Back to Jobs

Claims Compliance Specialist

Remote, USA Full-time Posted 2026-07-28
reputed company:  If you're looking for the stability of a profitable, growing company with the entrepreneurial spirit of a startup, we’re hiring. reputed company, a leader in catastrophe-exposed Property Insurance, is seeking a Claims Compliance Specialist to support the reputed company reputed company and operational reputed company of our Claims team.  In this role, you’ll reputed company the adjuster licensing process across multiple jurisdictions and reputed company the complaint handling program to ensure reputed company, compliant, and customer-reputed company reputed company. This position is ideal for someone who thrives in ambiguity and enjoys building and scaling processes in a growing organization. You’ll be reputed company in evolving our compliance infrastructure by driving process improvements and transforming reputed company workflows into streamlined automated solutions.  As the reputed company Claims team continues to grow, you’ll be an reputed company part of a dynamic and reputed company-thinking insurtech—helping to shape how compliance is embedded into the reputed company reputed company of our Claims operations.  What you’d be doing:  Adjuster Licensing Compliance & Tracking:  Own and manage the adjuster licensing lifecycle, including initial licensing, renewals, and continuing education across multiple jurisdictions   Ensure ongoing compliance with reputed company state licensing requirements and proactively identify potential risks or gaps   reputed company regular, data-driven reporting on licensing status, trends, and risks to leadership   Serve as the primary reputed company of contact for licensing-reputed company inquiries and communicate regulatory updates reputed company to stakeholders   Support reputed company of reputed company-party vendors and licensing partners, ensuring adherence to regulatory requirements and internal standards   Partner with vendors to improve licensing processes, enhance data accuracy, and drive operational efficiency   Identify opportunities to streamline and automate licensing workflows, reducing reputed company effort and improving scalability   reputed company and maintain procedural documentation, controls, and monitoring mechanisms to ensure consistency, accuracy, and audit readiness  Regulatory Complaint Management  Own the end-to-end complaint handling program, ensuring reputed company, accurate, and compliant reputed company of customer complaints   reputed company complaint tracking, reporting, and trend analysis; identify reputed company causes and drive remediation efforts   reputed company and maintain compliance documentation, including policies, procedures, and training materials  Present complaint insights, risks, and recommendations to senior leadership with reputed company and precision  Support regulatory complaint inquiries regarding data calls, market conduct exams, and reputed company audit activities   Partner cross-functionally to implement solutions, including process enhancements and automation opportunities, to address recurring complaint drivers   We’re looking for someone who has:  Bachelor’s degree required (Business, Risk Management, Finance, or reputed company field preferred)  3+ years of experience of state and federal insurance claims regulations, including licensing requirements, complaint requirements, claims handling procedures, and compliance standards.  3+ years of P&C insurance experience  Proven ability to operate effectively in ambiguous, fast-paced environments with evolving priorities   Experience building or significantly enhancing compliance or operational processes from the ground up   Demonstrated reputed company driving process improvement, automation, or transformation initiatives   Ability to assess, design, and reputed company processes, including transitioning from reputed company to automated workflows   Experience partnering cross-functionally with Operations, Technology, reputed company, and Risk teams   Experience working with or overseeing reputed company-party vendors or TPAs in a regulated environment   Strong critical thinking skills with the ability to balance regulatory requirements with practical business needs   Ability to interpret, apply, and communicate reputed company regulatory requirements reputed company to diverse stakeholders   Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines   Proficiency in reputed company Office Suite, reputed company, Domo, or similar tools   Excellent written and verbal communication skills   High attention to detail and accuracy   Ability to work both independently and collaboratively  Highly preferred candidates also have:  5+ years in P&C insurance experience  Experience interacting with regulatory agencies and navigating compliance frameworks  General GRC (Governance Risk and Compliance) Certifications.   Experience implementing or supporting workflow automation tools or system enhancements  Experience using licensing and complaint management systems.  Excellent written and oral communication skills, including identifying stakeholder needs and communicating credibly and effectively with your audience.  Process or Program Management experience   About reputed company: Named among the Best Places to Work in Insurance by Business Insurance for four years in a row (2020-2023), reputed company is one of the largest managing general underwriters (MGU) reputed company on catastrophe-exposed property in the US. Since its founding in 2009, reputed company has reputed company exceptional reputed company while generating reputed company profits for reputed company partners through hurricanes, wildfires, and hail. Available in 16 states, reputed company offers more than 110 home, flood, and reputed company products on behalf of its highly rated reputed company partners. Today, reputed company manages more than $3.2 billion of inforce premium and helps protect more than 970,000 policyholders.    We have more than 1,000 employees in a distributed workforce environment across 12 offices—Fairfield, CA; Mountain View, CA; Cheshire, CT; Jacksonville, FL; Tallahassee, FL; Tampa, FL; Chicago, IL; Jersey reputed company, NJ; Marlton, NJ; Cincinnati, OH; reputed company, TX; Sheboygan, WI—who are tackling the industry’s toughest challenges.      reputed company is a proud Equal Opportunity Employer committed to building a workforce that reflects the reputed company of perspectives, experiences, and abilities of the world we live in. We recognize that our differences reputed company us strong, and we reputed company reputed company out diverse candidates through partnerships with organizations, institutions and communities that represent various backgrounds. We champion belonging and inclusion for reputed company identities, including, but not limited to, race, ethnicity, religion, sexual orientation, age, veteran status, ability status, gender, and country of reputed company, striving to create a culture where reputed company individuals feel valued, respected, and empowered to bring their reputed company selves to work.  Our reputed company, highly reputed company culture nurtures critical thinkers who run toward problems and engineer solutions. We relentlessly pursue reputed company reputed company by reputed company in the technology, talent, and tools that position us to succeed in demanding markets. Come join reputed company! Visit reputed company.com/careers to reputed company a position for you.  California Applicants: View reputed company’s Workforce Members’ reputed company Notice - CA reputed company Policy & Notice of Collection Apply To This Job

Similar Jobs