Senior Insurance Compliance Advisor - Crop
Work Remotely , Colorado, USA
The Opportunity
This role is responsible for leading compliance quality control reviews with minimal direction and report findings as outlined in standard reinsurance agreements ensuring the accuracy of underwriting process, filed claims, and insurability of crops and acreage.
Primary Responsibilities
• Conduct field visits to inspect policyholder's crops and conduct appraisals in accordance with required procedures
•Obtain and verify documentation from farmers and crop insurance agents
•Discuss discrepancies when working through compliance process, with customer service as the priority
•Resolve issues through effective communication
•Use independent judgment to review, analyze and make determinations regarding compliance reviews; make necessary corrections to policyholder's coverage that may impact their claim payment
•Monitor and track questions and responses related to compliance reviews. Take a proactive approach to identifying issues and trends, develop recommended resolutions and communicate to leadership
•Report potential misrepresentations, fraud, waste, abuse and other compliance risks.
•Document appropriate compliance review findings for submission to RMA (Risk Management Agency)
•Assess necessity for additional compliance reviews based on interpretation of loss reserves
•Interpret RMA audit requests to obtain appropriate insured documentation for submission to RMA by defined completion date
•Ensure retention of compliance review documentation
•Collaborate internally and externally, including with Claims, Underwriting and other departments to deliver excellent customer service to our agents and farmers
•Comply with company policies and procedures, laws, rules and regulations through execution of compliance quality reviews
•Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
Required Education
• High School Diploma/GED
Required Experience
• 3 years relevant experience
Preferred Competencies/Skills
• Utilize effective research and investigative techniques to make independent audit determinations
•Use internal and external resources to gather, analyze, and reorganize information and use logic to address work-related issues and problems
•Conduct field visits to inspect policyholder's crops and conduct appraisals in accordance with required procedures
•Obtain and verify documentation from farmers and crop insurance agents on behalf of company
•Discuss discrepancies when working through compliance process, with customer service as the priority
•Identify problems and review related information to develop and implement solutions
•Communicate information in a clear, well-organized, and professional manner
•Use relevant information and individual judgment to comply with organizational and legal regulations
•Utilize effective interpersonal, verbal and written communication
•Establish a high …
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- Collaborate with internal and external teams
- Contribute to a positive work environment
- Ensure compliance with regulations
- Report compliance risks
- Resolve compliance issues
Claims adjusting Communication Compliance reviews Crop insurance Customer service Data Management Fraud detection Interpersonal Communication Investigative Techniques Leadership Risk Management Underwriting Verbal and written communication
Experience3 years
EducationBachelor's degree GED High school diploma High school diploma/GED
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