Specialist, Contract Compliance II

ourhrconnect; Columbia (SC); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health plans

Dental & Vision

401k with match

Life Insurance

PTO

On-site cafeterias

Education Assistance

Service Recognition

National discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a compliance-focused professional to research insurance laws, prepare filings, and obtain state and federal approvals. This onsite role supports the compliance function and interacts with multiple departments to ensure regulatory alignment.

The position emphasizes contract negotiation, document management, and adherence to ERISA and insurance regulations, reporting to the Compliance Manager and utilizing CLM systems to track lifecycle activities.

Qualifications

• Bachelor's degree required.
• 5 years insurance experience, 4 in compliance/research.
• Strong knowledge of insurance statutes and ERISA.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office.

Responsibilities

• Researches insurance statutes, regulations, and bulletins for policy form filings and approvals.
• Assesses state and federal requirements for new market opportunities.
• Reviews and drafts marketing, reinsurance, and administrative agreements; coordinates with legal staff.
• Prepares and files reports and corporate documents for state/federal regulators.
• Maintains policy/certificate systems and ensures proper benefit selections and state variable printing.

Skills

Insurance statutes

Regulations

ERISA

Written & verbal comms

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Summary

Researches and interprets insurance laws pertaining to division products form filings and obtains approval from the various state insurance departments. Communicates impact of insurance bulletins, circulars, and directives to appropriate departments and ensures compliance with all laws and regulations.

Description

This is a full time onsite position reporting to 4101 Percival Road Columbia, SC.

What You’ll Do

• Researches insurance statutes, regulations, and bulletins for policy form filings. Prepares formal contract filings and secures insurance department approval.
• Performs preliminary research on state and federal requirements pertaining to new market opportunities. Advises management of potential problem areas pertaining to emerging opportunities and current core products.
• Reviews, revises, and assists in drafting marketing, reinsurance, and administrative agreements. Identifies contractual deficiencies in written agreements and recommends appropriate revision. Coordinates the review of all contracts with Companion’s legal staff, if necessary.
• Prepares, maintains, and files reports and corporate documents that pertain to core products and required by various state insurance departments and federal agencies.
• Maintains and operates policy and certificate issue systems. Designs and programs paragraph logic and codes to ensure proper benefit selections and state variables print correctly. Troubleshoots the systems to ensure policy and certificate systems remain uninterrupted.
• Communicates impact of insurance department bulletins and federal opinions to compliance manager and specialty product staff, and prepares response when required. Communicates the compliance department’s summary of pertinent insurance department bulletins, circulars, and directives and all federal opinions and directives to appropriate company personnel. Provides clarification regarding technical interpretations.
• Receives, logs, and distributes complaints (insurance department and consumer) pertaining to core products for response and follow up to ensure timely response. Develops, updates, and maintains procedure manuals to ensure maximum job performance and timeliness.
• Researches state insurance statutes, regulations, bulletins, and NAIC models as requested by compliance manager, companion’s legal department, and specialty product staff.
• Contract Redlining and Review: Review , revise, and negotiate contract language to mitigate risk and align with business objectives.
• Full-Cycle Contract Negotiation: Manage contract negotiations from initial drafting through execution, collaborating with internal stakeholders and external parties to achieve mutually beneficial agreements.
• CLM (Contract Lifecycle Management) Systems: Utilize CLM platforms to manage contract creation, routing, approvals, execution, storage, and ongoing compliance throughout the contract lifecycle.

What You’ll Need

• Required Education: Bachelor's
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
• Required Work Experience: 5 years insurance experience, 4 of which must be in insurance compliance and insurance research.
• Required Skills and Abilities: Strong knowledge of insurance statutes and regulations and ERISA. Strong written and verbal communication skills.
• Required Software and Other Tools: Microsoft Office.
• Preferred Education: Bachelor's degree- Business Administration or other related field
• Preferred Work Experience: 5 years-experience in insurance compliance and insurance research.
• Preferred Skills and Abilities: Ability to work under minimal supervision.
• Work Environment: Typical office environment.

Our Comprehensive Benefits Package Includes The Following

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment:

• Subsidized health plans
• dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities.