Senior Insurance Compliance Advisor – Crop
| Company | QBE Insurance |
|---|---|
| Location | Fresno, CA, USA, Oregon, USA, Nevada, USA, Woodland, CA, USA |
| Salary | $70500 – $116500 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- High School Diploma/GED
- 5 years relevant experience
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
- Provide guidance to other team members and participate in new team member onboarding
- Draft correspondence to be submitted to next level of leadership regarding the findings and determinations made during the review process
- 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
- Proactively identify and communicate potential misrepresentations, fraud, waste, abuse and other compliance risks, recommending appropriate action based on findings and determinations as a result of review
- 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
- Investigate and resolve system data transmission issues
- 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
Preferred Qualifications
- 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 degree of trust and credibility with others
- Provide personalized and quality service to meet the expectations of internal and external customers
- Create and maintain current, accurate and readily accessible data in various formats
- Understand customer needs and goals actively look for ways to meet them
- Understand the principles underlying the relationship among facts and apply this understanding when solving problems
- Multi-task and handle competing priorities
- Demonstrated interest in enhancing knowledge; seeks opportunities to learn and grow
- Exercise independent and ethically sound judgment
- Bachelor’s Degree or equivalent combination of education and work experience
- Experience with crop claims adjusting or compliance
- Advanced knowledge of Federal Crop Insurance Program and documents; working knowledge of general crop insurance policies and procedures
- Understanding of general compliance and quality control functions and principles
- General computer knowledge including MS Office Suite, EASYWriter Pro and EASYjuster Pro