Compliance Manager - Claims

Root Insurance Columbus , OH 43216

Posted 1 week ago

The position: As a Compliance Manager, you'll play a critical role in enforcing the fundamental fairness values on which our company was founded. You'll be asked to think critically and make recommendations to Claims Leadership and Legal for enhanced compliance workflows, processes, and procedures. This role is vital to Root's success as we continue to rapidly grow.

Reports to: Claims Legal.

The company: Root is a company of 400 people and (mindfully) growing. In March of 2015, we set out to build an insurance solution that did two things: 1) gave an unprecedented user experience and 2) used modern data to more accurately predict risk. We created a mobile car insurance app, and we changed the industry in the process.

The culture: Root is a venture-backed technology company. Our early signs of success are in large part due to our unwavering standards in hiring. We recognize that our product is only as good as the people building it. We look for individuals who can find solutions by going through the cycle of ideation to implementation with curiosity and rigor. We expect every team member to lead with empathy and respect.

Responsibilities:

  • In collaboration with Claims Legal, monitor regulatory and legislative activity which may impact the Claims organization or the insurance industry. Prepare thorough and timely communications regarding regulatory and legislative activity which may impact the Claims organization. Prepare any required reporting.

  • Work with Claims leadership to ensure internal processes and procedures are maintained and complied with as required in response to regulatory or legislative changes and otherwise provide the appropriate level of oversight and feedback.

  • Provides support regarding the coordination of any Market Conduct activity on behalf of the Claims organization. Shares responsibility for Claims components or required submissions to Market Conduct Exams for impacted states. Coordinates efforts with other departments as needed and effectively represents the interests of the Claims organization before, during, and after exams.

  • May work with appropriate Legal, Claims, and DOI personnel to facilitate processing of responses to DOI, BBB, and other company-related complaints. This includes review of complaints and responses, elevating performance issues to Claims management, reporting on monthly complaint statistics, and regularly communicating with Claims leadership regarding ongoing Claims performance, as well as opportunities for improvement.

  • Will maintain ownership of compliance with Medicare/Medicaid reporting.

  • May include supervisory responsibilities for Licensing Specialist or other Compliance-related roles.

  • Responsible for the monitoring and completion of internal and external SIU reporting.

  • Answer Claims compliance-related questions from the field or other parts of the organization as necessary.

  • May assist with company-wide compliance projects as needed.

Required Skills and Competencies:

  • Bachelor's degree or equivalent experience required

  • 2+ years of prior compliance experience in the insurance industry

  • Prior experience with Medicare compliance preferred

  • Strong written and oral communication skills

  • Ability to work cross-functionally with other areas of the business

  • Great attention to detail

  • Self-starter and ability to work independently and effectively prioritize work

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Compliance Manager - Claims

Root Insurance