Job Description
Job Summary
The Claims Compliance Analyst supports the Claims Regulatory Compliance and Resolution Team to establish and maintain industry best practices and provide regulatory compliance support to our business units. Responsible for monitoring, identifying, and distributing relevant legal and regulatory changes. Work closely with business units to ensure timely and compliant responses to the consumers and regulatory agencies and accurate record keeping. Supports the organizational goal of delivering legendary service by providing timely and actionable reporting related to the nature and drivers of regulated complaints. Also assists with market conduct examinations, reviewing company practices, and implementing recommendations and corrective actions to mitigate compliance risks.
Job Duties
Manage complaint investigations, draft compliant regulatory responses, perform root cause analysis, and collaborate across teams to improve processes and ensure adherence to regulatory standards.
Performs key activities in the tracking, monitoring, analysis and distribution of relevant legal and regulatory changes in direct partnership with the Office of the General Counsel (OGC’) and the Regulatory Affairs departments. Holds regular Leg/Reg Compliance Workgroup with identified business partners.
Helps to determine the need for new and revised business policies & procedures to promote compliance in business activities. Provides recommendations to the business on the design of implementation action based upon changes in laws and regulations; and oversees and consults on the implementation. Aids the business in building/documenting policy and procedures.
Performs compliance monitoring activities to assess whether identified and reported legal/regulatory changes and/or implemented processes are being adhered to within the business.
Acts as an integrated business partner by providing strategic, transactional and day-to-day compliance advice and direction.
Prepares an annual compliance risk assessment for the business. Regularly reports risk assessment data to ACE Risk Management and Staff Officers.
Develops key reports and other metrics useful for compliance and business purposes and activities.
Proactively drives and supports the delivery of appropriate legislative/regulatory compliance training and communication, focused on identified risks in addition to changes in statutes, regulations, and/or contractual requirements.
Work is both highly specialized and varied requiring strong research, analytical and decision-making skills, the ability to balance and reconcile competing legal, regulatory and business considerations and to prioritize tasks.
Judgments must often be made in uncertain situations that lack clear legal/regulatory precedent and under tight deadlines.
Qualifications
Bachelors Equivalent combination of education and experience.
4-6 years Corporate compliance administration or related experience.
Works effectively with all levels of management.
Excellent verbal and written communication skills at all levels across the organization. Clearly express ideas, recommendations, etc., orally and in writing. Interacts effectively at different levels and with different audiences, both internal and external to the company. Understands, synthesizes and conveys complex data. Listens to and understands issues and problems.
Solid research and analytical skills.
Ability to analyze and interpret federal and state regulatory documentation.
Knowledge of insurance products, laws and services preferred.
Solid organizational skills.
Teamwork/alliance Building: Builds and maintains successful relationships within the company and with external contacts. Builds relationships to secure the necessary resources not under his/her personal control.
Self-Management: Takes responsibility for decisions and actions. Manages own work. Understands the business and responds to all related issues, concerns and problems. Able to prioritize based on regulatory/operating risk and business needs. Develops a high degree of trust through demonstrated personal integrity, ethics, and a commitment to doing the right thing
Proficiency with Microsoft Office software, including Outlook, Word, PowerPoint, Excel and Access required.
Ability and desire to learn other technology.
Travel Requirements
Occasional travel to off-site business meetings or conference.
The starting pay range for this position is:
$80,100.00 - $107,000.00Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
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Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance,
travel, entertainment, services and more!)
Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.“Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer
Our organization participates in E-Verify
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).