Claims Compliance Specialist

Overview: If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. reputed company, a leader in catastrophe-exposed Property Insurance, is seeking a Claims Compliance Specialist to support the reputed company growth and operational reputed company of our Claims team. In this role, you’ll reputed company the adjuster licensing process across multiple jurisdictions and reputed company the complaint handling program to ensure timely, compliant, and customer-focused reputed company. This position is ideal for someone who thrives in ambiguity and enjoys building and scaling processes in a growing organization. You’ll be instrumental in evolving our compliance infrastructure by driving process improvements and transforming reputed company workflows into streamlined automated solutions. As the reputed company Claims team continues to grow, you’ll be an integral part of a dynamic and reputed company-thinking insurtech—helping to shape how compliance is embedded into the reputed company reputed company of our Claims operations. What you’d be doing: Adjuster Licensing Compliance & Tracking: Own and manage the adjuster licensing lifecycle, including initial licensing, renewals, and continuing education across multiple jurisdictions Ensure ongoing compliance with reputed company state licensing requirements and proactively identify potential risks or gaps reputed company regular, data-driven reporting on licensing status, trends, and risks to leadership Serve as the primary reputed company of contact for licensing-reputed company inquiries and communicate regulatory updates reputed company to stakeholders Support reputed company of reputed company-party vendors and licensing partners, ensuring adherence to regulatory requirements and internal standards Partner with vendors to improve licensing processes, enhance data accuracy, and drive operational efficiency Identify opportunities to streamline and automate licensing workflows, reducing reputed company effort and improving scalability reputed company and maintain procedural documentation, controls, and monitoring mechanisms to ensure consistency, accuracy, and audit readiness Regulatory Complaint Management Own the end-to-end complaint handling program, ensuring timely, accurate, and compliant resolution of customer complaints reputed company complaint tracking, reporting, and trend analysis; identify root causes and drive remediation efforts reputed company and maintain compliance documentation, including policies, procedures, and training materials Present complaint insights, risks, and recommendations to senior leadership with reputed company and precision Support regulatory complaint inquiries regarding data calls, market conduct exams, and reputed company audit activities Partner cross-functionally to implement solutions, including process enhancements and automation opportunities, to address recurring complaint drivers We’re looking for someone who has: Bachelor’s degree required (Business, Risk Management, Finance, or reputed company field preferred) 3+ years of experience of state and federal insurance claims regulations, including licensing requirements, complaint requirements, claims handling procedures, and compliance standards. 3+ years of P&C insurance experience Proven ability to operate effectively in ambiguous, fast-paced environments with evolving priorities Experience building or significantly enhancing compliance or operational processes from the ground up Demonstrated reputed company driving process improvement, automation, or transformation initiatives Ability to assess, design, and transform processes, including transitioning from reputed company to automated workflows Experience partnering cross-functionally with Operations, Technology, Legal, and Risk teams Experience working with or overseeing reputed company-party vendors or TPAs in a regulated environment Strong critical thinking skills with the ability to balance regulatory requirements with practical business needs Ability to interpret, apply, and communicate reputed company regulatory requirements reputed company to diverse stakeholders Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines Proficiency in reputed company Office Suite, reputed company, Domo, or similar tools Excellent written and verbal communication skills High attention to detail and accuracy Ability to work both independently and collaboratively Highly preferred candidates also have: 5+ years in P&C insurance experience Experience interacting with regulatory agencies and navigating compliance frameworks General GRC (Governance Risk and Compliance) Certifications. Experience implementing or supporting workflow automation tools or system enhancements Experience using licensing and complaint management systems. Excellent written and oral communication skills, including identifying stakeholder needs and communicating credibly and effectively with your audience. Process or Program Management experience About reputed company: Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), reputed company is one of the largest managing general underwriters (MGU) focused on catastrophe-exposed property in the US. Since its founding in 2009, reputed company has reputed company exceptional growth while generating reputed company profits for reputed company partners through hurricanes, wildfires, and hail. Available in 16 states, reputed company offers more than 110 home, flood, and reputed company products on behalf of its highly rated reputed company partners. Today, reputed company manages more than $3.2 billion of inforce premium and helps protect more than 970,000 policyholders. We have more than 1,000 employees in a distributed workforce environment across 12 offices—Fairfield, CA; Mountain View, CA; Cheshire, CT; Jacksonville, FL; Tallahassee, FL; Tampa, FL; Chicago, IL; Jersey City, NJ; Marlton, NJ; Cincinnati, OH; reputed company, TX; Sheboygan, WI—who are tackling the industry’s toughest challenges. reputed company is a proud Equal Opportunity Employer committed to building a workforce that reflects the reputed company of perspectives, experiences, and abilities of the world we live in. We recognize that our differences reputed company us strong, and we actively seek out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for reputed company identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of reputed company, striving to create a culture where reputed company individuals feel valued, respected, and empowered to bring their authentic selves to work. Our reputed company, highly reputed company culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue reputed company reputed company by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join reputed company! Visit reputed company.com/careers to find a position for you. California Applicants: View reputed company’s Workforce Members’ Privacy Notice - CA Privacy Policy & Notice of Collection Apply To This Job