drjobs Manager, Claims Legal & Compliance

Manager, Claims Legal & Compliance

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1 Vacancy
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Job Location drjobs

Raleigh - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

The Legal Department within IAT has an immediate need for a Manager Claims Legal Compliance in our Raleigh headquarters. For the ideal candidate remote will be considered. This role will be responsible for supporting in-house Claims Counsel by managing external audits regulatory requests from internal and external stakeholders investigating compliance issues and delivering training programs to educate employees on compliance-related topics in line with promoting a culture of compliance within the Company.
Key Responsibilities:
  • Regulatory Compliance: Monitor and ensure Company compliance with federal state and local regulations. Stay updated on changes in laws and regulations that may affect the Company its claims handling and business practices.
  • Policy Development: Work in conjunction with other leaders in the Legal Department to develop implement and maintain compliance policies and procedures.
  • Training and Education: Develop and deliver training programs to educate employees on compliance-related topics and promote a culture of compliance within the Company.
  • Audits and Assessments: When necessary interface with internal and external stakeholders to respond to Department of Insurance and other regulatory audits and requests for information. Communicate any regulatory findings and directives to senior management.
  • Department of Insurance Complaints: Work collaboratively with adjusters Managers and Claims Leaders to ensure the Company timely and accurately responds to Department of Insurance Complaints lodged by policyholders.
  • Reporting: Prepare and present compliance reports to senior management. Maintain accurate records of compliance activities and findings.
  • Investigations: When necessary conduct internal investigations into compliance issues and complaints. Work with colleagues in the Legal Department to resolve issues and implement corrective action.
  • Collaboration: Collaborate with various departments including Claims Underwriting HR and Operations to ensure a cohesive approach to compliance.
Qualifications:
Must Have:
  • Bachelors degree with a minimum of five years of relevant experience or equivalent.
  • Equivalent is defined as nine years of relevant experience.
  • Strong understanding of regulatory requirements and compliance standards in the insurance industry.
  • Excellent analytical and problem-solving abilities.
  • Proficiency in compliance software and tools including tools used for ISO reporting and Medicare reporting.
  • Must perform work with speed and accuracy without immediate and constant supervision.
  • Must exercise good judgment in recognizing scope of authority and protecting confidential information.
  • Ability to multi-task and meet deadlines.
  • To qualify all applicants must be authorized to work in the United States and must not require VISA sponsorship now or in the future for employment purposes.
Preferred to Have:
  • Advanced degree
  • Experience working with an insurance company a plus.
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or status as a protected veteran. We maintain a drug-free workplace and participate in E-Verify.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

Department / Functional Area

Legal

About Company

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