Aspida is seeking skilled, self motivated and independent compliance professional for the role of Senior Compliance Analyst. The Senior Compliance Analyst is an individual contributor position that will take the lead as a Subject Matter Expert (SME) during conversations with internal business partners regarding various compliance issues and act as a mentor to new employees. Reporting to the Chief Compliance Officer, this a hybrid role and required to be on-site 3 days a week at our headquarters in Durham, NC.

Serves as a non-supervisory OWCP actuarial expert and advisor to OWCP’s leadership team.

The employee is responsible for preparing actuarial estimates and analyses related to the agency’s workers’ compensation programs. Analyzes unusually difficult and complex actuarial problems and issues concerning the health of OWCP’s benefits funds. Conducts expert research to obtain up-to-date social, economic and demographic data on the U.S. population, the federal workforce, and other covered injured or ill workers. Analyzes data for anomalies and provides expert advice and recommendations regarding the data validity, analytical methodologies, and statistically significant results. Participates in the development and implementation of software applications and tools to support policy working groups, produce management reports, and maintain customized reports. Participates in policy working groups as an expert in actuarial models and methods. Works with other OWCP technical experts who work with the models (i.e., statisticians, economists, etc.) to ensure that it is reasonable from an actuarial perspective. Provides recommendations for OWCP’s annual liability estimates. Working with other technical experts, he/she ensures that actuarial liability models for OWCP’s compensation funds are properly developed, maintained, enhanced, and documented. Works with other technical experts to ensure that actuarial liability models for OWCP’s compensation funds are properly developed, maintained, enhanced, and documented. Represents OWCP in discussions regarding the liability of its benefits funds with the Office of Management and Budget, the Department of the Treasury, Congress, insurance companies, and others. Works closely with OWCP leadership and other senior government officials including the agency Director, the Deputy Director, Program Directors, Comptroller, DOL Office of the Chief Financial Officer, and others with regard to actuarial issues, findings and policies.

This job posting is active from 12/12/2024-12/18/2024.

Basic Qualifications
Education & Training: A Bachelor’s or Master’s degree in Actuarial Science, Mathematics, Statistics, or related field and specific training and education focused on the insurance industry

Experience: A minimum of 4 years’ actuarial experience in property and casualty insurance or closely related industry, and 2 years of demonstrated leadership experience.

Required Knowledge, Skills & Competencies: Proficient reading, writing, grammar, organizing and analytical skills; strategic visioning, planning & forecasting abilities; proficient interpersonal relations, listening and communicative skills; exceptional work management, people management, leadership and coaching abilities; exceptional understanding of underwriting and actuarial functions, processes and practices; thorough understanding of company financial reports, along with a clear understanding of the financial drivers of company performance and the relationships between key operating processes and company growth and financial sustainability; entrepreneurial drive and inclination toward supporting the company’s growth and actively contributing to the industry; collaborative and generative attitudes and abilities toward working as part of a team; demonstrated decision-making and problem solving skills; proficient computer and technology skills including Intermediate/Advanced skills using Microsoft Office Suite; visual and auditory skills; valid driver’s license.

General Responsibilities
Responsibilities include leading the Company’s Actuarial and Filing Department. The Actuary will lead the team that analyzes and recommends revisions in the rates and rating plans for assigned lines of insurance. Fosters strong team development, performs actuarial analysis and research concerning present and proposed rating plans, proposed or recently enacted legislation affecting the actuarial function, and the pricing of new products. Performs actuarial analysis required to support rate filings with regulatory authorities. Represents Actuarial and Filing Department through participation in interdepartmental meetings, and discussions with other departments. Assists in the training and development of team members. Performs special actuarial assignments requiring professional expertise. Performs actuarial analysis of loss and loss adjustment expense reserves; and performs and analyzes the testing of alternative
methodologies needed to reflect changes in operational procedures, legislation, and current claims costs trends. Performs actuarial financial outcomes and within the construct of the company’s Enterprise Risk Management and Strategic Business Plans; Serves a key supporting role in developing profitable premium growth; ensuring the Company’s compliance with external laws and regulations, as well as internal company operating policies, procedures and processes; communicating and interfacing with other departments, management and staff; providing various periodic reports to the Secretary & COO, President & CEO and, as directed, to the Board of Directors. Performs other functions as assigned.

Essential Duties
1. Researches and analyzes various types of data to produce rate adjustment proposals, reserve estimates or economic capital models; and/or actuarial support for filings with state insurance departments; and/or to implement new rates and rating plans, using existing procedures, recommending changes where appropriate.
2. Actively supports the ongoing achievement of the Company’s mission, guiding principles and values through the oversight of the work of the Filing Department; participates in ongoing enterprise risk planning and strategic visioning and business planning.

3. Works closely with the R&D initiatives by meeting regularly with R&D leadership to:
a. Properly price new products and new market areas.
b. Identify, evaluate, and mitigate risk.
c. Understand guidelines for product offerings relating to underwriting, coverages, rates, forms, etc.; understands software system layout for new products and changes to existing offerings.
d. Monitor profitability of existing products and implements coverage and rate changes.
a. Maintain a complete knowledge of multiple product line offerings including niche
programs.
4. Responsible for rate changes and filings.
a. Processes all rate, rule, and form filings through SERFF (System for Electronic Rates and Forms Filing) in all States for filing compliance.
b. Responds to regulatory review issues relative to all product filings and secondary review for reinsurance relationships, agreements, portfolio, and contracts.
c. Responds to regulatory review issues relative to all products rate adequacy and proposed corrective measures to obtain rate adequacy.
d. Responds to regulatory actuarial review.
5. Develops, implements, maintains, and achieves actuarial price adequacy through constant monitoring of historical performance.
a. Organizes historical performance data (premium and losses) of all companies within the ECM Insurance Group.
b. Monitors by-line performance on a monthly, quarterly, and annual basis.
c. Provides performance indications to appropriate departments within the Company allowing them to maintain focus on Company profitability.
d. Assists with Annual Statement preparation and support as directed by supervisor.
e. Assists with financial preparation, reserving, data calls, and any other data preparation as directed by supervisor.
10. Directly supervises assigned management, supervisory and support staff as follows:
a. Makes provisions for the proper orientation and training of new personnel.
b. Reviews employee performance throughout the probationary period and on a regularly scheduled basis thereafter and makes certain that these processes are followed throughout the Company. Organizes, schedules, and distributes work among assigned personnel.
c. Keeps Company staff informed of pertinent policies and procedures affecting the Company and their positions; creates an atmosphere in which upward Communication from staff is encouraged.
d. Administers personnel policies and procedures as established by the Company.
11. Ensures that Leadership & Professional Succession Plans are in place for Group actuarial and regulatory compliance and filing staff.
12. Supports, encourages, and acts out behavior that creates and maintains a generative culture in the company and collaborative and team-focused relationships with management and staff.
13. Complies with established operating policies and procedures to maintain adequate controls and to support the Company’s adherence to outside regulatory requirements.
14. Abides by the current laws and organizational policies and procedures designed and implemented to promote an environment which is free of sexual harassment and other forms of illegal discriminatory behavior in the workplace.
15. Cooperates with, participates in, and supports the adherence to all internal policies, procedures, and practices in support of the company’s commitment to a safe working environment.
16. Communicates with management and staff personnel to integrate goals and activities.
17. Responds to inquiries or requests relating to his/her area within given time frames and within established policy.
18. Maintains appropriate records and provides assigned reports to the Secretary & COO, President & CEO, and as requested, the Board of Directors.
19. Performs other related duties as assigned or directed.

Physical Demands

Physical demands are minimal and primarily performed in an office setting, except where travel is
required.

Work Environment

Work environment is varied between office settings, various outside locations, and occasional travel settings, e.g., car, airplane, etc. Work hazards are present but generally limited to requirements around travel.

Equipment & Machine Requirements
1. Integrated Telephone System
2. Computer & Related Software (Microsoft Office Products, Actuarial software, Company Policy Management Systems)
3. Printer/Scanner
4. Other office and related technology

Philadelphia Insurance Companies is looking to add a Product Development Manager to join our Compliance team.

Summary

The Product Development Manager will be responsible for the coordination and completion of new and existing insurance product development projects for Property, General Liability, Auto, Inland Marine, Crime, Farm, Businessowners and Professional Liability. This role involves overseeing staff, conducting market research, collaborating with cross-functional teams, and ensuring that products are competitive, compliant, and aligned with company goals.

A typical day will include the following
Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle.
Responsible for the end-to-end product development process including the execution and implementation of product enhancements and new products/programs.
Prioritizes Product Development projects.
Manages the product development staff by assigning projects and overseeing work efforts.
Coordinates with other functional areas of the Compliance Department on regulatory matters that impact company independent forms and rules.
Develops the talent and expertise of the product development specialists.
Ensures products meet regulatory requirements and adhere to internal company standards.
Qualifications
Bachelor’s degree or an equivalent of 10 years of Product Development experience in the P&C industry.
Five years Commercial and Professional Underwriting Experience, or strong understanding of P&C insurance products, underwriting principles and market trends
Management experience required.
Knowledge of ISO forms, rates and rules, including knowledge of bureau filings, adoption activities, and system development.
Familiarity with and an ability to interpret rules and regulations outlined in compliance and commercial lines bulletins.

Please contact or send qualified resumes to [email protected] or apply on-line at PHLY.com – Careers.

Philadelphia Insurance Companies is looking to add a Product Development Specialist to join our Compliance team.
Product Development Specialist – Compliance
Develop new products and revise existing products by developing and/or amending Coverage Forms and endorsements, and rate rule pages.
Collaborate with Underwriting, Actuarial, Claims and Information Technology departments on Product Development projects.
Be aware of regulatory and legal changes that may affect business.

A typical day will include the following:
Develop and/or amend coverage forms and endorsements, and rate rule pages.
Develop explanatory memos to be sent to the DOIs.
Research competitor filings.
Review regulatory and legal changes and update forms and rules as necessary to ensure our products are compliant.
Collaborate with Underwriting and Actuarial to determine intent of project and desired rating.
Work with Claims on form language.
Assist State Filings with preparing filing material to be submitted to the DOIs.
Respond to DOI objections, collaborating with Underwriting and Actuarial as needed.
Review system requirements with IT for programming, ensuring they match the filing.

Qualifications:
Bachelor’s or higher degree from a four-year College, University or Graduate School, preferred.
P&C Commercial Underwriting experience preferred.

Please contact or send qualified resumes to [email protected] or apply on-line at PHLY.com – Careers.

Provide oversight and direction regarding the development, implementation, and operation of the Office of Workers Compensation Programs (OWCP) medical bill processing/provider network operations, and related functions and activities (e.g., claimant and provider inquiries, provider outreach, and fiscal operations).
Supervise a staff of Federal professional employees and oversee large, complex bill process operations acquired through contracted services. Provides oversight, and advice that requires exceptional coordination and integration of a number of complex program segments for professional technical, or administrative work.
Serve as a senior advisor by providing sound counsel and authoritative recommendations to the Branch Chief, Division Director, Deputy Director, and other senior officials regarding medical bill processing/provider network operations. In this capacity, the incumbent functions as the Project Manager (PM) with overall responsibility for managing broad and highly complex projects and employs strategic planning methods and technical advisory services through discussion of overall and specific problems, which may be precedent-setting, extremely involved, or very unusual, with senior executives and program managers.
Function as the Project Manager (PM) or designate and oversee a PM, with overall responsibility for managing broad and highly complex projects and employs strategic planning methods and technical advisory services through discussion of overall and specific problems, which may be precedent-setting, extremely involved, or very unusual, with senior executives and program managers.
Oversee customer experience (CX) efforts that include medical bill processing, provider, claimant and pharmacy benefits management perspectives. Ensure medical bill processing services are provided in accordance with industry standard approaches, in a professional, respectful, and compassionate manner that ensures equitable access to services for all claimants.
Apply mastery project management skills to effectively develop, schedule, coordinate, and administer projects and resources to include monitoring and inspecting costs, work, and contractor performance. Define and establish project scope, requirements, and deliverables as well as short- and long-term system objectives.

The Market Conduct Examiner (MCE) performs highly complex work involving planning and coordinating market conduct examinations of insurers. Market conduct examinations are done under the direction of the Director of Market Regulation (Director) and require significant interaction with management level staff of insurer organizations.

The MCE is responsible for:
• Assisting in the identification and prioritization of companies to be scheduled for examinations;
• Planning the scope of examinations;
• Preparing time and expense budgets for examinations;
• Supervising examiners under contract to account for time and work assignments;
• Periodic reporting to the Director on the activities, findings, and recommended corrective actions relating to an exam;
• Informing insurance company personnel of non-compliance and recommending corrective actions;
• Preparing examination reports to document findings and recommendations;
• Monitoring an insurer’s compliance with corrective action plans.

This position requires travel for field examinations and/or meetings of the National Association of Insurance Commissioners. Interaction with high-level industry personnel may be anticipated, sometimes in adversarial situations. The successful candidate must have insurance industry or regulatory experience.

Position Overview

The Director, Insurance Regulatory Compliance is responsible for the development and oversight of product form and rate filings. Products include current BCS Financial offerings and strategic changes and expansions. This role is responsible for regulatory research and advice for product development and implementation. Coordinates regulatory updates to staff and administrators.

This position will report to the Vice President, Associate General Counsel, Compliance.

Essential Elements

Manage and develop team of Compliance professionals filing insurance products and providing compliance information to the business
Responsible for overseeing all accident & health and property & casualty product filings, including inhouse and outsourced projects
Represent Compliance and Legal Team with Product Development, Product Implementation, Product Management and Senior Management
Manage regulatory update processes, identifying and researching changes affecting company and communication and follow up with business elements
Manage or provide backup for mental health parity and managed care adequacy filings and reporting
Supervises the renewal process for the Certificate of Authority for two nationwide licensed insurance companies
Requirements

Education and Certifications

Bachelor’s degree or commensurate experience required
LOMA or other relevant insurance and compliance certifications preferred
Experience

5+ years of experience supporting the insurance compliance function of an insurance carrier required
Familiar with products and regulation:
Accident and Health (required) – Major medical, supplemental, ancillary, stop loss, employer life
Property Casualty (preferred) – travel, E&O
Experience with SERFF regulatory filing software required
Excellent written and verbal communication skills required
Strong expertise leveraging the Office 365 (O365) suite required
What we offer:

Hybrid and remote work environments
HSA/PPO medical plans
Dental
Vision
HSA/FSA
Short-term and Long-term Disability
Employee Assistance Program
Life and Travel Insurance
Company Discounts
Home office and wellness reimbursement
401(k) w/ up to 6% company match
Generous PTO
12 paid holidays
Parental leave
Generous employee referral program
Professional development and development planning: tuition reimbursement, continuing education & assistance obtaining professional certifications

The National Association of Mutual Insurance Companies (NAMIC) has a new opportunity for a Compliance Analyst in our Legal & Compliance department. This position will work with General Counsel and the Compliance Manager to develop strategies, products, resources, and compliance-related solutions for NAMIC members and is directly responsible for execution of elements of the compliance strategic plan as directed.

Essential functions of the position include:

Directly assists in the development and execution of the NAMIC compliance function strategic plan, including determining the optimal allocation and use of resources and NAMIC personnel.
Performs appropriate and useful research and analysis regarding legal and regulatory compliance requirements within the property/casualty insurance industry.
Sources and hosts speakers for compliance webinars and presentation of any in-person compliance-related educational programs for NAMIC members.
Monitors, reviews, and analyzes property casualty insurance enacted laws, adopted regulations, supervisory notices, market conduct actions/examinations, and regulatory bulletins, including workers’ compensation content, on an ongoing basis and shares responsibility for drafting notifications, analyses, or other communications to NAMIC members on emerging issues.
Assists with development of compliance content for website, resource centers, discussion forums, magazine, or other print/digital publications or communications, including formal written compliance guides and other practical compliance resources.
Monitors and updates existing 50-state research and identifies subjects for, researches, and drafts new 50-state research.
Prepares member outreach and provides guided virtual member demonstrations on an ongoing basis.
Maintains and updates Market Conduct Insights tool.
Responds to inquiries from NAMIC members as requested.
Represents NAMIC at various compliance-related insurance industry functions.
Participates in the NAMIC compliance council.
Builds and maintains positive work relationships with management, staff members, and external contacts.
Arrives to work on time and maintains a positive attendance record.
Performs any other duties and projects as assigned.
Qualifications include:

3-5 years of legal or regulatory compliance experience in the property/casualty insurance industry.
Achievement of formal insurance-related designation such as CPCU or equivalent preferred.
Excellent research and analytical expertise.
Workers’ compensation experience preferred but not required.
Some travel is expected.
Clear criminal record and acceptable MVR.
NAMIC is proud to have been selected as one of the Best Places to Work! We offer an excellent compensation and benefits package with this full-time position. Benefits include access to group medical, dental and vision; a matched 401(k) plan; one paid day each year to volunteer with the charity of your choice; generous paid vacation; and more! We have a friendly yet professional work atmosphere where everyone enjoys working hard for the good of our members.

NAMIC is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected status.

Hybrid, 3 days in office and 2 days at home (if desired). Full Remote not available.
The keywords for success in this role are accuracy, completeness, collaboration, understanding, balancing, and timeliness. Our tasks must be completed on time, be fully accurate, and balance to our other financial systems.

As COUNTRY’s Senior Property Casualty Statistical Reporting Analyst, you will be part of a team that ensures we remain compliant and current with all regulatory, legal, and contractual data reporting requirements. This includes working closely with your direct leader, and other business areas to understand and adapt to changes in source files/processes and governmental requirements.

Familiarity with Property Casualty insurance (including personal lines, commercial lines, workers compensation, etc..) would be very helpful in getting up to speed quickly in this role and understanding the specifics behind the requests and the data received and how the two relate. This way issues can be identified prior to submission and addressed, as well as adjusting existing processes as requirements change.

Collaborating with coworkers to ensure full knowledge-sharing and updated documentation of each process is a critical role at Country and one which requires the right combination of self-motivation, problem solving, technical writing, and a comfort level with using data provided by your peers (or that you obtain yourself) to complete mandatory governmental filing documents and records. Utilizing Excel and similar user-facing programs for working with data is important. An interest in expanding technical skills is also important.

This position requires a high degree of competency both in self-motivation and team collaboration, as well as strong attention to detail and self-auditing. The keywords for success in this role are accuracy, completeness, collaboration, understanding, balancing, and timeliness. Our tasks must be completed on time, be fully accurate, and balance to our other financial systems.

The successful candidate will find themselves in a position to learn and grow within Statistical Reporting as well as having exposure to a wide range of other areas within PC Operations aligned to their individual skills, interests, career path desires, and company needs.

This position offers a hybrid (3/2) work schedule and is based out of our corporate offices in Bloomington, IL.

How does a Senior Property Casualty Statistical Reporting Analyst make an impact?
*While coding experience is not required, you will need to learn the tools we use in order to extract and view data (Excel and/or similar programs)*
• Gathers and documents report requirements and writes complex report specifications to meet business needs.
• Pulls and manipulates data from various systems for accuracy and quality and interacts with reporting tools. May modify raw data into a meaningful format.
• Designs and produces standard and adhoc reports, dashboards, cubes, and various data visualization reporting solutions for end-users and project analysts.
• Uses reporting tools, applications, and/or queries to create and configure new reports and dashboards.
• Ensures compliance with deliverable reporting requirements by performing quality data audits and analysis.

Do you have what we’re looking for?
• COUNTRY product and/or data knowledge (especially commercial/worker comp).
• Ability to manage time and meet deadlines effectively and with minimal oversight.
• Interest in continued knowledge growth related both to the insurance industry and to data.
• Typically requires 7 years of relevant experience or a combination of related experience, education and training.
• Knowledge of regulatory or required reporting of any kind, especially data related.
• Medium proficiency with any coding language or preparing formula in Excel or similar programs is preferred

This position is part of a job family. Placement will be determined by skills and qualifications of the candidate.
You’ll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), retirement, parental leave, paid time off, paid company holidays and time off to volunteer in your community.