Litigation Support-Act as contact with both internal and outside counsel to summarize information and gather production/interrogatory responses

Complaints & Regulatory Inquiries – Respond to and assist the Compliance Director with the review/approval of others responses to complaints and regulatory inquiries for accuracy, regulatory and litigation risk and escalate as appropriate.

Act as Compliance Lead for Major Fraud Issues – Direct the fraud investigation process, monitor/communicate concerns, make appropriate recommendations and notify regulatory entities as appropriate.

Market Conduct Exams – Oversee all aspects of market conduct exams including assignments, review, summarization, communication and any associated follow-up communications and remediations.

Compliance Resource for Operational Areas-respond to questions and issues of a compliance nature from the operational areas and escalate to Compliance Director when warranted

Healthcare Compliance Analyst

Job Summary: Reporting to, the Head of Corporate Compliance, the Healthcare Compliance Analyst is responsible for the building, implementation, and execution (by business segment) of Wellfleet’s Corporate Compliance program and all compliance activities. They will review and evaluate compliance issues/concerns within the assigned business segment as well as assessing compliance risks and controls, which includes issue escalation. In addition, the incumbent will communicate and promote compliance and adherence to the standards of conduct, laws, regulations and applicable policies and procedures. They will provide compliance related guidance to business segments assigned and facilitate communication on compliance related matters.
Minimum Qualifications:
• Minimum of 4+ years health care regulatory compliance related experience preferred
• Bachelor’s degree in related field preferred or 6+ years of relevant work experience or equivalent combination of education and experience
• Strong understanding of healthcare laws and regulations. Ability to interpret healthcare laws and regulations
• Solid risk assessment capabilities.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication skills.
• Excellent presentation and interpersonal skills.
• Ability to work in a fast-paced environment, think quickly, meet deadlines and adapt to various situations.
• Ability to understand complex problems, identify root causes, and remain goal-oriented within a dynamic environment.
• Ability to prioritize multiple work assignments simultaneously.
• Exhibits strong work ethic.
• Excellent analytical skills, with the ability to effectively identify, communicate, and address potential issues.
• Ability to work independently and as a team player.
• Ability to work effectively with peers, as well as business areas at all levels of the organization.
• Strong commitment to compliance & ethics.
Essential Job Duties and Responsibilities:
• Assist Legal and Business Areas with implementing new and/or existing regulations utilizing regulatory system
• Assist with the development and execution of Corporate Compliance Program (e.g., risk assessment, internal customer satisfaction survey, testing & monitoring of key regulations, internal complaints, policies & procedures, exam oversight, vendor oversight, compliance reporting (internal/external), issue reporting and escalation, training program, corrective action plans)
• Implementation and monitoring of business area compliance self-assessments
• Assist with testing & monitoring of key regulations, issues reporting and escalation, and corrective actions
• Research different laws, rules, and regulations by reviewing regulatory bulletins, federal updates, news briefs, and other sources of information
• Build/Maintain database of key fed/state regulations (e.g., Accident & Health, Voluntary Benefits)
• Assistance/coordination of market conduct exams
• Assist with the documentation of compliance guidelines and key compliance controls
• Assist with the automation of key compliance testing/monitoring/risk assessment.
• Development of Corporate Compliance job aids
• Participate in recurring compliance meetings with business areas
• Assists with reported complaints as necessary
• Assists privacy officer as needed in Investigating reported privacy concerns
• Assist with peer review of regulatory filings as needed
• Coordinates with Delegation Oversight Committee for oversight and reporting requirements of vendors, as needed
• Coordinates with License & Appointment Team, as needed
• Ability to travel up to 10%
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: Head of Corporate Compliance

Product Analyst

Job Summary:
The incumbent in this position has experience in the health/accident insurance field specifically in development and management of product form filings for disability, specified disease and medical. The analyst will coordinate and perform state policy filing activities and ensure company compliance with federal and state regulations.
Minimum Qualifications:
• Bachelor’s or Associate’s degree, or equivalent experience
• 3 years’ experience in the health/accident insurance regulatory/state filings field
• Experience with student health, voluntary products including critical illness, short term disability, group life and individual products a plus.
• Very strong written and verbal communication skills.
• Highly developed organizational and analytical skills.
• Ability to understand and interpret state and federal laws and regulations
• Strong analytical, problem-solving and decision-making skills
• Able to work in a self-directed manner with complex issues
• Multi-tasking and detail orientation skills.
• Training and experience using SERFF, IFile and CMS systems.
• Skilled with the Microsoft Suite Office products.
• Demonstrated listening and problem resolution skills.
• Ability to work in a fast-paced and intense working environment.

Essential Job Duties and Responsibilities:
• Be an active participating member of the Product Team.
• Prepare and manage multiple form and rate filings in SERFF, IFile and CMS systems.
• Respond to objections, seek appropriate clarifications, and negotiate filing approvals directly with state and federal regulators.
• Monitor changes to laws and regulations and develop forms to ensure compliance.
• Monitor insurance department and form rate, rate and rule changes.
• Conduct state-specific legal research and monitor changes to mitigate risks and effect compliance of existing products.
• Support the collection of data for regulatory and product filings.
• Work closely with other departments (underwriting, actuarial, IT, sales) to monitor and communicate filing methods and procedures to ensure rate and form filings in use are accurate and current.
• Organizes and maintains product files making sure that all necessary documentation is contained within the appropriate file.
• Conduct on-line legal and regulatory research in fifty states and federal.
• Serve as resource to others.
• Draft policies and procedures and work with business departments on updating policies and procedures.
• Assist with policy output reviews associated with product changes.
• Manage special assignments and projects to a timely completion.
• Attend appropriate meetings as a representative of the Product Team.
• Other projects and duties as directed.

Reports to: Product and Regulatory Filings Manager

Description:
Account Managers are responsible for enrolling, renewing and ongoing service for group benefit coverage. Provide administrative services to department make necessary group plan changes and provide ongoing support to the groups and agents/brokers. Provide a basic knowledge of group benefits to HR Directors and agents/brokers.

Essential Duties and Responsibilities include the following:
– Enter and update member, group and coverage information into the administration system for billing purposes.
– Prepare or update group benefit summary (GBS), riders, endorsements, administration manual, certificates and booklets to be delivered to the group or member.
– Submission to agents and groups in a timely fashion.
– Extensive interaction with brokers and representatives.
– Process Medical Underwriting requests and follow-up until a decision is received.
– Request, verify, process and submit all the necessary completed forms from the member or group to the carrier.
– Communicate any carrier matter or notification letters to the group and agent.
– Send monthly billing statements to groups; monitor billing statements for low participation, errors, and changes; collect on past-due invoices; send lapse letters.
– Make group billing changes: manual adjustments; terminations, salary adjustments, spelling errors, billing contact: address changes; sabbatical requests; absolute assignments; riders, anniversary change, name change, set up new billing locations and codes on existing business; download census; check payments.
– Provide ongoing customer service to groups and agents and facilitate with the carrier(s).
– Review and submit claims to carrier, update administration system of claim decision and premium waivers.
– Create and maintain data files based on producers, requests, and follow up; and file enrollment cards and all correspondence.
– Print and send Schedule A reports
– Assist in training of new employees
– Interact well with others

Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires extensive interaction with brokers/agents and coordination with various departments within the company. Experience in working with benefits brokers/agents/producers preferred. High School Diploma is mandatory.

EDUCATION and/or EXPERIENCE

Associates degree with two years of related experience; or an equivalent combination of education and experience is required. Preference will be given to individuals with a current life and health license.

SKILLS
Must have EXCELLENT communication and professional skills to effectively address and service producer requests. Must be able to multi-task and function effectively in a high paced, demanding atmosphere. Account Managers must be able to provide effective and professional communication by phone or email and coordinate with other internal departments. Must be able to assume full responsibility for requests.
Qualified applicants will be analytical; computer literate; organized; efficient; Be able to speak and write intelligently providing good customer service. In addition, applicants must be willing to do any and all other tasks that may be assigned and be able to get along and work cohesively with others.

Ability to read and comprehend instructions, short correspondence, and memos. Ability to write professional correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions and decimals.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

To perform this job successfully, an individual should have knowledge of Microsoft Word and Excel.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Regulatory Specialist will professionally and competently manage and support external regulatory inquiries with a focus on protecting the Chubb brand by:

reducing regulatory risk by promoting an organizational culture of compliance within Chubb,
fostering strong relationships with regulators by building trust through honesty and transparency,
understanding all aspects of Chubb’s activities in the United States, and
staying informed of how the current and evolving regulatory landscape relates to, and impacts upon, Chubb’s activities.
This role operates on a hybrid work schedule (3 days in office; 2 days remote) and must sit in either our Whitehouse Station, NJ or Philadelphia, PA offices.

Major duties and responsibilities:

Assist in the planning and coordination of administrative details of regulatory audits and examinations (e.g., financial, market conduct, workers comp bureaus, rating bureaus, second injury funds), regulatory investigations, and ad hoc data calls.
Assist in the planning and development of strategies to develop and sustain relationships with key state regulators.
Provide consultative support to business clients in addressing regulatory issues.
Provide consultative expertise and support to miscellaneous programs and initiatives that support compliant practices throughout the organization.
Conduct research into positions advocated by regulators and industry trade associations and provide feedback for company input.
Effectively support team efforts to utilize systems designed to record and manage data related to current and historical regulatory examinations.
Assist with the Regulatory Complaint Handling Process for Chubb’s US P&C Companies. This includes intake, logging, distribution, tracking and submission of regulatory complaints, with a focus on ensuring that all deadlines are met.
Reporting relationship:

Reports to a Regulatory Affairs Manager within the NA Regulatory Affairs Group.
QUALIFICATIONS
4+ years of experience in the insurance industry or regulatory/compliance role
Bachelors degree in business or business-related discipline
Experience handling insurance financial examinations, market conduct examinations, audits or other regulatory matters
Ability to manage competing priorities and deadlines
Ability to collaborate and negotiate with internal and external clients
Excellent communications skills, both oral and written
Excellent interpersonal skills
Able to work independently as well as in groups
Attention to detail and excellent organizational skills
Good personal computer skills including Microsoft Office, particularly Excel
Active learner with the ability and desire to regularly take on new challenges
ABOUT US
Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.