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Senior Compliance Specialist

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Location
United States
SageSure

Job Description

Overview:

SageSure is looking for a compliance, process-focusedClaims ComplianceSpecialist. The role will work with Operations and Optimization drive consistent compliance and risk management practices as the claims department continues to expand. Desirable candidates will have proven ability toidentify, research and communicate regulatory obligations to stakeholders. This role will also help mature the departments risk management practices and framework, including formalizing policies, procedures, and controls.Lastly, you will serve as a key resource to the quality team on any compliance related inquiries and a key partner to training for the creation of compliance related training content. As SageSure’s Claims team grows, you’ll be a key part of ensuring we scale with quality and build a secure and compliant operational landscape for the future. If you're interested in joining our Claims team at an innovative insurtech, we'd like to hear from you.

What you’d be doing:

  • Support the implementation of a comprehensive risk identification framework to proactively identify operational risks across the claims department.
  • Design and implement effective internal controls to mitigate identified operational risks and Conduct control testing to verify effectiveness and identify areas for continuous improvement.
  • Contribute to the development and implementation of a culture of risk awareness within the organization.
  • Support the Legislative Change Process; specifically, identifying, monitoring, and implementing monitor relevant insurance regulatory and legislative changes.
  • Conduct compliance deep dive claim reviews, share findings to drive continuous improvement within the Operation or Optimization departments.
  • Overseeing the formal Complaint handling process including identifying trends and completing carrier reporting activities.
  • Oversee the Adjuster Licensing program.
  • Support the Carrier Audit Process, including providing data for market inquiries, regulatory data calls and supporting market conduct examination requests.
  • Conduct ad hoc research into laws and regulations as needed, make recommendations, and oversee implementation of changes as necessary.

We’re looking for someone who has:

  • 5+ years’ prior claims experience
  • 5+ years compliance related work
  • 3+ years of experience in operational risk management, preferably in the insurance or financial services industry.
  • Superior knowledge of property claims, business risk and operational controls
  • Bachelor's degree in finance, business administration, risk management, or a related field; advanced degree or professional certification (FRM, CRM) preferred.
  • Outstanding communication, attention to detail, time management, organizational, multi-tasking, and problem-solving skills.
  • Ability to communicate clearly, present and interact effectively at all levels of the organization
  • Execution oriented and a self-motivator
  • Knowledge of Microsoft Office Suite, Smartsheet, Domo and other business-related software

Highly preferred candidates also have:

  • Experience working within data-driven organizations
  • Professional designation(s) or advanced degree
  • Catastrophe claims support experience
  • Knowledge of construction and repair methodologies via field claims experience

About the Claims team at SageSure:

On SageSure’sClaims team, you’ll be doing more than investigating and resolving losses. From the ground up, you’ll be pioneering a best-in-class claims handling approach that leverages transformative technology to support our customers, agents and employees. As a part of this customer-focused, process-oriented team you will be the face of SageSure, helping our policyholders through some of their most trying times. Whether you hold a formal leadership role or are a key team player, you’ll coach, mentor and engage with those around you in ways that bring out the best in people and effect change.  

You can easily distill complex processes in ways those outside the industry can understand and know the importance of aligning communication tools to customer preferences.  You thrive on setting and exceeding expectations, and know building relationships, not completing transactions, is the heart of the insurance business. 

About SageSure:

As a Best Places to Work in Insurance Recipient for four years in a row (2020-2023), SageSure, one of the largest residential property insurance managing general underwriter (MGU) in the United States, is pioneering ways people protect their American Dream.

A leader in catastrophe-exposed property insurance, SageSure was founded in 2009 to deliver reliable products, exceptional customer experiences, and strong underwriting results in challenging insurance markets. SageSure currently operates in 14 states and provides home, flood, and commercial coverage on behalf of its highly rated carrier partners.

We have more than 600 employees working remotely or hybrid in one of our eight offices—Jersey City, NJ; Mountain View, CA; Chicago, IL; Tallahassee, FL; Cincinnati, OH; Houston, TX; Mt. Laurel, NJ; and Cheshire, CT—who are tackling the industry’s toughest challenges.

We provide generous health benefits and perks, including tuition reimbursement, wellness allowance, paid volunteer time off, a matching 401K plan, and more.

SageSure is a proud Equal Opportunity Employer committed to building a workforce that reflects the spectrum of perspectives, experiences, and abilities of the world we live in. We recognize that our differences make 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 all identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of origin, striving to create a culture where all individuals feel valued, respected, and empowered to bring their authentic selves to work.

Our nimble, highly responsive culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue better outcomes by investing in the technology, talent, and tools that position us to succeed in demanding markets. Come join our team! Visit sagesure.com/careers to find a position for you.

Advice from our career coach

As a Compliance Claims Specialist at SageSure, the successful applicant should be well-versed in claims compliance, risk management, and operational controls within the insurance industry. To stand out as an applicant, here are some key tips and insights:

  • Highlight 5+ years of claims experience and 5+ years of compliance-related work in your resume.
  • Emphasize your 3+ years of experience in operational risk management, particularly in insurance or financial services.
  • Showcase your superior knowledge of property claims, business risk, and operational controls.
  • Consider obtaining a professional certification like FRM or CRM to enhance your qualifications.
  • Demonstrate outstanding communication, attention to detail, time management, organizational, and problem-solving skills.
  • Illustrate your ability to communicate clearly, present effectively, and interact at all levels of the organization.
  • Highlight your experience working within data-driven organizations and any professional designations or advanced degrees you may hold.
  • Discuss any catastrophe claims support experience or knowledge of construction and repair methodologies gained through field claims experience.

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About the job

Jul 18, 2024

Full-time

  1. US United States
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