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Claims Regulatory Compliance Manager - Amerisure Insurance
Lead regulatory compliance for Amerisure Insurance’s commercial claims operations. Oversee audits, policies, risk management, reporting, quality assurance, and Medicare compliance training.
विवरण
- Lead, coach, evaluate, and allocate work to direct reports
- Create, review, and maintain internal claims processing policies and procedures
- Partner with other departments to incorporate compliance requirements into enterprise policies
- Set and execute strategic plans for the assigned function
- Act as the claims department’s primary liaison with regulatory authorities
- Organize personnel and information for state audits and regulatory reviews
- Maintain complete records required by applicable regulations and company standards
- Build, implement, and oversee regulatory enterprise risk management solutions
- Direct quality assurance activities and assess resulting trends and findings
- Compile and submit regulatory reports, data calls, information requests, and internal control tests
- Create and deliver claims training on Medicare compliance, documentation, and reporting
- Track regulatory developments and explain their effects to relevant stakeholders
आवश्यकताएँ
- Bachelor’s degree in business, law, or a related discipline preferred
- Advanced degree or compliance certification preferred
- At least five years of commercial insurance experience
- At least two years of experience leading teams
- Demonstrated insurance regulatory compliance experience, particularly in claims
- Strong knowledge of insurance laws, regulations, and industry practices
- Working proficiency with Microsoft Office Suite
- Strategic, analytical, and practical problem-solving ability in ambiguous situations
- Skill in developing productive relationships across the organization
- Strong written and verbal communication skills
- Willingness to travel overnight up to 15%
लाभ
- Competitive base salary
- Performance-based incentive compensation
- Comprehensive health and welfare coverage
- 401(k) plan with profit sharing
- Generous paid time off
- Flexible work options
- Opportunities for professional development
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