See here for position details and application instructions. Remote candidates welcome! https://www.linkedin.com/jobs/view/2484370206/?refId=C63verYQTXKOcbTPXYKgYw%3D%3D

The Office of the Insurance Commissioner’s (OIC) Health Form Compliance Unit is seeking a motivated and qualified individual to fill a permanent Health Forms Compliance Analyst (Functional Program Analyst 3) position. This position is assigned to the Rates, Forms and Provider Networks Division and duty stationed in our Tumwater office.

As a Health Forms Compliance Analyst, you will independently review and analyze health insurance policy forms for compliance with insurance statutes, regulations and state and federal law. You will advise insurers on compliance issues and provide guidance for resolution. Communicating regularly with internal staff, health insurance carriers and third-party filers, you will research and provide clarification with issues or answer questions related to compliance questions.

This is an ideal opportunity for you to use your analytical, research and communication skills to make a difference and support your fellow Washingtonians by working in the public sector. 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.

Duties
Reporting to the Health Forms Program Manager, this position is responsible for independently reviewing and analyzing health insurance forms from a variety of entities for compliance with statutes, regulations and case law. Duties include, but are not limited to:

Reviews health insurance forms using established work processes, analyst checklist, and applicable provisions of the ACA, state RCWs and WACs.
Consults with senior staff members to resolve complex filing or compliance questions.
Communicates issues related to non-compliant form provisions to health insurance carriers and third-party filers.
Develops and maintains complete, accurate, and current knowledge of Washington RCWs and WACs, orders for the Insurance Commissioner and federal law.
Researches and provides guidance to insurers and agency staff related to regulatory standards for health insurance forms.
Consults and discusses health form contract provisions and regulations with agency staff to ensure consistent and uniforms review processes and standards for health insurance forms are adhered to.
Researches and provides subject matter guidance to entities seeking assistance or clarification with issues related to health care insurance issues or questions.
Drafts objection letters with identified compliance issues and provides guidance for resolution.

The Office of the Insurance Commissioner’s (OIC) Producer Licensing and Oversight Program is seeking a motivated and qualified individual to fill the Supervisor position in the Compliance unit in the Producer Licensing and Oversight Program (Functional Program Analyst 4). This position is assigned to the Consumer Protection Division, located in our Tumwater office.

Duties
Serve as the technical expert as the Lead Analyst for the Compliance unit on regulatory issues.
Provide information and technical guidance to staff, consumers, and applicants regarding interpretation of insurance laws, education examination requirements and licensure status.
Analyzes insurance practices, records and forms for regulatory compliance.
Advises and assists insurance industry, consumers, regulatory agencies and others in resolving complaints and inquiries.
Handle high priority cases and those that require supervisory-level attention from legislative staff, reporters and agency leadership referred to the program for expert subject matter input and guidance.
Demonstrate professional interpersonal skills including: positive attitude; effective change management skills; conflict resolution; customer-focused communication.
Supervise a team of two professional Functional Program Analyst 3 positions.
Recruit, hire, develop, coach, and evaluate Compliance staff.
Coach and mentor Compliance team members on an ongoing basis and provide them with necessary training.
Performance manage Compliance team members both positively and constructively.
Reviews Compliance staff written responses to licensees.
Represents the OIC in administrative hearings and testify on findings.
Provide reports to Licensing Manager, attend staff meetings and assist the Manager with special projects.

United Heritage Financial Group is hiring a Regulatory Compliance Analyst. This position provides legal and compliance services to the United Heritage enterprise and is responsible for researching, analyzing, and interpreting new and existing state and federal statutes and regulations that may impact the business. This position is also responsible for developing legal and compliance policies and processes, and for training employees on industry standards and compliance requirements. The position will review and revise business contracts, correspondence, and other documents, and will review marketing/advertising material for compliance. The successful candidate will possess the following skills: advanced research, problem-solving, critical thinking, and analytical skills; advanced oral and written communication and interpersonal skills; strong attention to detail, accuracy, organization, and timeliness, with the ability to multi-task; ability to balance multiple priorities with tight deadlines, and to flexibly change course; and ability to work independently and carry out assignments to completion with minimal supervision. Bachelor’s degree required; paralegal certificate strongly preferred (sufficient legal or regulatory compliance experience may substitute for paralegal certificate). Strong knowledge of insurance industry processes, compliance regulations, and standards preferred.

United Heritage Financial Group is an established and growing company. Our company offers our team members challenging career opportunities. Our competitive compensation and benefit package includes a 401(k) plan with company match, company paid disability, paid parental leave, and generous PTO. United Heritage firmly believes in supporting employees and our community; we actively support local charitable agencies and make sustainability and social responsibility a priority.

Summary

This position provides legal and compliance services to all companies within the United Heritage enterprise and is responsible for tracking, analyzing, and interpreting new and existing state and federal statutes and regulations that may impact the business. This position serves as a subject matter expert on the companies’ filed forms/rates/rules, filing procedures, and regulatory approvals. The Regulatory Compliance Analyst is also responsible for developing legal and compliance policies and programs, and for training employees on industry standards and compliance requirements. This position performs work on diverse legal, compliance, legislative, lobbying, and corporate governance assignments of moderate or higher scope or complexity, and exercises independent judgment and discretion.

Primary Responsibilities

Monitor, research, analyze, and summarize current, new, and proposed legal and regulatory requirements to determine impact to the companies’ products and/or processes
Provide ongoing guidance and possible courses of action to the business related to legal and regulatory requirements
Analyze and update existing corporate, legal, and compliance policies and related documentation, and communicate the same to relevant departments
Develop new or enhanced legal and compliance policies, programs, and enterprise-wide initiatives as required
Train employees on industry compliance and legal requirements
Evaluate internal operational and procedural compliance as needed
Manage and complete compliance projects from original concept through final implementation
Coordinate work with outside counsel and consultants as required
Oversee the research, development, filing, and approval process for policy forms/rates/rules
Complete accurate and timely filings for regulatory approval, and negotiate filing approvals with regulators
Notify the business of approvals and changes, and provide updated or new forms
Develop and maintain necessary recordkeeping systems
Assist each business with consumer and regulator complaint investigation, and review final responses before submission
Serve as liaison and assist in compiling records and information needed for responding to audits, market conduct exams, and investigations by regulators
Prepare and file various reports as required by law
Track and maintain corporate contracts with third party service and product providers
Review requested marketing/advertising material
Review and revise legal contracts, correspondence, and other documents
Provide legal guidance and support to business partners
Provide support as needed related to subpoenas, claims, litigation, and alternative dispute resolution
Assist with legal research, lobbying, legislative, and corporate governance work as requested

Additional Responsibilities

Assist with various assigned legal, compliance, legislative, lobbying, and corporate duties including, but not limited to:
Track assigned agents for service of process for all companies
Participate in and assume responsibility for special projects and assignments as needed
Cross train on multiple positions and duties to provide back-up capabilities
Assist team members when workload requires
Other duties as assigned

Knowledge and Skill Requirements

Bachelor’s degree required, and paralegal certificate strongly preferred; in lieu of a paralegal certificate, sufficient legal and regulatory compliance experience required
Strong knowledge of industry processes, compliance regulations, and standards
Proficiency with legal research software (Westlaw and/or Lexis/Nexis,) Microsoft Office suite, SERFF and filing software, and ability to learn company-specific systems
Advanced research, problem-solving, critical thinking, and analytical skills
Advanced oral and written communication and interpersonal skills
Strong attention to detail, accuracy, organization, and timeliness, with the ability to multi-task
Intellectually curious and energetic
Strong ability to formulate legal and compliance policies, procedures, and related documentation, and ability to train relevant employees on the same
Ability to balance multiple priorities with tight deadlines, and to flexibly change course
Ability to work independently and carry out assignments to completion with minimal supervision, escalating non-routine issues with recommendations for solutions
Ability to work collaboratively, displaying a good-natured, cooperative attitude and an ability to build working relationships within and outside of the department

Working Conditions

Work is performed in an office environment. May sit for long periods of time. Visual acuity necessary to perform reading and computer functions.

Martin & Company offers a full suite of insurance services serving the Property & Casualty and Life, Accident and Health markets. Our core business units include State Filings; Company Licensing; Compliance & Regulatory; Product Development; Actuarial Consulting and Competitive Intelligence. Our firm continues to experience growth in all areas and currently we have an excellent opportunity in our State Filings / Product Development unit. We are seeking a qualified candidate to join the most experienced state filing consulting team in the industry.

Essential Responsibilities and Functions of the Job:
· Administers Compliance programs and ensures compliance with the laws, regulations and rules of federal, state, and self-regulatory organizations.
o Prepares and files regulatory and compliance documents and / or reports.
o Handles interactions pertaining to approvals.
o Analyzes and responds to objections and inquiries from authorities.
o Creates forms and reports to comply with new or existing regulatory requirements. Prepares memorandums regarding the use of forms.
o Responsible for administering compliance training and industry education programs.
o Responsible for reporting and /or investigating any non-compliance or suspected fraudulent acts.
o Drafts and delivers complaint responses.
o Administers privacy, Anti-Money Laundering (AML), anti-fraud and other guidelines.

· Receives, analyzes, interprets and responds to regulatory matters and / or inquiries from the various state departments of insurance, federal agencies, self-regulatory organizations, industry associations and / or internal and external customers. Refers more complex matters to appropriate staff, as needed.

· Coordinates, administers, reports on and develops audit / review processes.

· Maintains and retrieves material from departmental databases and files.

· Performs research.
o Reviews policy administration issues.
o Evaluates, interprets, and communicates new or revised statutes / regulations / rules to effectively implement new requirements.
o Assists with researching, documenting, and communicating complex compliance issues. May develop action plans and assist with coordinating implementation.

· May review proposed advertising and marketing materials for compliance with State Advertising rules, regulations, product features and / or contract language.
o Drafts product disclosures.
o Develops and maintains product audit / issues instructions for new product implementation.

· May provide back-up coverage for other compliance areas.

· Maintains strong relationships within state insurance departments and / or other regulatory authorities. Acts as a liaison between the organization, specific departments / business units, third party vendors/administrators and regulatory authorities.

· Demonstrates advanced knowledge of the organization, regulatory agencies and current trends in ensuring compliance.

· May provide guidance and assistance to less experienced positions.

· Performs other duties as assigned.

Qualifications:
Education – Associate’s Degree or equivalent required. Bachelor’s degree preferred. Paralegal certificate or equivalent a plus.

Knowledge and Experience Required:
· 3 to 5 years insurance / securities related experience.
· Continuing progress toward and/or the completion of an Associate Insurance Regulatory Compliance (AIRC) designation

Other Requirements:
Ability to handle multiple tasks within time constraints.
Ability to communicate clearly and effectively, both verbally and in writing.
Ability to quickly adapt to changes either within the department or during the daily work assignments.
Excellent organizational and time management skills.
Attention to detail.
Ability to work independently and in a team environment, and display a positive attitude in an effort to meet department goals.
Travel as needed to support activities.
Pass a pre-employment criminal background check and drug test.
Strong proficiency in Microsoft Office tools including Excel, PowerPoint, Word and Outlook.

The Insurance Compact Commission has an exciting opportunity for a Communications and Outreach Coordinator. We are looking for a team member who would enjoy working for an organization that supports insurance regulators, consumers, and insurance companies by improving the efficiency and uniformity of product filing review and approval in the ever-changing insurance marketplace. Are you driven to utilize your communication skills while delivering excellent service to build long-lasting rapport? If so, this is a perfect opportunity for you! This is a full-time position. There is flexibility in the location of this position either in our Washington D.C., Kansas City, Missouri office or remote!

This position is responsible for acting as a lead individual contributor within the Contract Administration department, working to establish and maintain relationships with HCSC’s premier and high-end growth account management and customers. This position is responsible for driving key initiatives that materially advance the productivity of the team, including supporting special initiatives and projects, providing support and leadership for quality improvement initiatives, reporting and analysis, and acting as a product owner and key business stakeholder to ensure continuity of deliverables to stakeholders across Contract Administration functional areas. This position is dedicated to support the specialty group market space, including but not limited to bonafide associations, multi employer welfare arrangements, association health plans and similar account types.

Performs complex related duties involving review of insurance company policy and rate filings, examination of insurance companies’ market conduct and/or business practices or investigation and mediation of consumer complaints for compliance with relevant statutes and regulations; examine all related types of insurance policy forms based upon assigned functional area for new and unusual products; may conduct studies of cost, content and availability of various lines of insurance; may independently conduct investigation of complaints against insurance companies including complicated cases and issues; may lead or independently conduct market examinations of insurance companies for compliance with relevant state statutes and guidelines including rates charged and claims practices; may assist in the training of lower level examiners; prepares reports of examinations and/or investigations; assists in the preparation of material for criminal and/or administrative cases; may review loss reserve methodology including testing of underlying data and examining the adequacy of an insurer’s loss reserve; participates in the drafting of regulations and bulletins; performs related duties as required.

Sydney Consulting Group is pleased to announce the opening of a Compliance Analyst position. This position is critical to supporting our rapidly growing customer base and presents a unique opportunity for a qualified individual to join our team at the early stages of the company.

Applicants must be willing to perform the following, or similar, tasks:

-Compile and file insurance offerings via SERFF and IRFS
-Draft responses to Department of Insurance objections in a professional and timely manner
-Manage projects and clients as both a technical expert in contract development, insurance regulation, and general compliance strategy
-Develop and maintain relationships with clients as well as state regulators
-Contribute to a team environment that recognizes and values each individual
-Some travel