Quality and Compliance Specialist
The candidate executes quality and compliance assessments and/or engages in regulatory management activities, including responsibility for annual SIU compliance reporting and oversight of the DOI consumer complaint process. Partners with key stakeholders to improve compliance with state laws and measures adherence to internal claims procedures. Acts as a trusted advisor for the business. Delivers actionable reporting on time and meets compliance deadlines. Performs moderately complex scheduled assessments of key business processes, state requirements, and legal activities, under limited supervision. Performs target assessments of a designated process to identify key opportunities to improve operational efficiency, claim outcomes, and/or customer experience. Serves as an informal subject matter expert resource, assisting the business with quality, compliance, and legal questions related to process execution. Creates consumable reports and delivers assessment results to the appropriate level of leadership and applicable stakeholders. Analyzes and interprets data to monitor trends, identify root causes, and partners with the business to proactively isolate issues and support the development of measurable action plans. Conducts activities related to regulatory oversight such as market conduct exams, state licensing, consumer complaints, and data calls. Prioritizes tasks effectively, meeting assessment/project due dates, and identifies and escalates competing demands and/or dependencies. Acquires and applies a growing knowledge of the regulatory landscape to ensure proper compliance with laws and internal processes. Develops and maintains a strong understanding of QA methodologies, tools, and risk management principles. Keeps current with market trends and demands. Performs other duties as assigned.
