Corporate Claims Compliance Specialist

Old Republic Commercial Risk; Tampa (FL); Presencial; USD 85.000 - 110.000; Jornada completa

Descripción de la vacante

Old Republic Commercial Risk is seeking a Corporate Compliance Specialist to operate under the AVP of Compliance and Claim Operations. You will handle high- complexity assignments, staying abreast of state and federal insurance regulations and ensuring regulatory changes are implemented efficiently.

You will guide higher- and lower-level associates, coordinate with operating companies, and apply strong judgment and analytical skills to maintain compliance across the organization.

Formación

• Bachelor's degree or 5+ years in insurance industry required.
• CPCU and AIC designations desired.
• Obtains state adjusting licenses and CE credits as needed to maintain license.
• Previous supervisory experience preferred.
• Extensive knowledge of WC regulations and multi-jurisdictional law.
• Demonstrated leadership, coaching, and teamwork skills.
• Strong problem solving, planning, and organization abilities.
• MS Office proficiency (Word, Excel, PowerPoint).
• Excellent verbal and written communication.

Responsabilidades

• 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.

Conocimientos

Regulatory compliance

Insurance industry knowledge

Leadership

Analytical thinking

Problem solving

Communication skills

Coaching

Teamwork

Licensing knowledge

MS Office

Educación

Bachelor's degree

CPCU / AIC designation

Herramientas

EDI systems

Descripción del empleo

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.