Hybrid Claims Regulatory Compliance Leader

Amerisure Insurance Company; Tampa (FL); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

Hybrid work arrangement

Competitive benefits

401(k) with profit sharing

Job summary

Amerisure Insurance Company is seeking a Regulatory Compliance Manager for our Claims department, with a 2-day hybrid onsite work arrangement at one of our offices. The role focuses on ensuring compliance with laws and standards, modeling policies, auditing, and liaising with regulators.

The ideal candidate will have 5 years in commercial insurance, 2 years in leadership, and proven claims compliance experience, along with strong communication and strategic skills to lead cross-functional

Qualifications

• Bachelor’s degree in business, law, or a related field preferred.
• 5 years of commercial insurance experience.
• 2 years of leadership experience.
• Proven experience in regulatory compliance within the insurance industry, with focus on claims compliance.
• Strong understanding of insurance laws, regulations, and best practices.
• Intermediate proficiency with Microsoft Office Suite.
• Ability to travel overnight up to 15%.

Responsibilities

• Manage, train, provide performance feedback and assign duties of direct reports to ensure productivity, efficiency, and effectiveness.
• Develop, review, and update internal claims processing policies and procedures to ensure compliance with regulatory standards.
• Collaborate with other departments to integrate compliance considerations into company-wide policies.
• Develop and implement strategic plans for area of responsibility.
• Serve as the claims department’s main point of contact with regulatory bodies and coordinate the people and necessary information to respond to state audits and other regulatory inquiries.
• Maintain accurate and comprehensive records as required by laws and regulations or company needs and ensure that information is readily available for review as necessary.
• Design, implement, and monitor regulatory enterprise risk management solutions with input from other department leaders, Internal Audit, Office of Legal Counsel, and others as applicable.
• Manage the department’s quality assurance process and provide analysis and updates based on findings and trends.
• Prepare and submit regulatory reports, such as data calls, requests for information, internal controls testing etc., as required which may include coordinating with Financial Services, Internal Audit, Office of Legal Counsel, or external vendors as appropriate.
• Develop, lead, and implement training programs for claims staff to enhance their understanding of Medicare compliance requirements, emphasizing accurate documentation and reporting.
• Remain perpetually informed about changes to all relevant laws and regulations and, in a timely manner, update the department and/or specific stakeholders as to the impact of those changes, as appropriate.

Job description

Amerisure Insurance Company is seeking a Regulatory Compliance Manager for our Claims department, with a 2-day hybrid onsite work arrangement at one of our offices. The role focuses on ensuring compliance with laws and standards, modeling policies, auditing, and liaising with regulators.

The ideal candidate will have 5 years in commercial insurance, 2 years in leadership, and proven claims compliance experience, along with strong communication and strategic skills to lead cross-functional