SUMMARY AND SCOPE
The ACE Claims Compliance Officer will oversee all aspects of Personal and Small Commercial Claims Compliance for ACE Private Risk Services and ACE Commercial Risk Services for the growing Divisions’ book of business. In addition, this position will provide support in creating and overseeing the claims compliance strategy for the ACE North American workers’ compensation claims.The Compliance Officer will be responsible for executing on key Claims Compliance strategies focused on regulatory compliance, education, communication, and interaction within the corporate compliance matrix, as well as within individual management teams within ACE Claims.
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS
Work with dedicated Claim Professionals in the Staff handled, TPA handled, and Specialty/Professional Liability Claim areas, providing Claims Compliance expertise and technical leadership on Consumer and Commercial Lines losses in Home, Auto, Liability, Medical Risk, Work Comp, Directors and Officers, and other coverages.
Work with the broader ACE NA Claims counterparts to embed a set of compliance standards within existing best practices which comply with all local, State and Federal regulations for claims handling.
Partner with ACE North America claims management on individual compliance exposures, market conduct trends, and the industry and legal environment.
Administer, monitor, and direct Claims Code of Conduct, Privacy, Personally-Identifiable Information (PII), Records Retention and other compliance policies/activities under the direction of Corporate Compliance.
Design and deliver technical training materials which align claims operational strategies with required regulatory activities, and, leverage vendors, technology, and data analytics where feasible to create and enhance a “culture of compliance” within the organization.
Coordination of licensing and continuing education to ensure all regulatory requirements are met for the claim’s organization.
Provide independent testing of compliance within the existing Claim Quality Review process; update tools and information to keep claims informed of impending regulatory changes.
Partner with Corporate Compliance teams to manage external Market Conduct, Complaint, and Data Call inquiries from regulatory governmental entities.
Create, maintain, and analyze robust claim compliance metrics, executing corrective action plans as necessary.
Identify claims compliance trends and communicate to appropriate stakeholders.
Maintain team claim file quality, execute leading claims practices, and ensure claims regulatory compliance, operating within a Sarbanes-Oxley compliant environment.
Travel to local claim offices, as necessary (travel requirement of 25-50%, depending upon business need and domiciled location).
Minimum of five years of consumer and commercial lines claims experience required in a compliance-related role.
Proven leadership and management skills, including organizational design and implementation strategic leadership
Strong abilities in coverage application, litigation, contractual relationships, 50-state jurisdictional exposures, and regulatory compliance mitigation.
Superior verbal and written communication skills, including large-group presentation skills.
Strong data-analytics skills are required.
Four-year college degree or equivalent experience required; JD, MBA, or other advanced degree preferred.
The ACE Group is one of the world’s largest multiline property and casualty insurers. With operations in 53 countries, ACE provides...