Senior Legal Counsel – Claims Compliance

Job Description

Overview:
Our client a leading national insurance carrier is seeking a Senior Regulatory Counsel Claims Legalto provide expert legal and regulatory guidance on claims handling compliance matters and related operational practices. This individual will play a key advisory role to the claims organization ensuring adherence to state and federal insurance laws while mitigating regulatory and litigation risks.

Responsibilities:

• Provide legal counsel and strategic guidance on claims compliance regulatory obligations and claims handling practices across multiple lines of business.
• Review and interpret insurance laws regulations and Department of Insurance directives to ensure compliant claims operations.
• Partner with claims leadership to develop and implement best practices that align with evolving regulatory requirements.
• Support responses to regulatory inquiries market conduct exams and internal audits.
• Draft and review policy language claims procedures and internal compliance materials.
• Collaborate with internal stakeholders including Compliance Risk and Legal teams to ensure consistent governance standards.
• Monitor emerging legal trends and legislative changes affecting claims and compliance functions.
• Provide training and education to claims personnel on legal and regulatory developments

Requirements:

• Juris Doctor (J.D.) from an accredited law school; active bar membership in at least one U.S. jurisdiction.
• Minimum of 5 years of legal experience with a strong background in insurance regulatory law and claims compliance.
• Experience handling coverage disputes involving first-party property and/or third-party liability claims with an exposure of $250000 or more including both primary and excess losses preferred.
• Prior experience advising an insurance carrier TPA or regulatory agency preferred.
• In-depth knowledge of insurance claims practices unfair claims settlement statutes and applicable state/federal insurance regulations.
• Strong business acumen with the ability to translate complex legal issues into practical business solutions.
• Excellent communication negotiation and stakeholder management skills.

Compensation & Benefits:

• $140000 - $175000/year annual performance bonus.
• Comprehensive benefits package including medical dental vision 401(k) with company match and generous PTO
• Opportunity to serve as a trusted advisor on critical regulatory and compliance matters.
• Work for a respected growing insurance organization with a strong culture of integrity and collaboration.
• Locations: Raleigh NC or Alpharetta GA
• Hybrid schedule working from the office Monday through Wednesday with the option of working remotely Thursday and Friday

Disclaimer: Please note that this job description may not cover all duties responsibilities or aspects of the role and it is subject to modification at the employers discretion.

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