Insurance Compliance Manager, Group Benefits

3 weeks ago

White Plains, New York, United States Lexitas Legal Talent Outsourcing Full time
Job Title: Insurance Compliance Manager, Group Benefits

Lexitas Legal Talent Outsourcing is seeking a highly skilled Insurance Compliance Manager, Group Benefits to join our team. As a key member of our compliance team, you will be responsible for managing the compliance program for Group Benefits business, ensuring that all regulatory requirements are met and that our clients receive the highest level of service.

Key Responsibilities:
  • Maintain the Group Benefits business compliance program, providing guidance to internal and external partners as a subject matter expert.
  • Perform legal research and track regulatory developments to update compliance policies and procedures.
  • Oversee the Group Benefits business 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 any necessary remediation.
  • Assist with compliance change management efforts, ensuring that requirements are identified and addressed in a timely manner.
  • Draft and maintain Standard Operating Procedures (SOPs), product manuals, and other written guidance for internal and external partners.
  • Develop and roll out compliance training, ensuring that internal and external partners receive appropriate guidance on compliance policies and procedures.
  • Manage the resolution of regulatory inquiries and reviews, ensuring that all regulatory responses are timely, accurate, and of high quality.
  • Work with internal and external partners to collect and analyze data, and timely report to regulatory agencies.
  • Oversee the drafting of life and health policies, ensuring compliance with applicable laws.
  • Record, investigate, and escalate alleged non-compliance with laws, regulations, and company policies for appropriate handling.
Requirements:
  • Bachelor's Degree (Required)
  • Advanced degree (Preferred)
  • Minimum of 5-7 years of insurance compliance experience (Required)
  • Working knowledge of group health insurance laws, regulations, and best practices (Required)
  • Proven experience leading projects and managing multiple priorities simultaneously (Required)
  • Demonstrated experience identifying, defining, and resolving problems, and collecting and interpreting data to establish facts, draw valid conclusions, and provide effective resolutions (Required)
  • Demonstrated experience working as part of a team, developing cooperation, and collaborative work efforts toward solutions that benefit all parties involved (Required)
  • Demonstrated effective verbal and written communication skills, with the ability to convey information to internal and external customers in a clear, accurate, focused, and concise manner (Required)
  • Demonstrated ability to document procedures and activities in a manner that is understandable to others and prepared using a prescribed format (Required)
  • Verbal and written communications that conform to proper rules of punctuation, grammar, diction, and style (Required)
  • Demonstrated high level of attention to detail and excellent organizational skills (Required)
  • Proven research, problem-solving, and analytical skills, including experience using various websites and reference manuals/tools (Required)
  • Proven ability to take decisive action (Required)
Computer Skills and Knowledge of Hardware & Software Required:
  • Excellent with Microsoft Office, especially Word, Excel, and PowerPoint (Required)
  • Ability to learn and use electronic compliance programs (e.g., RegEd (Code) and Serengeti) (Required)
  • Knowledge of legal research engines (e.g., Westlaw) (Required)
  • Proficient using SERFF (Required)

Lexitas Legal Talent Outsourcing is an equal opportunity employer and welcomes applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

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