Health Plan Compliance Specialist
Pair Team
Insurance Compliance Administrator, Crop
QBE Insurance
full-time
Posted on:
Location Type: Remote
Location: Remote • Iowa, Kansas, Minnesota, North Dakota, Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $26 - $38 per hour
Job Level
Mid-LevelSenior
About the role
- Use established guidelines to review, analyze and make recommendations regarding basic RMA required compliance reviews and make necessary corrections to insured’s Schedule of Insurance, acres, yield, etc.
- Document appropriate compliance review findings for submission to RMA
- Assess necessity for additional compliance reviews based on interpretation of estimated loss/reserves and RMA data
- Interpret RMA audit requests to obtain appropriate insured documentation for submission to RMA by defined completion date
- Assist with investigating and resolving system data transmission errors
- Communicate notification of new compliance reviews to customer
- 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
- Identify and communicate potential misrepresentations, fraud, waste, abuse and other compliance risks
- Contribute to a positive work environment by demonstrating cultural expectations and influencing others
- Additional other tasks as assigned
Requirements
- High School Diploma/GED
- 3 years relevant experience
- Degree in Agriculture (Preferred)
- Communicate information in a clear, well-organized, and professional manner
- Use a logical approach to analyze issues; demonstrated analytical ability
- Follow established guidelines to focus on details and complete tasks attentively and thoroughly
- Utilize effective verbal and written communication
- Demonstrated interest in enhancing knowledge; seeks opportunities to learn and grow
- Escalate issues when necessary
- Exercise independent and ethically sound judgment
- Experience with crop insurance including underwriting, adjusting and/or compliance experience (Preferred)
- Working knowledge of Federal Crop Insurance Program and documents; knowledge of general crop insurance policies and procedures (Preferred)
- Understanding of general compliance and quality control functions and principles (Preferred)
- General computer knowledge including Office (Word,Excel), Windows and EASYjuster Pro (Preferred)
- Ability to work remotely in Wisconsin, Iowa, North Dakota, Kansas or Minnesota
Benefits
- Hybrid Working – a mix of working from home and in the office
- 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
- Competitive 401(k) program with company match up to 8%
- Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
- Tuition Reimbursement for professional certifications, and continuing education
- Employee Network and Community – QBE actively supports six Employee Networks, and many ways to give back to your community
- Eligibility for QBE’s annual discretionary bonus plan based on business and individual performance
- Remote work options (role can be fully remote)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
compliance reviewsanalytical abilitycrop insuranceunderwritingadjustingquality controlFederal Crop Insurance ProgramEASYjuster Prodocumentationdata analysis
Soft skills
communicationattention to detaillogical thinkingindependent judgmentcustomer servicecollaborationproblem-solvingcultural expectationsprofessionalismwillingness to learn
Certifications
High School DiplomaGED
