The Insurance Compliance Specialist ensures that Accelerant and Members of the Accelerant Group comply with state governance, reporting standards, regulations, laws, and legal regulatory standards, procedures, and policies. This individual will assist with regulatory risk management reporting required by state departments of insurance and ensure that business practices and new Member programs conform with insurance statutory and regulatory obligations. The ideal candidate is responsible for ensuring business practices and programs adhere to Accelerant’s compliance reporting requirements.

The Vermont Department of Financial Regulation is looking for a Director of Policy. This position is integral to the development and implementation of Department policy and legislative objectives. You’ll interface with the Legislature, the Governor’s Office, federal/state governmental entities, and external constituencies regarding the public policies of the Department. In consultation with the Commissioner and deputy commissioners, the Director Of Policy articulates the scope, direction, and priorities for major legislative projects and planning. In this role, you will recommend and coordinate decisions when it requires the agreement of other senior managers, other stakeholders, or legislative representatives both internally and externally.
The role is a hybrid role requiring a presence at the state house during the legislative session.

Work is performed under the direction of the Department’s Commissioner.

LifeShield National Insurance Co is seeking an experienced and motivated Director of Compliance to work from our office in Oklahoma City. As a member of our team, you will be primarily responsible for overseeing compliance within the organization, ensuring compliance with laws, regulatory requirements, and our related internal policies, and procedures.

The position will require reviewing standards and monitoring a framework and procedures to ensure that the compliance programs throughout the organization are effective and efficient in identifying, preventing, detecting, and correcting noncompliance with applicable laws and regulations as they evolve.

The Director of Compliance will report directly to the President and inform the Board about important issues and material violations.

Position Competencies

A successful candidate:

– will be responsible for assisting the organization in effectively and efficiently complying with laws and regulations.
– must possess the ability to identify and research statutory and regulatory requirements that may impact our business and to evaluate and summarize for communication to business units, any impact those will have on our business, and effectively communicate any actions necessary to comply with any such impact.
– must be competent at planning, organizing, and executing the day-to-day operational compliance activities, including complaints, DOI inquiries, state and product filings, licensing, marketing and advertising reviews, and be the liaison for both our legal department, as well as outside counsel.
– must be a champion for compliance and help develop and maintain an effective compliance framework for our growing business team.
– must work with the business teams and our leadership to reasonably and effectively remediate issues identified through both regulatory inquiries, complaints, litigation, and other external inputs, and will proactively develop and help to implement appropriate follow-up procedures to prevent any similar occurrences.
– must be proactive in identifying compliance requirements affecting our organization.
– must possess the skill to write, or supervise the drafting of, the necessary process documentation for the organization to reasonably comply with compliance requirements affecting our business.
– must be competent in performing evaluation and/or testing of the organization’s compliance with regulatory requirements, to identify deficiencies and to advise the business teams on reasonable strategies for effective resolution of such deficiencies.
– must be able to develop, maintain, and update an ongoing annual organization-wide compliance and governance risk assessment that provides a compliance report card to the organization’s senior leadership and Board.
– must be able to perform his or her role in a manner that balances regulatory requirements, risk mitigation, and business objectives.

 

LifeShield at a Glance:

With approximately $100 million in assets, LNIC and it’s two subsidiaries combine for a dynamic and rapidly growing insurer. Affiliated thru common ownership with The Midland Group family of companies, including MidFirst Bank, which specializes in banking and mortgage servicing. This affiliation allows LifeShield to leverage the resources of a much larger organization, while remaining nimble and responsive to opportunities, focusing on life and supplemental accident and health insurance products for individuals, families, businesses, and associations.

AM Best reaffirmed LifeShield’s rating of B++. Since 2001, LifeShield National Insurance Co. has held a rating of B++ by AM Best Company, a widely recognized independent insurance industry ratings firm. This is the fifth highest rating possible out of a total of 16. LNIC is headquartered in Oklahoma City, OK and services over 100,000 policyholders.

Are you passionate about providing exceptional service and have a knack for being super organized? Join MGIS, a leading national insurance program manager specializing in disability and life insurance for medical professionals, as an Account Manager!

About Us: Headquartered in Salt Lake City, UT, MGIS partners with highly-rated insurers to offer specialized insurance programs for doctors. With a reputation for excellence, we’ve been recognized as one of the Best Places to Work in Insurance for 13 years by Business Insurance Magazine and Best Companies Group. Our focus on innovation and superior service sets us apart in the industry.

Role Overview: As an Account Manager at MGIS, you will be responsible for enrolling, renewing, and providing ongoing service for group benefit coverage. You will support HR Directors, agents, and brokers with your extensive knowledge of group benefits.

Why MGIS? Join a company that values its employees and fosters a supportive, innovative, and rewarding work environment. Be a part of a team that makes a difference in the lives of medical professionals nationwide.

Apply Now! If you are ready to take the next step in your career and meet the qualifications, we want to hear from you. Apply today to become an Account Manager at MGIS and contribute to our continued success in the insurance industry.MGIS is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to perform essential functions.

Qualifications:

• A high school diploma is required; an associate’s degree is preferred.
• Two years of related experience or an equivalent combination of education and experience.
• Preference for individuals with a current life and health license.
• Excellent communication and professional skills.
• Ability to multitask and work effectively in a fast-paced environment.
• Proficient in Microsoft Word and Excel.

Skills:

• Strong analytical and organizational skills.
• Ability to communicate effectively via phone and email.
• Excellent customer service capabilities.
• Ability to handle detailed written and oral instructions and resolve problems.
• Proficiency in basic math and comprehension skills.

Apply Here: https://www.click2apply.net/ngLJk6hGLA7WZUedOSwdR8

PI258910009

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.