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.
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