Compliance Coordinator Jobs

About The Position

Requirements

• Strong written and verbal communication skills.
• High ethical standards and sound judgment.
• Strong attention to detail and ability to meet state-mandated complaint response deadlines.
• Ability to work independently with minimal management intervention after training.
• Consistent performance in meeting or exceeding quantity and quality standards.
• Strong customer relations and decision-making skills.
• College degree or equivalent insurance industry experience.
• Proficiency in Microsoft Office Suite.

Nice To Haves

• Background in customer service and claims handling.
• Experience with Mainframe, AS400, IBM Content Manager, and Clarify.
• Business writing or composition coursework.
• Exposure to insurance regulations and laws.
• LOMA and HIAA coursework, and familiarity with HIPAA and Sarbanes-Oxley directives.

Responsibilities

• Investigate complaints, determine appropriate resolutions, and meet complaint response deadlines.
• Create complaint packets after complaints have been resolved and responses sent.
• Process record corrections, refunds, and reimbursements as needed.
• Prepare correspondence for policyholders and regulatory agencies about investigation outcomes.
• Maintain accurate tracking-system records, documentation, and notes.
• Handle follow-up requests related to completed complaint responses.
• Research allegations involving sales representatives, prepare questionnaires for agents and market directors, and document complaint histories.
• Monitor sales complaint trends and support severity-level evaluations.
• Partner with the Field Consumer Investigations team on sales complaint responses.
• Collaborate with the Claims Department on claims complaint responses to ensure accuracy and timeliness.
• Manage complaints involving third-party administrators, including United Marketing Group, Combined Connections, and Olympic Medicare Supplement Claims.
• Rotate President’s Line call-handling responsibilities and respond to inquiries on behalf of the Company President.
• Prepare annual State Insurance Department complaint reconciliation reports.
• Support Insurance Market Conduct activities by gathering data, analyzing complaint reports, and comparing Department of Insurance data with Combined Insurance extracts.
• Provide information to Government Relations and Law Departments in litigation matters and coordinate with legal counsel or Corporate Compliance on sensitive complaints.
• Work with Human Resources to bring internal employee complaints to its attention for handling.

Benefits

• Health insurance
• Dental insurance
• Tuition reimbursement
• Company-match 401(k) plan
• Disability insurance
• Life insurance
• Employee referral bonuses
• Potential eligibility for a discretionary annual incentive program