Customer Service Insurance
Resume:
MICHAEL CLARK
Address available upon request
***********@*******.***
**/****-******* ********* ********, CT
Sr. Regulatory Analyst
. Provide state filing compliance analysis, expertise and preparation of
filing submissions to ensure the timely approval of products and rates
for Bond & Financial Products business, which includes Executive
Liability claims made products as well as surety products.
. Work with Actuarial, Underwriting, Product Development, Legal and other
areas to ensure effective submission processes.
. Independently manage all filing activities for the moderately complex to
routine product filings. Serves as a key project team member as needed.
. Function as regulatory liaison to Lines of Business and Actuaries.
Provide expertise in the area of regulatory compliance as it pertains to
products and rates.
. Proactively provide regulatory expertise, including interpretation and
guidance on state filing regulations to business areas. Identify
compliance and business risks and develop solutions that satisfy company
and regulatory concerns. Westlaw and legal research skills would be a
plus.
. Review, analyze, prepare filing submissions for new and revised programs,
non-standard forms, manual pages, and rule and rate deviations to obtain
approval on product filings for assigned states or products.
. Interpret changes and developments in state statutes, regulations,
bulletins, etc. that impact insurance design and development issues.
Determine filing and regulatory requirements. Provide guidance and
direction to business areas on B&FP insurance issues.
. Continually develop and maintain direct relationships with regulators.
09/2008 - 12/2009 Beazley USA Farmington,
CT
Compliance Analyst
. Develop and submit Form, Rate and Rule filings using the SERFF System, I-
File or paper filing method.
. Analyze, research and draft responses to state criticisms received.
. Work closely with internal/external departments to clearly communicate
modifications needed and accurately adjust documents to comply with state
requirements.
. Conduct timely follow-ups with Insurance Departments and other internal
departments to ensure timely filing approvals.
. Work with Underwriting Management and the IT department to provide
assistance in Rate and Rule testing to ensure company compliance with
state mandated requirements in accordance with approved Rating Plans.
. Work closely with underwriting staff members to guide them through the
preparation and completion of nonrenewal and conditional renewal notices
in compliance with state requirements.
. Work independently to conduct regulatory research.
9/2007 - 09/2008 Discover Re (Travelers) Farmington, CT
Compliance Consultant
. Reconciliation and verification of all Quarterly and Annual Workers
Compensation Compliance Reports & Report Cards.
. Completion of Quarterly / Annual State Reports and Ad Hoc Data Calls
(Those claim items not completed by Stat Reporting) -submitted by state-
established due dates.
. Third Party Administer (TPA) Compliance Oversight - various activities
(i.e. - Wisconsin 1st Indemnity Payments; Wisconsin Response to DWD Mail,
Adjuster Licensing, etc.
. Claim Fine Payment / Reimbursement Coordination
. Florida Centralized Performance System Oversight (management of Indemnity
and Medical penalties).
. Communication to TPAs on new laws, procedures, regulatory requirements,
etc. that may affect their claim handling / procedures.
. Legal Research - investigation and review of state / federal compliance
issues.
8/2004 - 09/2007 Discover Re (Travelers) Farmington, CT
Licensing Analyst
. Correspond daily with Agencies, Producers/Agents regarding initial and
outstanding license requirements, compliance documentation, and in
explaining various state requirements.
. Accurately respond to inquiries from internal and external clients in a
professional and timely manor.
. Review regulatory activities with the various business units within the
company in order to maintain compliance
. Keep current with state and federal agencies for licensing and compliance
requirements.
. Understand, interpret and apply applicable US state and federal laws and
regulations.
. Order reports to determine the States where an Agency, Agent or Producer
writes business.
. Review and/or create Agencies, Producers, and Agents licensing files to
ensure all required insurance licenses and compliance documentation is on
file and the necessary appointments for producers are active and/or
requested.
06/2003 - 08/2004 Direct Response Corporation Meriden, CT
State Filing Coordinator
. Handle all agent licensing appointments, and remove appointments when
necessary.
. Track all continuing education requirements and ensure that licensed
individuals take the required number of hours.
. Handle all annual filings regarding licensing.
. Assist with insurance department audits.
. Ensure that all state licensing requirements are adhered to.
. File annual statements, quarterly statements and other appropriate
documents with regulatory authorities.
. Work effectively as a member of the team to ensure company goals and
objectives are achieved.
. Maintain knowledge of industry trends to ensure corporate compliance.
. Participate on committees and special projects as required.
10/2000 - 06/2003 Direct Response Corporation Meriden, CT
Underwriter
. Review daily output of new business, endorsements, and renewals for
accuracy and ensure that each area complies with corporate policies and
procedures.
. Handle follow-up calls with customers to verify drivers, garage
locations, and vehicle uses.
. Conduct database searches to identify additional rate pursuit flags.
. Review claims that produce adverse risk details or rating discrepancies
and take appropriate actions.
. Ensure compliance with regulatory and Corporate policies and procedures.
. Maintain documentation of changes made to existing policies.
. Monitor sales/service calls for adherence to company procedures.
. Research projects as assigned.
7/1997 - 10/2000 The Hartford Farmington and Southington, CT
Customer Service Representative 11/1997 - 10/2000
Claims Fast Track Representative 7/1997 - 11/1999
COMPUTER HARDWARE & SOFTWARE
Proficient in Microsoft Office Professional, Internet Explorer, Safari,
Apple mail, Microsoft Outlook, OASIS, Choice Point, Business Information
Group, Applicant Insight, Sircon, Lotus Notes, Adobe Acrobat, RegEd.
EDUCATION
1992-1993 Tunxis Community College Farmington, CT
24 credits taken toward Associates Degree in Business Management
References Available Upon Request
Contact this candidate