Claims Compliance Specialist

The Claims Compliance Specialist will ensure that the company is compliant with all relevant state laws and regulations and up-to-date on all relevant legislative and regulatory changes pertaining to fair claims handling practices. This individual will also oversee and advise on effective controls related to claims compliance as well as identify potential claims compliance issues, through testing and trending analysis using data analytics and other reporting mechanisms. The Claims Compliance Specialist will respond to claims data calls from state regulators and consumers.

1. Intake, monitoring and resolution of complex regulatory claims matters.

2. Ensures that the company is compliant and up-to-date on relevant state regulations. Works with Claims Department to recommend and implement changes required by regulators.

3. Collaborates with Claims Department and external clients (i.e., regulators, trade associations, and industry peers) to identify potential regulatory vulnerabilities.

4. Researches, analyzes and summarizes insurance statutes and regulations as needed in conjunction with fair claims handling practices and/or in response to research requests from Claims Department.

5. Coordinates responses related to claims regulatory inquiries and non-financial regulatory audits (i.e., market conduct examinations) and represents Selective’s interests.

6. Responds to claims data calls from regulators.

7. Monitors corrections of claims errors to ensure that company is compliant with all relevant state regulations.

8. Responds to consumer complaints related to claims matters, in collaboration with the claims business teams.

Requirements and Qualifications:
•Excellent written and verbal communication skills.
•Knowledge of the state regulatory environment for property and casualty insurance claims.
•Strong organization and research skills.
•Detail oriented and curious.
•Personable and able to work effectively with a wide variety of people.

•College degree preferred.


3-5+ years of insurance claims experience, with a focus on regulatory compliance preferred.
•AIC, AIC-M, MCM, or CPCU preferred or other industry designation in related discipline.

State Relations Analyst

Are you a bright, independent, insurance professional to looking contribute your knowledge and experience in the Property and Casualty arena in a way that shapes the entire industry. If so, ISO’s diverse, fast paced State Relations department is looking for you! In this influential role you will be responsible for:
coordinating and monitoring pending and prospective filings,
responding to various regulatory inquiries to ensure speed to market of ISO products
assist in the development and implementation of strategies to achieve prompt approval of filings,
assist in ISO’s interactions with agent associations, other statistical agents and independent rating bureaus, and
research and prepare technical material (responses to inquiries, compilations of statutes, speeches, status reports, papers, etc.) for both internal and external use

Annual Salary: N/A

Regulatory & Licensing Leader

At Sentry, our business is built around people. We pride ourselves on the promise to deliver efficient and effective services and believe people are our competitive advantage. We’re currently looking for a Regulatory & Licensing Leader that will use their skills and knowledge with licensing requirements, compliance, regulatory filings, and workflow management to lead and support our company and producer licensing teams.

What You’ll Do
As the Regulatory & Licensing Leader, you’ll lead the company and producer licensing teams while facilitating compliance with insurance departments and other regulatory agencies. In addition, you’ll:
• Manage licensing department workflows to ensure necessary requirements remain intact
• Serve as technical expert and handle unique inquiries regarding licensing processes and issues
• Manage regulatory filings of underwriting companies to maintain or gain authorization to do business in applicable states
• Respond to regulatory agencies with complex filings and compliance issues
• Review workflow processes to evaluate effectiveness and implement process improvement procedures
• Maintain knowledge of new or modified law and regulations impacting licensing activities and regulatory compliance requirements
• Leads and participates in a wide variety of projects
• Conduct reviews of regulatory filings to ensure compliance is maintained
• Ensure the success of human resource-related activities including salary reviews, policy adherence, selection, development, and retention of staff
• Work closely with your staff to communicate work direction, monitor quality and accuracy standards, and provide continuous development

What it Takes
• Associate Degree or equivalent work experience
• 6+ years of related work experience
• Experience in company or producer licensing and regulatory filings
• Prior supervisory experience required
• Analytical, decision-making, communication, organization, and computer skills
• Strong written and verbal communication skills
• Ability to protect and maintain confidentiality
• Computerized legal research skills and experience with resources such as Westlaw and Lexis beneficial

What You’ll Receive
We take great pride in making Forbes’ list of America’s Best Midsize Employers since 2017. A lot of different factors go into that honor, many of which contribute to your job satisfaction. At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive.
• Generous Paid-Time Off plan for you to enjoy time out of the office.
• 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
• Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
• Pretax Dependent Care and Health Expense Reimbursement Accounts to ease taxes on health spending.
• Extensive Work-Life Resources to lend a helping hand.
• Sentry Foundation gift matching program to encourage charitable giving.
• Continue your education and career development through Sentry University (SentryU).

How You’ll Apply
If you are interested in joining Sentry’s team, select the one position that you are most interested in being considered for and complete your online application details. If you have applied with us before, you will only need to provide your email address and password. If this is your first time applying, you’ll need to create an account. Please complete your application and upload your resume online.

About Sentry
All of us at Sentry—more than 4,000 associates—have various talents, skills, and backgrounds. We work together to deliver on our promises to our policyholders every day. We’re proud to offer a full line of property, casualty, and life insurance products to help protect businesses, cars, homes, lives, and retirement income.

Our headquarters is in Stevens Point, Wisconsin, with claims and service offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry’s leading rating authority.

Get ready to own your future at Sentry. Opportunities await.

Equal Employment Opportunity
It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.

Contract and Rate Analyst – Life Insurance

Do you have experience in the life insurance industry such as claims administration, An image without descriptionunderwriting, auditing, contracts, or compliance? Do you have an extensive knowledge of life insurance laws and regulations? Can you read and understand insurance contracts? Are you able to communicate effectively in written and verbal form? If you answered yes to these questions join our team as a Contract & Rate Life Insurance Analyst in our Health & Life Division at the Utah Insurance Department!

If you are currently licensed with the Utah Insurance Department, your license will be suspended while you are employed by the Department. Your license can be reactivated once you are no longer employed by the Department.

Principal Duties
As a Contract & Rate Insurance Analyst for life insurance, you will:

Research, interpret and apply federal and state insurance laws, regulations, and guidance.
Review and analyze all types of life insurance policies, contracts, and rates to ensure compliance with federal and state laws and regulations, and agency standards and guidelines.
Summarize findings, interpret results, and make recommendations.
Communicate information clearly and concisely both verbally and in writing with others to reconcile non-compliant findings.
Read and understand information and data presented in order to draw a fact based conclusion, while applying applicable laws.

The Best Qualified Candidate
The best qualified candidate for this position will have:
5 or more years of experience in the life insurance industry or with a third-party administrator, including experience in:
insurance contract and product development;
claims administration;
conflict resolution; or
insurance rating analysis.
Extensive knowledge of life insurance laws, regulations, policies, and procedures.
Strong, well-rounded computer and writing skills.
A bachelor’s degree or higher in a closely related field.
The ability to work independently prioritize workload, and manage multiple deadlines.
The ability to read, understand, apply, and explain federal and state laws and regulations.

Why You Should Join Our Team
In addition to the state’s competitive and comprehensive benefits package, employees of the Insurance Department enjoy a great work schedule, a healthy work/life balance, the satisfaction of serving the residents of our great state, and the chance to work from home up to 3 days a week!

The Agency
The Utah Insurance Department’s mission is to foster a healthy insurance market by promoting fair and reasonable practices that ensure available, affordable and reliable insurance products and services.

Supplemental Information
Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.
If you are currently licensed with the Utah Insurance Department, your license will be suspended while you are employed by the Department. Your license can be reactivated once you are no longer employed by the Department.

Annual Salary: $20.82 – $33.02 (will be increased by 3% on 6/26/2021)

Property & Casualty Division Deputy Director

The Bureau of Insurance regulates Maine’s insurance marketplace to protect and serve the public. As part of The Department of Professional and Financial Regulation, our office provides many challenging opportunities to work in a career that involves insurance regulation and compliance. The Bureau’s Property and Casualty Division investigates consumer complaints, regulates insurance contracts, and provides educational information about property and casualty insurance products, including homeowners, automobile, and various lines of business insurance. The Deputy Director opening is an exciting opportunity to work with a knowledgeable team that assists many stakeholders, including Maine’s citizens and businesses.

Annual Salary: $57,158 – $78,083

Project Manager – Legal Complaince

General Description:
Responsible for assisting in developing, maintaining and leading Universal North America’s (UNA) property & casualty insurance compliance and privacy program designed to establish compliance standards and to monitor, detect and help prevent compliance deficiencies.

Essential Duties and Responsibilities:
Supports development and implementation of an enterprise-wide compliance strategy for the UNA business by providing recommendations to strategic plans, preparing and completing actions plans and implementing compliance standards.

Manages projects targeted toward working with colleagues in all departments to ensure products, systems, processes & procedures are in compliance with statutory/regulatory requirements.

Serve as designated privacy and information security subject matter expert. Oversee the development of an enterprise-wide privacy program. This includes SOP development, communication and training to employees to ensure awareness of “best practices” on privacy and data security issues.

Function as the incident response coordinator for situations in which privacy or cybersecurity requires a company response.

Stay abreast of, and be accountable for, compliance with changing laws, regulations and industry standards. Guiding and developing governance and processes to ensure compliance and mitigate risk.

Lead and perform duties required to conduct specific compliance audits internally and with MGAs, TPAs and applicable vendors. Mentors compliance team members through the audit process.

Lead and manage the UNA response for market conduct and other regulatory examinations, audits and inquiries.

Lead and manage the handling of responses and resolution to customer complaints. Mentors compliance team members through the responses process.

Contributes to designing action plans to address results of regulatory findings internally and with MGAs, TPA and other vendors.

Leads projects involving cross-functional endeavors with other corporate departments to enable the process of implementing new laws and regulations applicable to UNA are implemented within the business.

Reports results on a regular basis (daily, weekly, biweekly, monthly, depends on the area).

Perform other duties as required.

Supplementary Information:
This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job.

Mathematical Skills:
General mathematical skills as required from general educational studies.

Physical Demands:
The physical demands described here are representative of those that must be complied with by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee may be required to sit in front of a computer monitor for long periods of time, generally for 6 to 8 hours each work day, with employee being able to take breaks throughout the day as necessary.

The work is in the office and is considered a sedentary position. It may require occasional walking and standing in addition to sitting at a desk. It may require lifting of items, but at any time no more than 10-20 pounds typically.

Work Environment:
The characteristics of the work environment here described are those that represent what the employee does while he/she performs the essential duties of the job. The company can reasonably accommodate disabled employees so that they can accomplish the essential functions of the job.

For on-site employees, the work is done in the interior of the building at normal temperature, air conditioning, good illumination, clean areas with minimal risks.

The noise level in the work environment is usually moderate.

Off-site employees are exposed to temperature changes and moderate noise levels.

Competencies:
Adaptability
This competency measures employees’ ability to understand the purpose behind change. Employees with adaptability understand that any change needs to be communicated with a comprehensive approach to facilitate the process of adjustment. These employees can be flexible and work in a wide variety of situations, with individuals or groups. They effectively modify their behaviors to manage change. They understand and appreciate differences and opposite perspectives. Adaptable employees understand how the ability of accepting and managing change makes possible the accomplishment of organizational objectives.

Application of functional and organizational knowledge
This competency is focused on employees’ technical and organizational knowledge and how these are applied for the benefit of the organization. Employees possess the skills and knowledge required for the position; and perform their duties competently. They align their own behaviors with the needs, priorities and objectives of the organization and act in such a way as to promote the company’s objectives and needs. They perform tasks within given time, avoid unnecessary interruptions and plan their time to comply with standards and achieve desired results. They understand how their decisions impact the organization. They demonstrate the ability to apply their knowledge in every-day situations to obtain expected results. They show interest in developing new knowledge and skills. They are considered a learning resource for their teammates.

Customer focus
This competency focuses on employees’ ability to effectively manage their relationships with internal and external customers. Employees that demonstrate customer focus will perform their job according to service needs and customer’s demands; establishing relationships of trust and considering the customer as their number one priority. These employees abide by all compliance and process guidelines governing their responsibilities to ensure meeting service needs with a high degree of quality.

Strategic and analytical capabilities This competency focuses on the skills that allow employees to anticipate future situations (advantages and threats) by performing a series of planned actions and by making decisions that are beneficial to the business. Employees with this competency are able to analyze and understand situations from several perspectives. They demonstrate the ability to organize a problem or situation in a systematic way and can establish comparisons from different angles. They recommend action plans to meet objectives of the organization without losing perspective of its mission and vision.

Communication and interpersonal relationships
This competency is focused on the employees’ ability to transmit clear ideas to customers, colleagues and leaders to facilitate the communication process and to achieve the goals of the team. Employees with strong communication and interpersonal skills are able to listen carefully to understand the information and can respond with empathy. They promote an environment of professional respect which helps to maintain excellent working relationships.

Annual Salary: TBD

Product Reviewer II

The Insurance Compact Commission has an exciting opportunity for an experienced Product Reviewer, with a focus on review of annuity products and benefit features. We are looking for a team member who would enjoy working for an organization that supports insurance regulators, consumers, and insurance companies by improving the efficiency and uniformity of product filing review and approval in the ever-changing insurance marketplace. Are you driven to utilize your analysis skills while delivering excellent service to build long-lasting rapport? If so, this is a perfect opportunity for you!

This is a full-time, remote position.

Responsibilities include:
• Independently reviews product filings primarily for individual and group annuities, as well as for life, long-term care and disability income insurance, in a timely and thorough manner to determine compliance with the applicable Uniform Standards, Rules and Operating Procedures, and Filing Requirements.
• Completes all necessary objection letters/correspondence and applicable checklists in filings. Follows through on responses to objection letters and documents telephone and email communications in filings. Appropriately documents all regulatory decisions.
• Responds promptly to pre-filing inquiries from current and potential company filers.
• Effectively communicates on a daily basis with other Product Reviewers and Compact team members at all levels on ongoing product filing operations and resolving questions and issues with product filings and Uniform Standards.
• Assists in developing filing guidance, instructions, notices and weekly tips about aspects of the filing process or product operations.
Skills and Abilities:
• Strong attention to detail and persistence in resolving compliance issues.
• Ability to read, analyze and apply documents such as insurance policies, procedural manuals, instructions, and business correspondence/memoranda.
• Ability to explain complex regulatory concepts in terms understandable to the general public.
• Proficiency in SERFF, Microsoft Word, Excel, PowerPoint, and Adobe Acrobat reader.
• Ability to work effectively in a remote team environment.
• Ability to work in a fast-paced work environment proficiently managing several tasks throughout a workday, with demonstrated ability to meet deadlines.
• Must be highly organized, flexible, dependable, and self-motivated, with excellent interpersonal skills.
• Must have superior written and oral communication skills.
• Must have an excellent ability to exercise independent, mature judgment and discretion with the ability to work well under pressure.

Minimum Education and/or experience required:
• Bachelor’s Degree required.
• Ten-plus years’ experience reviewing and/or preparing annuity product filings required.
• Solid working understanding of rate and form filing review and the types and features of insurance products required.

Preferred Experience:
• Familiarity with Insurance Compact Uniform Standards as they apply to life insurance, annuities, disability income insurance, and long-term care insurance.
• Experience reviewing and/or preparing life, long-term care and disability income insurance product filings.
• One or more of the following certifications is preferred: APIR, CLU, FLMI or similar industry professional designation.

Why Work at the Compact?
• Work Remotely
• Flexible Work Schedule
• 37.5 Hour Work Week
• Vacation Buy Back
• Parental Leave
• Employee Recognition Programs

Annual Salary: Commensurate with experience

Compliance Analyst

The Compliance Analyst position is responsible for assisting with the development and implementation of insurance policy, forms and other related documents, and answering compliance questions. This position plays a key role in updating and changing the policy forms portfolio.

Major Accountabilities:

Review and provide analysis of state insurance department bulletins and circulars, ISO circulars, PCI Bulletins, and other related material to determine applicability.
Monitor, interpret, and track pending legislation that may impact Canal’s business, under attorney guidance.
Perform regulatory research involving state and federal laws, case law and other outside materials and effectively explain findings, under attorney guidance.
Assist in the coordination of activities pertinent to both new and modified products including researching, reviewing and filing new policy forms, rules and rates.
Track and maintain policy portfolio compliance with applicable state and federal regulations.
Assist in the development of compliance documentation and reference materials. Maintain such documentation as required.
Assist with the automation of new products and audit of output.
Communicate appropriate compliance-related information internally and externally and act as resource on compliance questions.
Perform compliance audits, as assigned, and report on findings including a proposed plan of action to correct non-compliance.
Perform other duties as assigned by Management.

Insurance Technician 4 – Supervisor

The Office of the Insurance Commissioner’s (OIC) Producer Licensing and Oversight Program is seeking a motivated and qualified individual to fill an Insurance Technician 4, in the Consumer Protection Division, located in our Tumwater office.

Duties
Supervises, coaches, and mentors the Licensing staff
Coordinates with HR and the Program Manager, as appropriate, to develop and manage the recruitment and selection process, to include making a sound hiring recommendation(s)
Develops performance expectations and conducts performance evaluations, including individual development and training plans
Coordinates and trains Insurance Technicians in basic rules and procedures, as well as reciprocal application of statutes and regulations of other states and provinces, requirements of other regulatory agencies that impact difficult insurance situations
Instructs and provides assistance to Insurance Technicians in the efficient and accurate use of automated systems
Monitors and evaluates performance of technical staff to assure integrity of information and accuracy of transactions/files
Assigns, plans, distributes, coordinates, prioritizes, and instructs / checks the daily work of assigned staff; coaches, mentors, and recognizes staff
Determines and adjusts schedules for assigned staff, to include making recommendation for approval/disapproval for requested flex schedules and telecommuting requests
Conducts supervisory fact-findings into alleged misconduct and/or performance deficiencies; upon substantiating unacceptable workplace behavior, misconduct, or performance deficiencies, taking appropriate corrective and/or disciplinary action, up through a Letter of Reprimand (for discipline affecting pay of individuals, make a recommendation for consideration to the appointing authority)
Team lead for Insurance Tech staff
Researches and reviews operation procedures, strategies, work methods, staffing and equipment and makes recommendations to improve the efficiency of the unit
Advises and relieves Manger of day-to day details
Advises the insurance industry, consumer, regulatory agencies .and others in person; by phone or written communication
Utilizes statistical information to prepare spreadsheets involving the development of formulas to create graphic displays of information
May serve as the unit’s contact for public inquiries via email, phone calls, the website, or other communication forms
Provide reports to Licensing Supervisor, attend bi-monthly staff meetings and assist the Supervisor and Manager with special projects.

Annual Salary: $38,592 – $50,256 Annually

Product Reviewer II

The Insurance Compact Commission has an exciting opportunity for an experienced Product Reviewer, with a focus on review of annuity products and benefit features. We are looking for a team member who would enjoy working for an organization that supports insurance regulators, consumers, and insurance companies by improving the efficiency and uniformity of product filing review and approval in the ever-changing insurance marketplace. Are you driven to utilize your analysis skills while delivering excellent service to build long-lasting rapport? If so, this is a perfect opportunity for you!

This is a full-time, remote position.

Responsibilities include:
Independently reviews product filings primarily for individual and group annuities, as well as for life, long-term care and disability income insurance, in a timely and thorough manner to determine compliance with the applicable Uniform Standards, Rules and Operating Procedures, and Filing Requirements.
• Completes all necessary objection letters/correspondence and applicable checklists in filings. Follows through on responses to objection letters and documents telephone and email communications in filings. Appropriately documents all regulatory decisions.
• Responds promptly to pre-filing inquiries from current and potential company filers.
• Effectively communicates on a daily basis with other Product Reviewers and Compact team members at all levels on ongoing product filing operations and resolving questions and issues with product filings and Uniform Standards.
• Assists in developing filing guidance, instructions, notices and weekly tips about aspects of the filing process or product operations.

Skills and Abilities:
• Strong attention to detail and persistence in resolving compliance issues.
• Ability to read, analyze and apply documents such as insurance policies, procedural manuals, instructions, and business correspondence/memoranda.
• Ability to explain complex regulatory concepts in terms understandable to the general public.
• Proficiency in SERFF, Microsoft Word, Excel, PowerPoint, and Adobe Acrobat reader.
• Ability to work effectively in a remote team environment.
• Ability to work in a fast-paced work environment proficiently managing several tasks throughout a workday, with demonstrated ability to meet deadlines.
• Must be highly organized, flexible, dependable, and self-motivated, with excellent interpersonal skills.
• Must have superior written and oral communication skills.
• Must have an excellent ability to exercise independent, mature judgment and discretion with the ability to work well under pressure.

Minimum Education and/or experience required:
• Bachelor’s Degree required.
• Ten-plus years’ experience reviewing and/or preparing annuity product filings required.
• Solid working understanding of rate and form filing review and the types and features of insurance products required.

Preferred Experience:
• Familiarity with Insurance Compact Uniform Standards as they apply to life insurance, annuities, disability income insurance, and long-term care insurance.
• Experience reviewing and/or preparing life, long-term care and disability income insurance product filings.

One or more of the following certifications is preferred: APIR, CLU, FLMI or similar industry professional designation.

Why Work at the Compact?
• Work Remotely
• Flexible Work Schedule
• 37.5 Hour Work Week
• Vacation Buy Back
• Parental Leave
• Employee Recognition Programs

Annual Salary: Commensurate with experience