Underwriting & Claims Quality Assurance Senior Analyst

Company Description

Fortegra is a global specialty insurer based out of Jacksonville that offers a diverse set of admitted and surplus insurance products and warranty solutions. For more than 45 years, we have delivered risk management solutions that help people and businesses succeed in the face of uncertainty. We seek to provide exciting opportunities, room for growth, and the ability to thrive in a workplace that is both challenging and rewarding. We foster a corporate culture that values the diversity of both individuals and ideas. Fortegra is proud to be Certified™ by Great Place to Work®. The prestigious award is based entirely on what current employees say about their experience working at Fortegra. For more information on Fortegra follow us on our LinkedIn .

Job Description

This is a Senior Analyst position in the Internal Audit Department reporting directly to the Director of Underwriting and Claims Quality Assurance.

This position will be responsible for ensuring the quality of not only the underwriting and claims processes within The Fortegra Group (TFG) but also with our TPAs/MGAs.  This role will routinely interact with senior leadership, involve compliance and audit consulting, implementation, training, monitoring, investigation, remediation, and/or reporting. As TFG continues to grow our P&C business, this role will be a critical member of the Fortegra team with both domestic and international reach.

In this role you will; 

• Provide operational, claims and premium auditing services for a variety of TPAs/MGAs including specialty companies, warranty solutions companies, and reinsurance companies.  Assessments will include varied product lines.
• Validate that TPAs/MGAs are operating in accordance with accepted industry and regulatory standards.
• Validate that TPAs/MGAs are complying with the terms of the Agreement(s) including reasonable assurance that claims are accurately processed and reported, in a timely manner.
• Validate that premiums are billed accurately, collected, and handled according to the agreement(s) and reported timely to the carrier/reinsurer.
• Produce deliverables related to audit findings, including Audit Report and Exhibits within the Company’s accepted timeframes.
• Provide corrective action plans resulting from TPA/MGA compliance audits. Follow-up on corrective actions to confirm mitigation plans have been properly implemented in a timely manner.
• Contribute innovative ideas and assist with the implementation of new processes.
• Proactively collaborate with others across the enterprise to achieve organizational goals and build networks.
• Stay current with industry trends. Pursue applicable technical and business-related training.
• Provide independent oversight of corrective action plans resulting from TPA/MGA compliance audits. Follow-up on corrective actions to confirm mitigation plans have been properly implemented in a timely manner.
• Due to the fast-paced nature of the regulatory and business environments, the position requires the ability to quickly adapt to change and to multi-task various assignments.

Qualifications

• Property and casualty insurance industry experience with expertise in applicable business roles including claims, sales, underwriting or product preferred; minimum 2 years of proven audit/compliance experience.
• Insurance related compliance experience in risk assessment, testing and monitoring including knowledge of business processes and technologies desired. Familiarity with P&C regulatory environment. Ability to assess processes to identify efficiencies.
• Four-year undergraduate degree or equivalent work experience preferred. P&C industry and/or compliance professional designation, certification or memberships preferred. Demonstrated adoption of a growth mindset with a passion for continuous improvement.
• Ability to work independently, take initiative and have strong verbal and written communication skills.
• Good time management and attention to detail are critical to this position.
• Good analytical, research, organizational, and project management skills. Strong individual contributor with the ability to work effectively as a team.
• The position may involve other essential and job-related functions and responsibilities that employees will be required to perform

Additional Info