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Licensing and Compliance Specialist

2 months ago

Metairie Louisiana, United States CCMSI Full time
About CCMSI

CCMSI is a leading Third Party Administrator in self-insurance services, dedicated to 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.

Why Work 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: Our benefits package includes 4 weeks paid time off in your first year, plus 10 paid holidays, 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.
Job Summary

The Compliance Specialist assists all branches of our nationwide company with licensing requirements by coordinating applications and renewals for adjuster, producer, and TPA licenses subject to insurance regulations. This role supports document preparation and due diligence for regulatory responses and coordinates regulatory requests and requirements from carriers and insurance regulatory agencies.

Key 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.
Requirements
  • 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 Experience
  • HS Diploma is required.
  • Previous office experience is preferred.
  • Experience working in a licensing/compliance field is preferred.
Computer Skills
  • Proficient with Microsoft Office programs such as Word, Excel, Outlook and Powerpoint.
  • Experience working with Access is preferred.
  • Experience working with HelpSpot or other ticketing systems is preferred.