Role OverviewThe Corporate Claims Compliance Specialist will work under the technical direction of the AVP of Compliance and Claim Operations, analyzing and interpreting state, federal, and industry insurance legislation and regulations, and determining the potential impact on company operations.
What You Will Do
Responsibilities include monitoring timely implementation of action plans to ensure compliance with regulatory changes, planning and implementing system revisions for rates, rules, and claim handling changes, and reviewing APCIA, industry notices, and enacted laws for changes relative to claim forms and operational changes.
Why It Might Be a Fit
The ideal candidate will demonstrate commitment to the 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
- 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
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