Compliance Analyst
ReservMurrieta, CA, US1 day ago
Job type
- Full-time
Job descriptionResearch, review, and interpret state and federal insurance laws, rules, and regulations applicable to insurance claims and TPA operations across all lines of business. Translate complex regulatory requirements into clear, actionable guidance for adjusters and operational teams. Develop, update, and communicate compliance policies, procedures, and adjuster support materials to ensure consistent adherence to evolving regulations. Monitor regulatory updates and industry trends; document and communicate relevant changes to business stakeholders and leadership. Create, maintain, and deliver compliance training materials and sessions to improve regulatory understanding and adherence across claims operations. Manage Department of Insurance (DOI) complaints from intake through resolution, ensuring timely, accurate, and compliant responses. Facilitate responses to audits, data calls, market conduct exams, and other state or federal regulatory requests. Conduct periodic reviews of compliance-related processes, documentation, and controls to identify potential risks or improvement opportunities. Collaborate with claims operations, engineering, and other teams to integrate compliance requirements into workflows, systems, and automation initiatives. Draft, review, and update compliance policies, procedures, and training materials to enhance program effectiveness and regulatory alignment. Analyze compliance and claims data to identify trends, emerging risks, and opportunities for process improvement. Track and maintain compliance metrics, including complaints, regulatory requests, training completion, and audit findings. Develop reports and dashboards that summarize compliance performance metrics, regulatory responses, and key risk indicators. Collaborate with analytics and / or operations teams to ensure data accuracy and support data-driven decision-making within the compliance function. Support risk and control documentation, development, and testing related to claims compliance and operations. Assist in monitoring control effectiveness and recommend improvements based on audit results, self-assessments, regulatory environment, or emerging risks. Align and strengthen controls for claims processes, ensuring regulatory compliance and operational consistency. Take initiative to deeply understand assigned compliance programs, identify process gaps, and independently initiate and drive improvement efforts without waiting for direction. Proactively manage multiple compliance activities, projects, and deadlines, balancing priorities in a fast-paced environment. Demonstrate critical thinking and problem-solving by analyzing challenges, proposing practical solutions, and executing effectively with available resources. Ensure exceptional accuracy in all work by carefully reviewing and validating analyses, documents, guidance, and communications before sharing with operations teams or regulators, performing self-quality checks to prevent errors and maintain regulatory integrity. Act as a key compliance liaison to claims teams and leadership, ensuring clear communication, accountability, and alignment across stakeholders. Embrace adaptability by taking ownership of new compliance initiatives, learning new areas quickly, and contributing beyond core responsibilities as needed. Navigate obstacles with creativity and resourcefulness to ensure timely, effective completion of compliance goals. Provide support to the licensing team in the areas of corporate and adjuster licensing as needed, and collaborate with the internal quality team to ensure compliance standards are maintained across operations. Represent the Compliance function in enterprise initiatives, projects, and forums to promote consistency, transparency, and best practices. Partner with internal stakeholders to align compliance efforts with broader risk management and operational objectives. Bachelor's degree in Business, Legal Studies, Risk Management, or related field (lack of one should not stop you from applying if you possess all the other qualifications). 2+ years of compliance experience in the insurance industry. Strong knowledge of insurance claims regulations, compliance frameworks, and industry best practices. 5+ years of claims handling experience, preferably in multiple lines of business such as physical damage, bodily injury, general or professional liability, property and / or commercial. Strong drafting and procedure-writing skills, with the ability to create clear, concise, and comprehensive policies, procedures, and / or training materials. Excellent analytical and problem-solving skills with the ability to analyze regulatory changes and their impact on the business. Experience working collaboratively with cross-functional teams and technology departments to develop and implement automated compliance solutions. Strong technical skills in systems such as Excel or Google Sheets, with the proven ability to learn and adapt to new systems quickly. Strong written and verbal communication skills with the ability to convey regulatory concepts clearly to non-compliance audiences and executive leadership. Exceptional communication and interpersonal skills with the ability to effectively communicate complex compliance matters to employees at all levels of the organization. Detail-oriented with strong organizational skills and the ability to prioritize and manage multiple tasks and deadlines while maintaining exceptional quality outputs. Self-starting with the ability to take ownership of programs without being provided specific tasks and instructions. Professional certifications such as Certified Compliance and Ethics Professional (CCEP) or Certified Regulatory Compliance Manager (CRCM) are a plus. Generous health-insurance package with nationwide coverage, vision, & dental 401(k) retirement plan with employer matching Competitive PTO policy we want our employees fresh, healthy, happy, and energized! Generous family leave policy Work from anywhere to facilitate your work life balance Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role Work toward reducing and
Compliance Analyst
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the Role
The Risk and Compliance Analyst at Reserv will play a critical role in ensuring our company's adherence to regulatory requirements, industry best practices, and ethical standards. They will be responsible for developing and implementing comprehensive compliance programs and initiatives to mitigate risks and safeguard our operations.
Who You Are
- Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
- Passionate Risk & Compliance professional who cares about the customer and their experience.
- Empathetic. You exercise empathy and patience towards everyone you interact with.
- Sense of urgency - at all times. That does not mean working at all hours.
- Creative. You challenge existing assumptions and find ways of leveraging technology to reimagine the R&C process.
- Curious. You want to know the whole story so you can make the right decisions early and be decisive when it counts.
- Anti-status quo. You don't just wish things were done differently, you action on it.
- Communicative. (we'd love to know what this means to you)
- And did we mention, a sense of humor. Claims are hard enough as it is.
What We Need
We need you to do all the things typical to the role :
Regulatory Compliance & Guidance
Compliance Program Management
Data Analysis & Reporting
Risk & Control Oversight
Ownership & Execution
Cross-Functional Collaboration
Requirements
Benefits
Additionally, we will
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Compliance Analyst • Murrieta, CA, US
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