Compliance Specialist
Overview At CCMSI, we look for the best and brightest talent to join our team of professionals.
As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients.
As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts.
Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
Culture:
Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development:
CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits:
Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment:
We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Compliance Specialist assists in the preparation of corporate authorization and insurance licensing applications and renewals, corporate governance filings and paperwork.
Supports document preparation and due diligence for regulatory responses, and coordinates regulatory requests and requirements by carriers and insurance regulatory agencies.
Responsibilities Coordinate special compliance projects with compliance team and all office locations.
Prepare and process corporate authorization submissions and renewals for the company.
Assist in preparing and processing legal entity formations and dissolutions, applications for authority and state annual reports as required nationwide.
Prepare, assemble, update and submit, under the direction of the Compliance Officer, applications for certificates of authority to transact business in specific states.
Coordinates applications and renewals for adjuster, producers, and TPA licenses subject to insurance regulations.
Prepare annual due diligence materials required by insurance carriers.
Review, handle and prepare statutory requirements at the direction of Compliance Officer.
Assist with response to Department of Insurance (DOI) inquiries, complaints, examinations and specific requirements.
Research insurance laws and regulations to assist Compliance Officer in determining their impact on licensing, in state requirements, adjusting practices and required administrative procedures.
Assist in researching and monitoring developments and trends in the insurance regulatory environment.
Coordinate and update state statutes related to insurance licensing, and maintain reference material.
Reviews all bi-weekly, monthly, quarterly and annual reports required by carriers.
Reviews and handles all EDI requests by carriers and state agencies.
Prepare and process reports dealing with OFAC, Medicare, SCHIP, Total Loss of Vehicles, ISO Indexing, FIRE Program California Re-inspection and National Arbitration Reports.
Coordinate, support and assist with Continuing Education throughout all CCMSI offices.
Monitor and assists in reviewing weekly AR reports from FIRE Program in order to properly reconcile payments or follow up for payments due.
Performs other duties as assigned.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skills, and/or abilities required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills Initiative to set and achieve performance goals Ability to cope with job pressures in a high pace, multi task unit Must be detail oriented and a self-starter with strong organizational abilities Ability to calmly and courteously handle all types of phone calls Ability to coordinate and prioritize required Flexibility, accuracy, initiative and the ability to work with minimum supervision Discretion and confidentiality required Reliable, predictable attendance within client service hours for the performance of this position Responsive to internal and external client needs Ability to clearly communicate verbally and/or in writing both internally and externally Education and/or Experience 6
years' work related experience.
Computer Skills Proficient with Microsoft Office programs such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations None required.
Other Physical Demands Work requires the ability to sit or stand up to 7.
5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others.
CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include:
performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
Recommended Skills Conduct Audits Perform Analysis Perform Regulatory Audits Regulatory Risk Management Auditing Estimated Salary: $20 to $28 per hour based on qualifications.
As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients.
As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts.
Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
Culture:
Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development:
CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits:
Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
Work Environment:
We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Compliance Specialist assists in the preparation of corporate authorization and insurance licensing applications and renewals, corporate governance filings and paperwork.
Supports document preparation and due diligence for regulatory responses, and coordinates regulatory requests and requirements by carriers and insurance regulatory agencies.
Responsibilities Coordinate special compliance projects with compliance team and all office locations.
Prepare and process corporate authorization submissions and renewals for the company.
Assist in preparing and processing legal entity formations and dissolutions, applications for authority and state annual reports as required nationwide.
Prepare, assemble, update and submit, under the direction of the Compliance Officer, applications for certificates of authority to transact business in specific states.
Coordinates applications and renewals for adjuster, producers, and TPA licenses subject to insurance regulations.
Prepare annual due diligence materials required by insurance carriers.
Review, handle and prepare statutory requirements at the direction of Compliance Officer.
Assist with response to Department of Insurance (DOI) inquiries, complaints, examinations and specific requirements.
Research insurance laws and regulations to assist Compliance Officer in determining their impact on licensing, in state requirements, adjusting practices and required administrative procedures.
Assist in researching and monitoring developments and trends in the insurance regulatory environment.
Coordinate and update state statutes related to insurance licensing, and maintain reference material.
Reviews all bi-weekly, monthly, quarterly and annual reports required by carriers.
Reviews and handles all EDI requests by carriers and state agencies.
Prepare and process reports dealing with OFAC, Medicare, SCHIP, Total Loss of Vehicles, ISO Indexing, FIRE Program California Re-inspection and National Arbitration Reports.
Coordinate, support and assist with Continuing Education throughout all CCMSI offices.
Monitor and assists in reviewing weekly AR reports from FIRE Program in order to properly reconcile payments or follow up for payments due.
Performs other duties as assigned.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skills, and/or abilities required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills Initiative to set and achieve performance goals Ability to cope with job pressures in a high pace, multi task unit Must be detail oriented and a self-starter with strong organizational abilities Ability to calmly and courteously handle all types of phone calls Ability to coordinate and prioritize required Flexibility, accuracy, initiative and the ability to work with minimum supervision Discretion and confidentiality required Reliable, predictable attendance within client service hours for the performance of this position Responsive to internal and external client needs Ability to clearly communicate verbally and/or in writing both internally and externally Education and/or Experience 6
years' work related experience.
Computer Skills Proficient with Microsoft Office programs such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations None required.
Other Physical Demands Work requires the ability to sit or stand up to 7.
5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others.
CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include:
performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
Recommended Skills Conduct Audits Perform Analysis Perform Regulatory Audits Regulatory Risk Management Auditing Estimated Salary: $20 to $28 per hour based on qualifications.
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