Job Description
Job Description
Description : POSITION SUMMARY :
Responsible for maintaining compliance of all lines of business and communicating with Insurance Departments for regulatory issues.
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS :
- Draft and review rate, rule, & form filings as respects ongoing and new lines of business
- Communicate with state Departments of Insurance, workers’ compensation bureaus, industry bureaus and associations, etc., regarding regulatory issues, including exams and other inquiries
- Research, analyze and interpret bureau circulars and bulletins to identify impact and act on items significant to company operations
- Research, analyze and explain rules and regulations
- Assist in underwriting compliance and filing issues involving company, rate, and coverage form issues
- Perform regular review audits of business partner programs to ensure compliance with regulatory requirements
- Respond to complaints received from Policyholders
- Act as primary SIU / Fraud reporting contact and ensure timely completion of anti-fraud training requirements
- Manage and update policy issuance system with rate and form changes
- Communicate with internal reporting team regarding filing and reporting requirements
- Train staff as needed
- Ability to travel occasionally
- Perform other activities, duties and assignments as needed
Requirements :
MINIMUM QUALIFICATIONS :
Demonstrated ability to define problems, collect and analyze data, establish facts, draw valid conclusions and recommend solutions in a dynamic environmentAbility to present to external parties in a pleasant, professional manner and enhance the appeal and reputation of the organization as a knowledgeable and service-oriented organizationComputer skills including knowledge of Microsoft Office Suite or equivalentExcellent oral and written communication skills, and ability to handle confidential, sensitive informationHigh attention to detail, in combination with strong organizational and time management skillsAbility to effectively manage deadlines independently and within a team environmentBachelor’s degreeDESIRED QUALIFICATIONS :
Working knowledge of laws, regulations, and industry standards relevant to insurance, including program compliance audit reviews, regulatory filings, and reporting3-5 years’ experience in the insurance industry, specifically with analyzing, drafting and reviewing insurance policy forms and underwriting / rating manuals in compliance with statutory requirements throughout multiple statesKnowledge of insurance underwriting proceduresFamiliarity with the following tools and resources : SERFF, iFile / IRFS, NCCI, ISO, Salesforce, PowerBIProfessional certification such as CPCU or similar