SageSure · 6 hours ago

Senior Compliance Specialist

United States

Full-time

Remote

Senior Level

5+ years exp

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Responsibilities

Support the implementation of a comprehensive risk identification framework to proactively identify operational risks across the claims department.

Design and implement effective internal controls to mitigate identified operational risks and Conduct control testing to verify effectiveness and identify areas for continuous improvement.

Contribute to the development and implementation of a culture of risk awareness within the organization.

Support the Legislative Change Process; specifically, identifying, monitoring, and implementing monitor relevant insurance regulatory and legislative changes.

Conduct compliance deep dive claim reviews, share findings to drive continuous improvement within the Operation or Optimization departments.

Overseeing the formal Complaint handling process including identifying trends and completing carrier reporting activities.

Oversee the Adjuster Licensing program.

Support the Carrier Audit Process, including providing data for market inquiries, regulatory data calls and supporting market conduct examination requests.

Conduct ad hoc research into laws and regulations as needed, make recommendations, and oversee implementation of changes as necessary.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims experienceCompliance experienceOperational risk managementProperty claims knowledgeBusiness risk controlsRisk management degreeFRM certificationCRM certificationMicrosoft Office SuiteSmartsheetDomoData-driven experienceCatastrophe claims supportConstruction methodologiesField claims experience

Required

5 + years’ prior claims experience

5 + years compliance related work

3+ years of experience in operational risk management, preferably in the insurance or financial services industry.

Superior knowledge of property claims, business risk and operational controls

Bachelor's degree in finance, business administration, risk management, or a related field; advanced degree or professional certification (FRM, CRM) preferred.

Outstanding communication, attention to detail, time management, organizational, multi-tasking, and problem-solving skills.

Ability to communicate clearly, present and interact effectively at all levels of the organization

Execution oriented and a self-motivator

Knowledge of Microsoft Office Suite, Smartsheet, Domo and other business-related software