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| POSITION DESCRIPTION | GENERAL INSURANCE INDUSTRY NOVEMBER 2008 |
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State Compliance Manager |
| Position Code: | 1355 | | Career Level: | 5 |
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Responsible for
Responsible for ensuring compliance with all regulating requirements and company policy at a State level. |
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Reports To
National Compliance Manager. |
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Supervises
Compliance Officers. |
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Main Activities
Ensuring compliance with regulatory requirements and company policies by monitoring compliance by all State Operations.
Co-ordinating the investigation and response to all complaints received and to monitor a register thereof.
Acting as the Dispute Resolution Officer and to ensure disputed claims are investigated, resolved and reported in accordance with the Code of Practice.
Making decisions on disputed claims taking into account policy wordings, legal issues, and the company's current claims settling philosophy.
Assisting the Claims Manager with any State Complaints referred to the Claims Dispute Panel.
Co-ordinating for the State the implementation of all compliance changes, including the implementation of Privacy and Financial Service Reform (FSR) requirements.
Recommending necessary changes to senior management to ensure compliance with regulatory and company policy obligations.
Ensuring management and underwriters are aware of shortcomings, trends and issues in regard to claims outcomes, Privacy and FSR.
Conducting audit reviews of out-sourced operations each month to ensure compliance with all Service Standards, Policy Conditions, Claims Handling Guidelines, FSRB and Privacy Issues.
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Key Skills
Knowledge of relevant legislation.
Effective interpersonal and communication skills.
Planning and organisation skills.
Effective complaint handling and management skills.
Understanding of Company's policies and procedures.
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Internal Contacts
Legal, Managers and staff. |
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External Contacts
Assessors/Investigators and solicitors. |
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Typical Experience
Relevant tertiary qualifications and at least 5 years of experience within a claims and/or underwriting role. |
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Other Comments
At least 5-7 years of experience in a commercial legal role with a law degree or equivalent qualification. |
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