Claims Legal and Regulatory Compliance Specialist

Responsible for leading the development and implementation of quality/compliance/legal assessments and/or manages compliance activities to ensure effective oversight of operational risk. Briefs senior leadership on results, trends, studies, and initiatives. Recommends process improvements and escalates existing and emerging risks associated to business processes. Acts as a trusted advisor for the business and mentors’ peers. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of the AmTrust organization. 

• Provides expert knowledge and guidance in the design, assessment, and/or implementation of the quality and compliance program.
• Performs independent assessments of highly complex business processes, state requirements, and legal activities. Expert in identifying gaps driving claim outcomes and operational efficiencies.
• Recommends and facilitates policy and procedural changes for internal practices and business processes.
• Consults with business stakeholders and advises senior leadership on assessment results, trends, studies, and initiatives/projects. Evaluates success measurements.
• Partners with Claims L&D to identify, analyze, improve, and implement targeted training solutions.
• Manages the workflow and deliverables related to regulatory activities such as market conduct exams, adjuster licensing, consumer complaints, and data calls.
• Self-directed with expert ability to balance multiple projects simultaneously.
• Advanced knowledge of the regulatory landscape, QA methodologies, and risk management principles.
• Serves as a functional expert and coach to peers and team members and acts as a resource for escalated issues of an unusual nature.
• Keeps current with market trends and demands.
• Performs other duties as assigned.

• Bachelor’s Degree in related field OR equivalent business experience.
• 5+ years of related claims experience, with recent background in a quality or compliance oversight role.
• Strong oral and written communication skills with demonstrated ability to translate information in a way that is easily understood by varying audiences. Ability to influence others to facilitate change.
• Demonstrated proficiency in prioritization of work based on business requirements and capacity planning.
• Strong understanding of the procurement/sourcing process.
• Applicable compliance, risk, and/or legal designations such as ARM, CRCMP, CLMP, ARC, etc.

Preferred:

• JD or Paralegal certification.
• Experience with technical writing and has demonstrated ability in building QA/Compliance frameworks.
• Influencer that is able to work through objections to obtain approvals for required project milestones.
• Advanced data and analytics skills.
• Working knowledge of developing and monitoring KPIs and KRIs.
• Process improvement certification (i.e. Six Sigma) and/or project management certification (i.e. PMP).

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.

AmTrust Financial Services offers a great work environment, competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical and Dental Plans, Life Insurance, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, and Paid Time Off.  

 AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

 AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice.  Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.