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Claims Compliance Specialist

Tower Hill Insurance Group, LLC

Claims Compliance Specialist

Gainesville, FL
Full Time
Paid
  • Responsibilities

    SUMMARY

    Tower Hill Insurance Group has an exciting opportunity for a talented Compliance Specialist, Claims who enjoys intellectual challenge and seeks a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

    Maintain awareness of current regulations by state and communicate new regulations related to claim handling throughout the claims organization

    Support internal audits and external audits related to internal controls, assessment and development of key compliance requirements

    Assist with coordination of market conduct exams to ensure compliance with state Departments of Insurance

    Maintain and ensure the compliance database is updated with any required documentation

    Communicate changes in new law that impact claims handling

    Reviews, analyzes and identifies the trends of legal, legislative and insurance industry changes on the state and federal level

    Works closely with various departments in the areas of underwriting, claims, product management, sales, marketing, agent licensing and technology to ensure our products & services comply with state and federal laws

    Review claim files to verify response promptness meets/exceeds statutory requirements

    Assist with federal and state reporting

    Assist with coordinating company responses to consumer complaints and maintaining company complaint logs.

    Respond to Office of Insurance and Better Business Bureau complaints

    Provide state compliance requirement expertise to THIG internal departments

    EDUCATION and/or EXPERIENCE

    Bachelor’s Degree or in-lieu of degree equivalent education, training and work-related experience

    5 years + of Property & Casualty insurance experience

    Insurance Compliance, Market Conduct, Claims, Underwriting, Operations and/or Legal Experience

    CPCU, ARC, MCM or other insurance designations or pursuing or willing to pursue insurance education and/or designations such as CPCU, ARC and/or MCM

    Possess comprehensive knowledge of project management, continuous improvement methodologies and application

    Possess the ability to negotiate in complex situations with both internal and external groups

    Ability to strategically plan and implement changes as needed

    Possess effective verbal and written communication skills

    Ability to present information to an audience

    Proficiency in Microsoft Office Suite programs

    SUCCESSFUL CANDIDATES ARE EXPECTED TO:

    Contribute to team discussions

    Become proficient with all tools and technologies

    Be open with new ideas or proposals

    Possess strong communication skills

    Adaptable to change

    Excellent customer focus

    LANGUAGE SKILLS

    Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

    TOWER HILL’S TOTAL COMPENSATION PACKAGE INCLUDES:

    Competitive starting salary

    Annual merit reviews and bonus potential

    Medical, Dental, Life and Disability Insurance, and Health Savings Accounts

    Matching 401(k) Plan

    Paid PTO and holidays

    Learning & Development Opportunities

    Tuition Reimbursement

    State of the Art work out facility (Corporate office)

    Business casual dress, and more

    For more information about our company, careers and Total Compensation, visit http://www.thig.com/careers

    Tower Hill Insurance Group, LLC is an equal opportunity employer.