Benefits Compliance Specialist
2 weeks ago
A-Line Staffing Solutions is seeking a highly skilled Benefits Compliance Manager to join our team. As a key member of our organization, you will be responsible for managing the compliance program for our Group Benefits business.
Key Responsibilities:- Maintain the compliance program for Group Benefits, providing expert guidance to internal and external partners.
- Conduct legal research and monitor regulatory developments to update compliance policies and procedures.
- Ensure compliance with HIPAA and other privacy and data security laws in collaboration with team members.
- Assist with audits of third-party business partners and oversee necessary remediation efforts.
- Support compliance change management, ensuring timely identification and addressing of requirements.
- Participate in the Company Compliance Action Team to implement compliance requirements.
- Draft and maintain Standard Operating Procedures (SOPs), product manuals, and other written guidance for partners.
- Develop and deliver compliance training, ensuring partners receive appropriate guidance on policies and procedures.
- Manage the resolution of regulatory inquiries and reviews, ensuring timely, accurate, and high-quality responses.
- Collaborate with partners to collect and analyze data, and report to regulatory agencies, maintaining a tracking calendar for such reports.
- Oversee the drafting of life and health policies, ensuring compliance with applicable laws.
- Collaborate with partners on developing and filing policies for new and existing products, and negotiate insurance policy approvals with the Interstate Compact and state insurance departments.
- Record, investigate, and escalate alleged non-compliance with laws, regulations, and company policies for appropriate handling.
- Represent the company on enterprise projects and initiatives as needed.
- Bachelor's Degree (Required)
- Advanced degree (Preferred)
- Proven experience leading projects and managing multiple priorities simultaneously (Required)
- Demonstrated ability to identify, define, and resolve problems, and collect and interpret data to establish facts and provide effective resolutions (Required)
- Experience working as part of a team, fostering cooperation and collaborative efforts toward solutions (Required)
- Working knowledge of group health insurance laws, regulations, and best practices, or substantially related experience (Required)
- Minimum of 5-7 years of insurance compliance experience (Required)
- Proficiency with Microsoft Office, especially Word, Excel, and PowerPoint
- Effective verbal and written communication skills, with the ability to convey information clearly and concisely
- Ability to document procedures and activities in an understandable format
- High level of attention to detail and excellent organizational skills
- Strong research, problem-solving, and analytical skills, including experience using various websites and reference tools
- Ability to take decisive action
- Ability to learn and use electronic compliance programs (e.g., RegEd, Serengeti)
- Knowledge of legal research engines (e.g., Westlaw)
- Proficiency with SERFF
The ideal candidate will have a strong background in insurance compliance and be able to work independently with minimal supervision. The position requires a high level of attention to detail and excellent organizational skills. The candidate should be able to work in an office setting with long periods of stationary work at a desk or computer.
The position involves standing and walking within the department and building. Extended hours may be required during peak workloads or special projects.
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