Forms Compliance Program Manager

OIC CAREER OPPORTUNITY

The Office of the Insurance Commissioner’s (OIC) Forms Compliance Program is seeking a motivated and qualified individual to fill a Forms Compliance Program Manager (WMS Band 3) position. This position is assigned to the Rates, Forms and Provider Networks Division, located in our Tumwater office.

The Office of the Insurance Commissioner is surrounded by fantastic people, good food options, and amazing scenery just down the road. Having you as a part of the agency would be the bonus!

A successful team is a result of great leadership. The leader of our Forms Compliance Program would possess strong attention to detail, empathy, the ability to see the big picture and compromise when appropriate and have a strong desire to support staff and see them grow.

The Rates, Forms and Provider Networks Division operates on the front lines of insurance regulation. In the role of Forms Compliance Program Manager (WMS Band 3), the incumbent will be responsible for ensuring non-compliant products never make it into the insurance market. You will play a vital role in protecting consumers by ensuring the products are compliant, provide the benefits needed and do not unfairly discriminate.

If you’re interested in a dynamic career that protects consumers’ interests and promotes a healthy business environment in this state, please apply and become part of our dynamic team.

This is a Washington Management Service (Band 03) position. Salary depends on qualifications, with an annual salary of $96,000 to $114,492.

Annual Salary: $96,000 – $114,492 Annually

Policy Forms Analyst II

Policy Forms Analyst                        

Position Summary

For more than 170 years, National Life Group (“NLG”) has aimed to keep our promises to provide families stability in good times and in bad. Throughout that history, we have provided peace of mind to those families as they plan their futures.

As a mission-driven business, the cause of what we do is as important as the products we sell, and our cause is a very simple one, directed at the people who live and work on America’s Main Streets: to “Do Good” in our communities and with the individual families we serve.

The individual in this position is a member of a fast-paced product development team with laser focus on creating value. We create value for our stakeholders by maintaining alignment across the enterprise, thinking with an outside-in mindset, and communicating with real-time transparency. 

The primary responsibility of this position is the development, approval, and maintenance of our promises: the policy forms (policies, data pages, riders, endorsements, and applications) representing the product offerings of National Life Group.  

Responsibilities

Assist with preparation of policy and related forms for filing, including contributing / managing any assigned filing plans.
Develop the formal submission of policy and related forms through state electronic filing systems, in accordance with requirements and standards.
Understand new insurance regulation and changes in the regulatory environment and their impact to National Life Group’s product offerings.
Draft and propose contract language to policy and related forms within pre-filing preparation and for responses to any objections received from state regulators.
Respond to any objections received from state regulators with limited to no guidance and supervision.
Assist with plan preparation, documentation, and creation of policy forms within xPression.
Coordinate with scrum teams to define Policy Package test plans and carry out all applicable testing task to support applicable implementation projects. 
Support internal / external request for gathering filing information, forms, and other items in a timely manner.

As a key member of project implementation teams:

Participate on product project teams in the development and implementation of new products or enhancements to the product portfolio.
Develop requirement specifications for policy pages, data pages and other documents as necessary for the implementation of those forms.
Interact with applicable business units during the development of specifications to ensure all aspects of business units’ needs are addressed within the specifications.
Complete testing requirements for product projects.
Develop work requests, system requirement requests, or changes requests for state specific issues that arise outside of project implementation timeframes.

Our Ideal Teammate

Passionate about details, and excited to apply this to the consistency, organization, and appearance of policy form filings
Above average writing, editing, and grammatical skills; prior experience with contract language a plus
Strong work ethic and proactive, results-driven mindset
Solid interpersonal skills; enhance outcomes with the ability to connect and partner with a variety of stakeholders
Inclusive team player with a collaborative and cooperative approach
Highly organized, responsive, and hands-on
3-5 years of life insurance and annuity industry experience
1-3 years of life and annuity product state filing experience.  Experience filing with the Interstate Insurance Product Regulation Commission (IIPRC) is a plus
Experience with xPression, or other contract or correspondence design software, a plus

The base compensation range represents the low and high end of the range for this position. Actual compensation will vary and may be above or below the range based on various factors including but not limited to qualifications, skills, competencies, location, and experience. The range listed is just one component of our total compensation package for employees.
Other rewards may include an annual bonus, quarterly bonuses, commissions, and other long-term incentive compensation, depending on the position.  National Life offers a competitive total rewards package which includes: a 401(k) retirement plan match; medical, dental, and vision insurance; a company funded wellness account for director and below employees; 10 paid holidays; a generous paid time off plan (22 days of combined time-off for non-exempt employees and exempt employees have discretion in managing their time, including scheduling time off in the normal course of business, but in no event will exempt employees receive less sick time than required by state or local law); 6 weeks of paid parental leave; and 6 weeks of paid family leave after a year of full-time employment
National Life Group® is a trade name of National Life Insurance Company, Montpelier, VT – founded in 1848, Life Insurance Company of the Southwest, Addison, TX – chartered in 1955, and their affiliates. Each company of National Life Group is solely responsible for its own financial condition and contractual obligations. Life Insurance Company of the Southwest is not an authorized insurer in New York and does not conduct insurance business in New York. Equity Services, Inc., Member FINRA/SIPC, is a Broker/Dealer and Registered Investment Adviser affiliate of National Life Insurance Company. All other entities are independent of the companies of National Life Group.
Fortune 1000 status is based on the consolidated financial results of all National Life Group companies. 
National Life Group
1 National Life Dr
Montpelier, VT 05604
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Annual Salary: 53,000.00 to 99,000.00

Compliance Counsel

Zenith Insurance Company is a national commercial insurance company with a primary concentration in workers’ compensation insurance and a growing property-casualty insurance operation. Our customers choose us for the quality of services we provide. Our employees choose us for the competitive benefits and work/life balance that we offer.

We are looking for an organized, highly efficient and motivated attorney to join our Corporate Legal team as Compliance Counsel. You are starting your career in insurance regulatory compliance and/or are interested in joining a company where you can grow your knowledge in this niche practice area. You are a self-starter and can work well independently and within a team. If this sounds like you, keep reading.

As Compliance Counsel, you will provide advice and counsel on a variety of legal, regulatory and compliance matters related to commercial insurance. You will report to and work closely with the Chief Compliance Officer to manage Zenith’s overall regulatory compliance in areas including but not limited to, underwriting, claims practices, producer licensing/appointments, data reporting, policy operations and general market regulation.

Essential Functions:
• Identify and mitigate undue risk to Company by providing relevant counsel and effective business-focused solutions and engaging attorneys within the legal organization with subject matter expertise to assist with addressing such risks when needed.
• Carry out compliance and regulatory duties, which may include regulatory research, filing preparation, compliance review audits, complaint responses, support during market conduct exams or regulatory audits, and interaction with state insurance regulators.
• Build and maintain expertise in state and federal insurance laws and regulations by proactively monitoring and analyzing changes in relevant laws and regulations.
• Provide legal and regulatory support to advance the Company’s ancillary businesses such as third-party claims administration and cost containment services.
• Develop and maintain collaborative relationships with management and internal business clients, agents, outside counsel and Company partners to gain a deep understanding of the Company’s business, challenges, risks and opportunities.
• Train employees on operational compliance topics (e.g. cancellations and non-renewals).
• Participate in providing general legal support to various business operations of the Company.
• Perform other duties as assigned.
Qualifications:
• JD and member in good standing of the State Bar of California or eligible for Registered In-House Counsel in California
• 2+ years’ insurance regulatory experience required; commercial insurance preferred.
• Excellent written and verbal communication skills with the ability to communicate with all levels of management.
• Willingness to develop expertise in regulatory field.

To apply for this position, please visit www.thezenith.com/careers

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.

Annual Salary: The expected salary range for this position is $115,274.51 – $128,082.79. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.

Compliance Counsel

We are looking for an organized, highly efficient and motivated attorney to join our Corporate Legal team as Compliance Counsel. You are starting your career in insurance regulatory compliance and/or are interested in joining a company where you can grow your knowledge in this niche practice area. You are a self-starter and can work well independently and within a team. If this sounds like you, keep reading.

As Compliance Counsel, you will provide advice and counsel on a variety of legal, regulatory and compliance matters related to commercial insurance. You will report to and work closely with the Chief Compliance Officer to manage Zenith’s overall regulatory compliance in areas including but not limited to, underwriting, claims practices, producer licensing/appointments, data reporting, policy operations and general market regulation.

Essential Functions:
• Identify and mitigate undue risk to Company by providing relevant counsel and effective business-focused solutions and engaging attorneys within the legal organization with subject matter expertise to assist with addressing such risks when needed.
• Carry out compliance and regulatory duties, which may include regulatory research, filing preparation, compliance review audits, complaint responses, support during market conduct exams or regulatory audits, and interaction with state insurance regulators.
• Build and maintain expertise in state and federal insurance laws and regulations by proactively monitoring and analyzing changes in relevant laws and regulations.
• Provide legal and regulatory support to advance the Company’s ancillary businesses such as third-party claims administration and cost containment services.
• Develop and maintain collaborative relationships with management and internal business clients, agents, outside counsel and Company partners to gain a deep understanding of the Company’s business, challenges, risks and opportunities.
• Train employees on operational compliance topics (e.g. cancellations and non-renewals).
• Participate in providing general legal support to various business operations of the Company.
• Perform other duties as assigned.

Annual Salary: The expected salary range for this position is $115,274.51 – $128,082.79. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.

Industry Filing Analyst (Hybrid or Remote)

We currently have an opportunity for an Industry Filing Analyst to join our legal team in Plymouth, MN,  or remotely nationwide. Under the guidance of the senior filing team and management, the Industry Filing Analyst: gathers data and prepares timely Property & Casualty state filings using documented procedures and forms; coordinates answers to questions from state agencies regarding filings; and researches and stays familiar with state filing requirements for designated areas

Responsibilities

With oversight and guidance of senior filing team and management, prepares and submits filings of basic to moderate complexity for new and revised programs, non-standard forms, manual pages, and rule and rate deviations to various state insurance departments, with initial focus on the preparation and submission of ISO filings and assisting with proprietary product filings as needed. Gathers data from all necessary resources. Consults regulations and current codes and procedures to complete documentations.
With oversight and guidance of senior filing team and management, coordinates and submits all responses to insurance department questions by obtaining necessary information from underwriting, actuarial, legal, and technical services. Works with these partners to resolve issues with regulators.
Reviews insurance circular and bulletin summaries as compiled by senior filing team to determine filing requirements for assigned areas.
Prepares and maintains status reports of filing activity for management as required.
Maintains current knowledge and records of files, fees, notice requirements, and approval procedures for state filing requirements.

Requirements:
Must be able to work under time constraints.
Basic knowledge of insurance business.
Must show the ability to develop or have proven analytical, decision making, problem-solving, verbal and written communication, listening and organizational skills. Must be able to work both independently and as a highly collaborative member of a team.
Must maintain a high level of accuracy and provide follow-through on projects.
Must be proficient with Microsoft Office Suite as well as the System for Electronic Rate and Form Filing (SERFF), I-File and SharePoint
Education and Experience Preferred:
Associate degree with 1-3 years of general Property & Casualty experience.
Progress towards industry professional designation preferred,
Experience with the System for Electronic Rate and Form Filing (SERFF), I-File and SharePoint

Annual Salary: Our salary ranges are determined by many factors including location, role, experience and skillset of the candidate. The following ranges displayed reflect the target base salary for new hires but your recruiter will share more specific compensation information with you during the hiring process. The typical base salary range for this position is: $52,000 – $74,000, based on the factors aforementioned. For candidates located in San Francisco, CA; Hoboken, NJ; and the New York City metro area, the base salary range is $66,000 -$77,000. In addition to base salary, full time Intact employees are also eligible for bonus potential and a full range of benefits to include: 401(k) savings and annual contributions of up to 12% of annual salary, competitive paid time off programs, medical, vision and dental plans, mental health support programs, life and disability insurance, paid parental leave and a variety of voluntary benefits. 

Regulatory & Provider Network Filing Analyst

Regulatory & Provider Network Filing Analyst

Job Summary: The ideal candidate for this position will have experience working in the health insurance industry interpreting managed care state and federal laws and regulations and applying them to practical daily operations. The candidate must also be familiar with PPO Network operations and oversight of policies and procedures.
Minimum Qualifications:
• Associates Degree in Health Administration, Business Administration, Regulatory Science or an equivalent combination of education and work experience in related field.
• Two to three years of experience working in health insurance and regulatory industry
• Strong attention to detail with accountability to take ownership of all work along with strong multi-tasking skills and excellent time management skills
• Strong writing, communication and interpersonal skills
• Ability to work independently and as a member of the team
• Detailed orientated problem solver with excellent time management skills and ability to meet filing due dates
• Proficiency with MS Office products including, Outlook, Word and Excel
• Strong Ability to interpret and apply state and federal laws and regulations
• Familiarity with Accreditation Filings and NCQA Standards preferred
• Familiarity with RegEd system preferred
• Familiarity with health insurance operations including but not limited to, eligibility, billing, claims, PPO Network and vendor operations, etc.
• Use of SERFF filing system preferred
• Health insurance industry experience preferred

Essential Job Duties and Responsibilities:
• Receive, coordinate and review new and revised regulations that pertain to provider network with internal carrier and PPO vendor network policies, procedures and processes to assure compliance with state and federal regulations.
• Perform a detailed review and assessment of new and revised regulations and share understanding of how each piece impacts current organizational process and procedures and identify necessary changes and implement changes.
• Use tracking sheet and RegEd tool to receive, respond and track compliance and/or revisions of each regulation with internal and external vendor policies and procedures that need to be made to ensure regulatory compliance.
• Update internal regulatory tracking calendar and 50 state regulatory spreadsheet with new and revised regulations to ensure all regulatory and filings are tracked, worked on and submitted by the state due date.
• Proactively review and identify upcoming filings several months in advance of the filing due date and request material from network vendors to ensure materials are received and ready to submit by the defined regulatory due date.
• Collect material, coordinate and file State and Federal accreditation and re-accreditation filings and regulatory reports. Thoroughly understand and review material prior to filing and respond to objections when received.
• Participate in oversight calls with PPO Networks and vendors to coordinate regulatory compliance and document meeting minutes that meet regulatory guidance.
• Assist the Head of Provider & Network Management and Provider Network Regulatory and Filing Team Lead on ad hoc projects that support the Provider Network Team and benefit the company as a whole
• Other duties as assigned
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.
Creating and maintaining a work environment that promotes respect, dignity and diversity is important to us. Our mission is more than a piece of paper, it is a way of doing business. “We deliver customer centric insurance solutions with quality service and uncompromising ethics.” We have six pillars that we deliver through, all of which promotes positive employee practices.
Candidates requiring accommodation during any stage of our selection process should advise us of this; we will strive to work with individuals to find a suitable means to meet their needs.
Reporting to: Provider Network Regulatory & Filing Team Lead

ASSISTANT CHIEF INVESTIGATOR

The Maryland Insurance Administration (MIA) is seeking to fill an Assistant Chief Investigator position in the Life and Health Division’s Complaints Section. This position will assist the Director, Life and Health Complaints in the management and operation of the Complaints Section. This position supervises a team of Complaint Investigators and clerical staff. This position assists the Insurance Commissioner, Associate Commissioner, and Director, L&H Complaints with the research, analysis, and resolution of legislative or Governor’s complaints and complex issues and questions. Other job responsibilities include; providing assistance to staff in interpreting insurance laws and regulations; ensuring investigators’ timely and proper resolution of consumer complaints; identifying staff training needs; and executing plans for employee development; and coding and assigning new complaint files.

Minimum Qualifications:

Education: Bachelor’s degree from an accredited college or university.

Experience: Five years of experience in life or health insurance regulatory compliance.

Note: The requirements indicated below are acceptable substitutions to the above minimum requirements.

1- Seven (7) years experience in insurance compliance for a regulatory agency or an insurer; or

2- Six (6) years experience in insurance compliance for a regulatory agency or an insurer and passing of 6 LOMA or 6 AHIP examination or a combination of the above; or

3-Bachelor’s degree from an accredited four-year college or university and four (4) years experience in insurance compliance for a regulatory agency or licensed insurer, and passing at least five (5) exams offered by LOMA or AHIP; or

4-Four (4) years experience in insurance compliance for a regulatory agency or an insurer and a J.D. degree.

Annual Salary: $64,828.00 – $104,555.00/year

Compliance Manager

Openly is hiring a Compliance Manager to support our compliance function. Reporting to the Director of Compliance, the Compliance Manager will manage all aspects of the insurance regulatory compliance duties vital to the organization’s success and compliance with applicable laws, regulations, and standards.

Key Responsibilities

Manage and administer policies and procedures that ensure compliance with applicable laws, regulations, and standards.
Conduct compliance tests or audits and report findings to compliance leadership
Liaise with external authorities or governing bodies during examinations/inquiries
Recommend risk mitigation strategies, corrective action, or revisions to policies and procedures based upon findings from compliance testing, audits, regulatory exams, and/or industry trends to management
Manage regulatory and legislative change process, including monitoring, distribution and and developing necessary recommendations
Manage insurance product forms filings process from creation to filings and objections, and maintain library of Openly insurance product forms
Support the investigation of allegations of illegal, improper, or unethical conduct by employees or company representatives
Implement compliance-related training sessions
Assist with other projects and tasks as needed

Deputy Insurance Commissioner for the Rates, Forms, and Provider Networks

The Office of the Insurance Commissioner (OIC) is seeking a civil service exempt Deputy Insurance Commissioner for the Rates, Forms, and Provider Networks Division. In this position you will manage a wide variety of situations and influence the course of insurance affairs, at the state and national levels through contacts with the regulatory community and through colleagues in the agency.

What makes an organization a great place to work? People just like you! Ones who care and understand the importance of quality and affordable insurance and want to enhance the standard of life for the citizens of Washington State. The Office of the Insurance Commissioner aims to protect consumers by reviewing and approving the insurance products carriers and insurers sell, making sure policies conform to state laws and regulations. We also review rate filings to make sure the premiums insurers charges are appropriate and aren’t discriminatory.

What’s in it for you? You will be a part of an amazing team of passionate, empowering, and visionary leaders. As a member of the Executive Management Team (EMT), you will take part in setting the strategic direction for the agency, establishing legislative priorities, ensuring fiscal responsibility, and creating an inclusive, performance-based culture.

Apply today and become a leader of our dedicated and professional team!

This is a civil service exempt position is located in our Tumwater office. Salary depends on qualifications within an authorized range of $127,980 – $148,776.

This recruitment will remain open until the position is filled. The agency reserves the right to make a hiring decision at any time after the initial screening date on August 21, 2023. It is in the applicant’s best interest to submit materials before that date or as soon as possible if after that date.

Washington State offers one of the most competitive benefits packages in the nation. We offer a great selection of health and retirement plans, paid leave, and compensation benefits for you and your family.

Additional Benefits:

Wellness programs.
Dependent care assistance.
Washington State Employee Assistance Program.
Federal Social Security and Medicare systems.
Additional Leave; Leave Sharing, Parental Leave, Family and Medical Leave Act (FMLA), Leave Without Pay.
Deferred Compensation (supplemental retirement plan).
Training and development opportunities, including tuition reimbursement.
Program for Public Service Loan Forgiveness (if applicable)
Free parking at our main office in Tumwater.
A stable funding source that does not rely on the state’s general fund.
The fulfillment of public service.
Excellent work-life balance.
Flexible work schedules and telework opportunities.
Commitment to diversity in the workplace and support one another with respect and trust.
Free Thurston County Transit public transportation, or King County ORCA Transit pass for public transportation.

Annual Salary: $127,980.00 – $148,776.00 Annually

Sr. Compliance Analyst

Openly is hiring a Sr. Compliance Analyst to support our compliance function. Reporting to the Sr. Compliance Manager, this Sr. Compliance Analyst will support our insurance product and operational compliance by providing guidance and advise to the business and helping to develop key compliance processes vital to our success. The primary responsibilities will be to:

Review and analyze state statutes, regulations, insurance department bulletins, etc. to determine impact and ensure regulatory requirements
Monitor and distribute regulatory and legislative changes, assist the business with actions plans, and develop necessary recommendations
Advise, guide, and support the business regarding compliance with laws, regulations, or standards related to the policy lifecycle
Manage state regulatory requests, surveys, and general data calls
Support and coordinate market conduct exams and inquiries
Work in conjunction with the Sr. Compliance Manager to conduct audits to identify errors and monitor corrective actions and remediation plans
Perform ad hoc compliance projects as assigned