –

• Formulation of quality policies and maintaining quality objectives complementary to corporate policies and goals.
• Developed and initiated standards and methods for evaluation.
• Ongoing Training of personnel.
• Performed quality reviews of documentation for compliance with stated requirements.
• Processed control for analyzing data to evaluate the current processes and process changes.
• Act as main ISO Quality Auditor carrying out Internal Audits and tending to Non-Conformances.
• ISO Quality Management Representative that handles all quality related matters: – (have successfully obtained ISO 9001 certification for this company and kept it going for 5 years and acted as lead auditor for certification of a large multi million Riyal sister company (ISE) in Riyadh). It was recently sold to the government.
• All other quality matters related to ISO 9001.

Administration/Office Management/ Procurement: –

• Provided comprehensive Admin support to MD, drafting of letters, writing reports/appraisals, meeting with vendors/suppliers, etc.
• Oversaw flight, hotel and vehicle bookings for all staff.
• Complete Office Management with associated functions including Time attendance system logging hours and advising Finance of any deductions.
• Administered the Medical Insurance scheme, medical claims for employees (1200 + members).
• Managed the activities, delegates to and supervises Secretaries; Office Administrator – and Drivers. Check their work for quality and correctness.
• In charge of procuring consumables, plane tickets, kitchen stocks, cleaning stock, printed matter, etc.
• Budgeting and stock control of stock.

• Reconciled and prepared invoices for payment, in charge of office petty cash.
• Assisted the CEO drafting letter to sister companies or external companies.

HR:-
• Assisted in creating self-sufficient stand-alone company away from Mother Company. (Own forms/policies/procedures)
• Ongoing development and implementation of policies and procedures. (ISO certified).
• Recruitment and selection of personnel, new contracts and Induction programmes for new recruits. Negotiated rent contracts with compounds for expats, tended to all their initial needs and made sure they felt comfortable in new country
• Developed and maintained administrative systems
• Performed annual appraisals
• Disciplinary actions as and when required

REFERENCES:-

Current Manager in Al Etihad: Mr. Hamdi Jardaneh , 0544155450
Previous Manager in Al Etihad (now with TCS): Mr. Ibrahim Ghethan, 0590744494
Previous CEO

  • Administration, Healthcare/Medical
  • Updated 6 months ago

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