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.
Primary Job Functions:
- Provide operational, claims and premium auditing services for a variety of TPAs/MGAs including specialty companies, warranty solutions companies, reinsurance companies, and claims administration 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 premiums and claims are accurately processed and reported in a timely manner.
- Produce deliverables, including audit testing workbook and formal report within the Company’s accepted timeframes.
- Provide corrective action plans resulting from TPA/MGA 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.
- 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.
The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform
Minimum Qualifications:
- Property and casualty insurance industry experience with expertise in applicable business roles such as claims, underwriting, or compliance, or premium administration is preferred; minimum 3 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.
Skills & Competencies Required:
- Demonstrated adoption of a growth mindset with a passion for continuous improvement.
- Ability to work independently, take initiative and manage multiple audits or tasks simultaneously, balancing deadlines and priorities.
- Strong critical-thinking skills, with the ability to interpret complex data, identify control/process gaps, and develop actionable recommendations.
- Strong written and oral communication skills, including the ability to present findings clearly to leadership, business partners, and external parties.
- Excellent time management and attention to detail are critical to this position.
- Strong analytical, research, organizational, and project management skills.
- Strong individual contributor with the ability to work effectively as a team.
- Demonstrated adaptability and confidence navigating a dynamic and evolving landscape (preferably in insurance industry).
- Strong technical proficiency in the Microsoft Office Suite, with an emphasis on advanced Excel skills, is preferred
#LI-Onsite
