Compliance Jobs 2026 (Now Hiring) – Smart Auto Apply
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Compliance Manager
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Overview
Job Description
- Maintain a thorough understanding of requirements for all assigned insurance carrier and TPA programs.
- Monitor and enforce carrier-specific SLAs, guidelines, documentation requirements, communication requirements, estimating standards, and program procedures.
- Ensure required milestones are completed within established carrier timelines, including customer contact, inspections, estimate submissions, revisions, approvals, job updates, documentation, and completion requirements.
- Review carrier and TPA portals regularly to identify overdue assignments, missing documentation, approaching deadlines, or other compliance concerns.
- Maintain current carrier guidelines and communicate program changes to affected departments.
- Ensure required job documentation and status updates are accurately maintained within company and carrier systems.
- Monitor carrier and TPA scorecards and identify trends affecting company performance.
- Track key performance indicators such as:
- Cycle time
- Estimate accuracy
- Customer satisfaction/NPS
- Response and inspection times
- Estimate submission timelines
- Revision turnaround
- Documentation compliance
- Conversion rates
- Program-specific performance metrics
- Identify recurring performance gaps and determine root causes.
- Develop corrective action plans when performance falls below carrier or company expectations.
- Work proactively with department leadership to prevent compliance issues rather than only correcting them after deadlines have been missed.
- Evaluate processes and recommend improvements that increase efficiency, accountability, and carrier performance.
- Establish clear expectations for Project Managers, Estimators, Coordinators, and other team members regarding carrier requirements.
- Monitor assignments for approaching or missed deadlines and communicate required actions to the responsible team member.
- Develop exception-based reporting that clearly identifies jobs requiring immediate attention.
- Establish escalation procedures for repeated or significant compliance concerns.
- Follow up on outstanding items until resolution.
- Partner with department managers to address recurring performance or accountability issues.
- Maintain consistent enforcement of established standards across departments and offices.
- Develop and maintain Standard Operating Procedures (SOPs), workflows, checklists, and reference materials for carrier and TPA programs.
- Train new and existing employees on carrier requirements, program guidelines, documentation expectations, and internal processes.
- Coordinate additional training when audits or performance trends identify areas requiring improvement.
- Communicate carrier guideline changes and ensure affected employees understand new expectations.
- Develop systems and processes that make compliance requirements easy for employees to understand and follow.
- Conduct routine audits of active and completed jobs for carrier and internal compliance.
- Verify required documentation, notes, photographs, estimates, approvals, customer communications, and completion documents are properly maintained.
- Identify documentation or process deficiencies before they negatively impact carrier scorecards or payment.
- Assist leadership with corrective actions resulting from carrier audits, complaints, escalations, or performance reviews.
- Prepare clear compliance and performance reports for leadership.
- Provide visibility into:
- Current carrier performance
- Jobs at risk
- Missed SLAs
- Upcoming deadlines
- Scorecard trends
- Recurring compliance issues
- Corrective actions
- Participate in operational and leadership meetings to communicate performance concerns and recommended solutions.
- Escalate significant risks that could impact carrier relationships, assignment volume, revenue, or program participation.
- Carrier requirements are clearly understood and consistently followed.
- Deadlines and SLAs are actively managed.
- Leadership has visibility into performance risks before they become major issues.
- Employees understand what is expected of them.
- Compliance problems are addressed quickly and consistently.
- Scorecard performance improves through measurable corrective actions.
- Carrier relationships are protected through strong operational execution.
- Processes become more standardized, measurable, and efficient.
- Experience in property restoration, insurance claims, construction, managed repair, or a related industry.
- Experience working with insurance carriers, TPAs, or managed repair programs strongly preferred.
- Experience with compliance, operations, quality assurance, project coordination, or performance management.
- Familiarity with restoration and insurance platforms such as XactAnalysis, Xactimate, RMS/job management systems, Contractor Connection, Alacrity, or similar platforms is a plus.
- Strong analytical and problem-solving abilities.
- Ability to interpret carrier guidelines and convert them into practical operational processes.
- Strong organizational and time-management skills.
- Ability to manage multiple programs, deadlines, and priorities simultaneously.
- Strong written and verbal communication skills.
- Comfortable holding employees accountable to established standards.
- Ability to communicate professionally with employees at all levels of the organization.
- Strong attention to detail without losing sight of overall operational performance.
- Ability to identify trends and develop corrective action plans.
- Strong Excel, reporting, and data-analysis skills.
- Ability to independently develop processes, reports, SOPs, and training materials.
- Comfortable working in a fast-paced environment where priorities may change quickly.
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