Senior Insurance Product Compliance Professional

This is a fully remote position, open to applicants in United States.

📋 Description

• Negotiate with state and federal regulatory bodies to secure policy and certificate approvals for insurance products.

• Assist in the implementation and upkeep of compliant insurance policies and certificates.

• Contribute to departmental strategy and make decisions regarding the management of technical aspects for complex project elements.

• Develop and maintain the language for group policies and certificates to align with product initiatives and regulatory standards.

• Raise awareness of current regulatory matters and ensure compliance with policy forms.

• Monitor and assess regulatory requirements, offering consultative advice.

• Facilitate discussions with operational and compliance teams.

• Prepare standard policy and certificate forms for regulatory submissions.

• Research and address regulatory objections and inquiries.

• Conduct quality reviews for policy and certificate forms as well as other related materials.

• Recommend and support process enhancements to optimize efficiency.

• Act as a Subject Matter Expert (SME) for designated product lines.

• Conduct research and present findings related to contract language or competitor filings.

⛳️ Requirements

• Bachelor's Degree or equivalent experience in a healthcare or insurance compliance role.

• At least 5 years of experience in the healthcare or insurance industry.

• Knowledge of laws and regulations related to the healthcare and insurance sectors, including those from state Departments of Insurance and CMS.

• Ability to research and analyze state laws and regulations.

• Understanding of insurance products, including policy and certificate language.

• Proficient in Adobe Acrobat and Microsoft 365 (Office) applications, such as Word, Excel, Teams, and SharePoint.

• Excellent verbal and written communication skills.

• Demonstrated attention to detail and accuracy.

• Proven analytical and problem-solving skills.

• Self-motivated and task-oriented, with the capability to manage multiple priorities and work under pressure to meet deadlines.

🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Time off, including paid time off, company and personal holidays, as well as paid parental and caregiver leave.

• Short-term and long-term disability.

• Life insurance and numerous other opportunities.