What are the responsibilities and job description for the Claims Compliance Specialist (Hybrid) position at Selective Insurance?
About Us
At Selective, we don't just insure uniquely, we employ uniqueness.
Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work in 2024 for the fifth consecutive year.
Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.
Overview
Ensures 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. Oversees and advises on effective controls related to claims compliance. Identifies potential claims compliance issues, through testing and trending analysis using data analytics and other reporting mechanisms. Responds to claims data calls from state regulators and consumers. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Responsibilities
- Intake, monitoring and resolution of complex regulatory claims matters.
- 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.
- Collaborates with Claims Department and external clients (i.e., regulators, trade associations, and industry peers) to identify potential regulatory vulnerabilities.
- 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.
- Coordinates responses related to claims regulatory inquiries and non-financial regulatory audits (i.e., market conduct examinations) and represents Selective's interests.
- Responds to claims data calls from regulators.
- Monitors corrections of claims errors to ensure that company is compliant with all relevant state regulations.
- Responds to consumer complaints related to claims matters, in collaboration with the claims business teams.
Qualifications
Knowledge and Requirements
Education and Experience
Total Rewards
Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay Range
USD $90,000.00 - USD $130,000.00 / Yr.
Additional Information
Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.
Salary : $90,000 - $130,000
