Corporate Claims Compliance Specialist

Old Republic Commercial Risk; Atlanta (GA); On-site; USD 75,000 - 110,000; Full time

Job summary

Old Republic Commercial Risk is seeking a Corporate Compliance Specialist to operate under the AVP of Compliance and Claim Operations. This role involves interpreting state, federal, and industry regulations and coordinating high‑complexity assignments within defined authority.

The incumbent will guide lower‑level staff and collaborate with diverse units to ensure timely action on regulatory changes. The position requires a Bachelor’s degree or 5+ years in an insurance‑related field, plus strong

Qualifications

• Bachelor's degree or 5+ years of equivalent experience in insurance required.
• CPCU and AIC or similar designation desired.
• Maintains state adjusting licenses and continuing education credits as needed.
• Supervisory experience is a plus.
• Extensive knowledge of WC regulations and applicable law across jurisdictions.
• Strong leadership, coaching and teamwork skills.
• Deep understanding of insurance contracts, regulatory/audit experience, and EDI compliance requirements.
• Excellent judgment, analysis, planning and negotiation skills.
• Proficient with MS Office (Word, Excel, PowerPoint).
• Strong customer service and collaboration abilities.
• Excellent verbal and written communication skills.

Responsibilities

• Analyzes and interprets state, federal and industry insurance legislation and regulations determining the potential 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 claim forms, printed material, and necessary operational changes.
• Coordinates and prepares the necessary forms and regulatory material for submission to state insurance departments to review or Claim Operations for implementation.
• Receives and performs initial analysis of consumer complaints and state insurance department inquiries.
• Completes compliance assessments, including research, file reviews, audits and business unit secondary review.
• Works closely with supported Operating Companies to ensure their compliance needs and requirements are met.
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Skills

Regulatory compliance

Leadership

Communication

Analytical thinking

Problem solving

Planning & organization

Negotiation

MS Office

Customer service

Teamwork

Education

Bachelor's degree

CPCU

AIC

Tools

MS Office

EDI

Job description

Under the technical direction of the AVP of Compliance and Claim Operations, the Corporate Compliance Specialist will works within defined limits and authority on assignments of higher technical complexity and coordination. Possesses demonstrated technical insurance industry knowledge and skills, including state, federal and industry compliance regulations, reflective of successful progression through various job family levels. May provide guidance and assistance to lower-level associates and other functional areas.
Responsibilities -

• Analyzes and interprets state, federal and industry insurance legislation and regulations determining the potential 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 claim forms, printed material, and necessary operational changes.
• Coordinates and prepares the necessary forms and regulatory material for submission to state insurance departments to review or Claim Operations for implementation.
• Receives and performs initial analysis of consumer complaints and state insurance department inquiries.
• Completes compliance assessments, including research, file reviews, audits and business unit secondary review.
• Works closely with supported Operating Companies to ensure their compliance needs and requirements are met.
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Requirements

• Bachelor's' degree or 5 or more years of equivalent work experience in an insurance related industry required.
• Chartered Property Casualty Insurance (CPCU) and Associate in Claims (AIC), or similar professional designation, desired.
• Obtains and maintains state adjusting licenses, as necessary. Ensures that all state-required Continuing Educational Credits are obtained as needed to maintain license.
• Previous supervisory experience
• Extensive knowledge of WC regulations and applicable law, preferably in multiple jurisdictions.
• Demonstrated leadership, coaching, and teamwork skills.
• Extensive knowledge of insurance contracts, insurance technical constructs and structures; previous state regulatory/audit experience; experience with EDI compliance requirements
• Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
• Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
• Demonstrated customer service and collaboration skills.
• Excellent verbal and written communication skills.