Claims Compliance Lead - Regulatory & Audit Expert

Old Republic Commercial Risk; Charlotte (NC); On-site; USD 85,000 - 110,000; Full time

Job summary

Old Republic Commercial Risk seeks a Corporate Compliance Specialist to navigate state, federal, and industry regulations under AVP direction. The role analyzes legislation, coordinates action plans, and implements system changes impacting rates, rules and claim handling.

Candidates should have a Bachelor's degree or 5+ years in insurance, with CPCU/AIC preferred, and prior supervisory experience; strong leadership, communication, and MS Office skills are essential.

Qualifications

• Bachelor's degree or 5+ years of equivalent work experience in an insurance related industry required.
• CPCU and AIC or similar professional designation desired.
• Obtains and maintains state adjusting licenses and CE credits as needed.
• Previous supervisory experience preferred.
• Extensive knowledge of WC regulations and applicable law across jurisdictions.
• Strong leadership, coaching, and teamwork skills.
• Advanced skills in applying sound judgment, analysis, planning and negotiation.
• Proficient in MS Office (Word, Excel, PowerPoint).
• Excellent verbal and written communication skills.

Responsibilities

• Analyzes and interprets state, federal and industry insurance legislation and regulations determining impact on company operations.
• Monitors timely implementation of action plans to ensure compliance with regulatory changes.
• Plans and implements system revisions for rates, rules and claim handling changes.
• Reviews APCIA, industry notices, Insurance Department bulletins and enacted laws for changes relative to forms, materials and operations.
• Coordinates forms and regulatory material for submission to state departments or Claim Operations for implementation.
• Receives and analyzes consumer complaints and state inquiries.
• Completes compliance assessments including research, file reviews, audits and cross-functional reviews.
• Works with Operating Companies to ensure their compliance needs are met.
• Demonstrates commitment to the Code of Conduct and Ethics and applies compliance policies and laws.

Skills

Regulatory compliance

Leadership

Coaching

Teamwork

Communication

Planning & organization

Negotiation

Problem solving

Collaboration

Customer service

MS Office (Word, Excel, PowerPoint)

Education

Bachelor's degree

CPCU

AIC

Tools

MS Office Suite

Job description

Old Republic Commercial Risk seeks a Corporate Compliance Specialist to navigate state, federal, and industry regulations under AVP direction. The role analyzes legislation, coordinates action plans, and implements system changes impacting rates, rules and claim handling.

Candidates should have a Bachelor's degree or 5+ years in insurance, with CPCU/AIC preferred, and prior supervisory experience; strong leadership, communication, and MS Office skills are essential.