Corporate Claims Compliance Specialist

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

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.