Insurance Compliance Analyst, Regulatory
Tokio Marine HCC · Carmel, IN · 1 mo ago
Full-time
Key Responsibilities
- Ensure compliance with insurance and business practice regulatory requirements related to WorldTrips insurance products.
- Monitor and track state insurance laws, regulations, DOI bulletins, and regulatory guidance to ensure awareness of changes impacting complaint handling, consumer protection, and contractual obligations.
- Avoid and investigate Department of Insurance (DOI) and Better Business Bureau (BBB) complaints in accordance with regulatory timelines and internal procedures.
- Provide general assistance to the WorldTrips Compliance department and business unit personnel as needed.
- Assist with drafting, reviewing, and submitting accurate and timely complaint responses to regulators and consumer agencies, ensuring consistency with policy terms, regulatory requirements, and company position.
- Maintain and update complaint tracking systems, logs, and supporting documentation to ensure audit readiness and regulatory transparency.
- Identify, document, and escalate complaint trends, root causes, and potential regulatory risks, recommending corrective actions or process improvements, in conjunction with the Claims and QA teams.
- Track and assist with remediation of complaint-related findings, regulatory issues, and corrective action plans.
- Support the development, maintenance, and execution of complaint handling policies, procedures, and controls.
- Assist with the review and administration of WorldTrips contracts, agreements, and third-party arrangements to ensure alignment with regulatory, internal, and TMHCC Corporate requirements.
- Partner with Legal and Compliance leadership to ensure contracts, litigation matters, consumer-facing materials comply with applicable insurance laws and consumer protection standards.
- Conduct OFAC scanning.
- Manage Compliance related projects.
- Affirmatively review product forms, endorsements, customer-facing content and marketing content to ensure accuracy, consistency, and adherence with business process and regulatory requirements.
- Identify, document, and escalate compliance gaps, deficiencies, or risks recommending corrective actions.
- Support regulatory examinations, internal audits, and market conduct reviews by preparing complaint files, summaries, and response materials.
- Participate in compliance training and awareness initiatives related to compliance obligations.
- Prepare compliance reports, metrics, and dashboards for management review.
Skills And Experience Needed
- Bachelor's degree in a related field, or the equivalent education and/or experience.
- Experience working with Insurance Products, Travel and Medical insurance preferred.
- Familiarity with insurance regulatory bodies, state Departments of Insurance, and market conduct examination processes.
- Possess and have ability to apply knowledge of principles, practices, and procedures.
- Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy.
- Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously.
- Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company’s business to proactively respond to changing business environment.
- Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).