Insurance Product and Service Standards
A procedure for defining, documenting, and maintaining quality standards for policies and services to ensure consistent settlement that meets customer expectations.
Purpose
To establish clear and measurable quality standards that guide production and service settlement, enabling consistent customer satisfaction and regulatory compliance.
Scope
Applies to all policies and services offered by the organisation, from initial design specifications through to final settlement and after-sales support.
Prerequisites
- Customer requirements and market research data
- Applicable regulatory and industry standards
- Input from production, service settlement, and quality teams
Aligns with ASIC regulatory requirements, General Insurance Code of Practice, and AFSL obligations. Includes audit trail provisions.
Step-by-Step Procedure
Gather Requirements
Collect customer requirements, regulatory obligations, and industry best practices that will inform the quality standards.
- 1.1Review customer contracts, feedback, and market research
- 1.2Identify applicable regulatory and industry standards
- 1.3Consult with internal stakeholders on performance expectations
Define Quality Criteria
Establish specific, measurable quality criteria for each policy or service attribute based on gathered requirements.
- 2.1List all quality attributes such as dimensions, performance, appearance, and reliability
- 2.2Set measurable acceptance criteria for each attribute
- 2.3Define testing and verification methods for each criterion
- Ensure criteria are measurable and unambiguous to avoid subjective interpretation
Draft Standards Document
Prepare the formal standards document that specifies all quality criteria, testing methods, acceptance limits, and responsibilities.
- 3.1Compile criteria into the standards document template
- 3.2Include testing methods, sampling plans, and acceptance limits
- 3.3Add roles and responsibilities for standards compliance
Review and Approve
Circulate the draft standards document to relevant stakeholders for review, incorporate feedback, and obtain formal approval.
- 4.1Distribute the draft to production, service, and management stakeholders
- 4.2Collect and incorporate feedback
- 4.3Obtain formal approval from senior management
Communicate and Train
Distribute the approved standards to all relevant teams and provide training to ensure understanding and compliance.
- 5.1Publish the approved standards in the document management system
- 5.2Conduct training sessions for affected teams
- 5.3Verify understanding through assessments or sign-off records
Implement and Monitor
Apply the standards in production and service settlement. Monitor compliance through inspections, audits, and performance data.
- 6.1Integrate standards into production and service settlement processes
- 6.2Conduct regular compliance checks and inspections
- 6.3Track quality performance against the defined criteria
Review and Update Standards
Periodically review standards to ensure they remain current and aligned with customer needs, regulatory changes, and process improvements.
- 7.1Schedule periodic reviews at defined intervals
- 7.2Evaluate whether standards need updating based on performance data and changes
- 7.3Process revisions through the document control procedure
Quality Checkpoints
Common Mistakes to Avoid
Expected Outcomes
Percentage of policies or services that meet all defined quality standards at first inspection.
Customer-reported satisfaction level, reflecting whether the standards effectively translate to customer value.
Percentage of standards documents that are reviewed and current within their defined review cycle.
Frequently Asked Questions
Who is responsible for maintaining quality standards?
The quality manager typically owns the standards documentation, but input from production, engineering, sales, and customer service teams is essential for keeping standards relevant and effective.
How often should standards be reviewed?
Standards should be reviewed at least annually or whenever there is a significant change in customer requirements, regulations, or production processes. Critical standards may require more frequent review.
How detailed should policy and service standards be?
Standards should be detailed enough to be measurable and consistently applied, but not so prescriptive that they stifle innovation. Focus on critical quality attributes that directly impact customer satisfaction and safety.
What happens when a standard cannot be met?
If a standard cannot be met, a formal concession or deviation process should be followed. The root cause of the inability to meet the standard should be investigated and addressed through corrective action.
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