Amerisure Insurance is a property and casualty insurer serving businesses with coverage designed around workplace and commercial risks. Its offerings include workers’ compensation, commercial, property, commercial automobile, and general liability insurance. The company works with organizations in manufacturing, construction, healthcare, and wholesale and distribution, combining a team-oriented service model with local Core Service Centers across the United States. Amerisure Insurance’s business operations and professional opportunities span the insurance needs of commercial organizations, with a particular focus on service and safety.
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.
Description
- 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
Requirements
- 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%
Benefits
- 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