TPA Compliance Manager

Alacrity Solutions

TPA Compliance Manager

Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit www.AlacritySolutions.com.

Job Overview:

As the Compliance and Complaint Manager within our Insurance TPA company, you'll be instrumental in overseeing compliance activities and managing the complaints resolution process. Your primary responsibility is to ensure adherence to regulatory standards, facilitate employee training, and efficiently resolve customer complaints to maintain high standards of service.

Primary Duties include but are not limited to: (Reasonable accommodation may be made to enable qualified individuals to perform essential functions.)

Key Responsibilities:

• Complaint Handling:
  • Review and investigate customer complaints related to insurance services and products.
  • Develop and implement effective strategies to resolve complaints in accordance with company policies and regulatory requirements.
• Employee Compliance Oversight:
  • Coordinate with relevant departments to set up required training for new hires upon notification from account managers.
  • Maintain records and facilitate monthly reports for adjuster anti-fraud/SIU compliance.
• Training:
  • Develop monthly refresher courses for management/supervisors/adjusters.
  • Collaborate with the Director of TPA to arrange state-mandated training through third-party vendors.
• State Compliance:
  • Monitor state statutes and regulations ensuring adjusters' claim handling and documentation comply with state guidelines.
  • Update claim handling guidelines, training documentation, and SIU/Antifraud manuals as needed.
  • Keep management informed about new state statutes or declared emergencies affecting operations.
  • Update compliance spreadsheet with state-specific details and ensure dissemination across relevant teams.

Skills & Requirements:

• Bachelor’s degree in Business Administration, Insurance, or related field.
• Proven experience in compliance management, preferably within the insurance industry.
• Strong understanding of insurance regulations, compliance standards, and complaint resolution processes.
• Excellent organizational skills to manage training schedules, compliance reports, and regulatory updates.
• Ability to communicate effectively across different departments and levels within the organization.
• Detail-oriented approach to maintaining accurate records and reports.
• Strong written communication skills are essential, as this role requires the ability to articulate complex compliance and resolution processes effectively.

Supervisory Responsibilities:

• NA

Physical & Mental Demands:

The physical demands described here are representative and must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand, walk and use hands to handle or feel.
• Ability to read, analyze, and interpret reports, and legal documents, respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. 

Starting salary range:

• $65,000-$75,000

Job Specifics:

• Remote
• Full-Time (M-F, 8am-5pm)

Travel Required:

• N/A

Why Choose Alacrity:

• Benefits Package including Medical, Dental, Vision, Short- and Long-Term Disability, Life Insurance, and an Employee Assistance Program
• HSA Bank with selection of High Deductible Health Plan
• 401K plan options
• Paid Time Off Accruals
• Paid Holidays

Affirmative Action/EEO Statement

Alacrity Solutions is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and training. Alacrity Solutions makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, please refer to our EEO policy.

How Long We Retain Personal Information:

We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.