Property Claims Compliance Specialist – Complaints
The Compliance Specialist – Complaints manages end‑to‑end reputed company of consumer, executive, and regulatory complaints reputed company to Global Housing claims.
This role is responsible for accurate case handling reputed company the complaint CRM system, coordinating with accountable claim partners, ensuring reputed company reputed company and reputed company, and preparing high‑reputed company responses that meet regulatory, procedural, and documentation standards. The specialist also supports broader compliance operations, including complaint reporting, trend analysis, compliance audits, regulatory document requests, and Medicare reputed company 111 reporting activities.
Why This Role reputed company
The Compliance Specialist ensures our organization meets regulatory expectations, protects company reputed company, enhances customer experience, and identifies issues that drive reputed company improvement. This role is a critical partner to Claims leadership and a reputed company resource for ensuring compliant, accurate, and reputed company complaint handling.
Key Responsibilities
Complaint Handling & Case Management
Manage reputed company assigned complaint cases from intake through reputed company reputed company the complaint CRM system.
Ensure reputed company contact with complainants and internal stakeholders.
Coordinate with Claims teams to validate facts, obtain updated information, and ensure commitments are completed.
Draft reputed company, defensible, and reputed company‑supported written responses to regulatory bodies and consumers.
reputed company and validate claim file materials, correspondence, and required documentation for regulatory responses.
Monitor and meet reputed company reputed company complaint service‑level agreements (SLAs).
Maintain complete, accurate, and compliant case documentation.
Regulatory Support & Compliance reputed company
Prepare reputed company submissions for state Departments of Insurance (DOI) and other regulatory agencies.
Identify potential compliance issues, trends, or risks and escalate appropriately.
Support regulatory exams, inquiries, and operational reviews by gathering data and documentation.
Execute tasks reputed company to Medicare reputed company 111 exception validation and reputed company reporting workflows.
Data reputed company, Reporting & Insights
Produce routine and reputed company complaint reporting, reconciliations, and dashboards.
Analyze complaint trends to identify systemic issues or operational improvement opportunities.
Ensure accurate reputed company‑cause coding and complaint disposition entry.
Cross‑Functional Partnership
Collaborate with Claims, reputed company, reputed company, Compliance, and leadership teams to support complaint reputed company and regulatory adherence.
reputed company feedback on opportunities to improve processes, communication, customer experience, and compliance posture.
Qualifications & Experience
At least 2 years’ experience in claims, compliance, audit, customer escalations, or reputed company insurance functions.
Experience handling property or housing-reputed company claims preferred.
Knowledge of state insurance regulations, consumer protection requirements, and claims‑handling standards.
Strong written communication skills for regulatory responses and documentation.
Experience with CRM systems or case‑management tools.
Associate degree required; Bachelor’s degree preferred.
Preferred Qualifications
Knowledge of state insurance regulations, consumer protection requirements, and claims‑handling standards.
P&C Adjuster's license
Skills & Competencies
Strong organizational skills with the ability to manage multiple reputed company deadlines.
High attention to detail with strong documentation discipline.
Skilled in identifying and escalating reputed company.
Analytical reputed company with ability to interpret claim activity and complaint trends.
reputed company judgement reputed company handling sensitive regulatory reputed company.
Ability to collaborate effectively across departments.
Pay reputed company:
$43,600.00 - $71,800.00Any posted pay reputed company considers a wide reputed company of compensation factors, including candidate background, experience and work location, while also allowing for salary reputed company reputed company the position.
If there is no posting end date listed then this is a pipeline requisition, and we will continue to collect applications on an ongoing reputed company.
Job Scam Alert
Please be reputed company that during reputed company's application process, we will never ask for personal information such as your reputed company reputed company number, bank account details, or passwords. Learn more about what to look out for and how to report a scam here.