What are the responsibilities and job description for the Senior TPA/MGA Audit Analyst position at LotSolutions, Inc.?

Job Description

This position will be responsible for ensuring the quality of not only the underwriting and claims processes within The Fortegra Group (TFG) but also with our TPAs / MGAs. This role will routinely interact with senior leadership, involve compliance and audit consulting, implementation, training, monitoring, investigation, remediation, and / or reporting. As TFG continues to grow our P&C business, this role will be a critical member of the Fortegra team with both domestic and international reach.

Qualifications :

Property and casualty insurance industry experience with expertise in applicable business roles including claims, sales, underwriting or product preferred; minimum 2 years of proven audit / compliance experience.
Insurance related compliance experience in risk assessment, testing and monitoring including knowledge of business processes and technologies desired. Familiarity with P&C regulatory environment. Ability to assess processes to identify efficiencies.
Four-year undergraduate degree or equivalent work experience preferred. P&C industry and / or compliance professional designation, certification or memberships preferred. Demonstrated adoption of a growth mindset with a passion for continuous improvement.
Ability to work independently, take initiative and have strong verbal and written communication skills.
Good time management and attention to detail are critical to this position.
Good analytical, research, organizational, and project management skills. Strong individual contributor with the ability to work effectively as a team.

Primary Job Functions :

Provide operational, claims and premium auditing services for a variety of TPAs / MGAs including specialty companies, warranty solutions companies, and reinsurance companies. Assessments will include varied product lines.

Validate that TPAs / MGAs are operating in accordance with accepted industry and regulatory standards.

Validate that TPAs / MGAs are complying with the terms of the Agreement(s) including reasonable assurance that claims are accurately processed and reported, in a timely manner.

Validate that premiums are billed accurately, collected, and handled according to the agreement(s) and reported timely to the carrier / reinsurer.

Produce deliverables related to audit findings, including Audit Report and Exhibits within the Company’s accepted timeframes.

Provide corrective action plans resulting from TPA / MGA compliance audits. Follow-up on corrective actions to confirm mitigation plans have been properly implemented in a timely manner.

Contribute innovative ideas and assist with the implementation of new processes.

Proactively collaborate with others across the enterprise to achieve organizational goals and build networks.

Stay current with industry trends. Pursue applicable technical and business-related training.

Provide independent oversight of corrective action plans resulting from TPA / MGA compliance audits. Follow-up on corrective actions to confirm mitigation plans have been properly implemented in a timely manner.

Due to the fast-paced nature of the regulatory and business environments, the position requires the ability to quickly adapt to change and to multi-task various assignments.

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Additional Information :

Full benefit package including medical, dental, life, vision, company paid short / long term disability, 401(k), tuition assistance and more.

Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.

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Senior TPA/MGA Audit Analyst

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