Senior Regulatory Compliance Advisor – Employee Benefits

Job Summary

Seeking a highly skilled and experienced Senior Regulatory Compliance Advisor – Employee Benefits to join a team. This is a strategic and advisory-level role that will play a critical part in ensuring compliance with complex employee benefits regulations. The successful candidate will act as a subject-matter expert, providing guidance to internal teams, clients, and external legal counsel. This position offers the opportunity to make a significant impact through thought leadership, client advisory, and the development of firmwide compliance processes. The role can be fully remote, with an optional in-office presence.

Compensation Package

• Salary Range: $120,000 – $180,000 (based on experience)
• Benefits: Comprehensive benefits package, including health insurance and 401(k)
• Remote Work: Fully remote option available; in-office presence is a plus

Responsibilities

• Serve as a subject-matter expert on complex employee benefits compliance issues, including ERISA, ACA, COBRA, FMLA, PCORI, non-discrimination testing, Form 5500 filings, and state/municipal regulations.
• Conduct compliance risk assessments and develop compliance checklists and processes.
• Coordinate filings, calculate fees and tests, and resolve compliance issues.
• Educate clients and provide internal and external training on regulatory compliance.
• Produce regulatory updates, white papers, webinars, and other thought leadership content.
• Advise leadership-level stakeholders on compliance strategies and best practices.
• Collaborate with internal teams, clients, and external legal counsel to ensure seamless compliance operations.

Qualifications/Requirements

• Minimum of 7+ years of experience in healthcare or employee benefits compliance.
• In-depth knowledge of employee benefits regulations, including ERISA, ACA, COBRA, FMLA, PCORI, and related compliance requirements.
• Proven ability to navigate overlapping and conflicting regulations.
• Experience working with mid-market to large employer groups, including self-funded and fully insured plans.
• Strong analytical and problem-solving skills, with the ability to conduct compliance risk assessments and develop effective solutions.
• Excellent communication and presentation skills, with the ability to educate and advise clients and internal teams.
• CEBS designation is a plus; L&H License preferred if coming from a non-carrier background.

#LI-AS2

VP, Commercial Lines

Job Summary

Looking for a highly skilled Vice President, Commercial Lines. This role supports customers and the brokerage team by providing exceptional customer service and acting as a broker representing the buyer. 

Salary

• $150,000 to $175,000+/year 
• Comprehensive benefits package

Job Description

• Strong Underwriting, Finance, or Legal background preferred.
• Lead and direct a dedicated team to ensure seamless service.
• Assist clients with navigating their options and making informed coverage decisions.
• Spearhead marketing initiatives.
• Develop and execute underwriting strategies to achieve profitability, growth, and portfolio management objectives.
• Manage and mentor underwriting staff, ensuring technical excellence and adherence to company standards.
• Collaborate with actuarial, claims, legal, and distribution partners to design innovative risk solutions for clients and brokers.
• Build and maintain strong relationships with brokers, clients, and industry partners.
• Monitor market trends, regulatory developments, and emerging risks to inform underwriting decisions.
• Provide authority guidance, referrals, and support for complex underwriting decisions.

Requirements

• Bachelor’s degree and advanced degree (JD, CPA, MBA) preferred.
• Minimum of 7-10 years of professional experience, with insurance industry experience a plus.
• Superior Communication skills, attention to detail
• Comfort negotiating directly with underwriters
• Superior skills with MS Office, specifically MS Excel

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. 

#LI-CS1

Claims Compliance Analyst

Job Summary

Seeking a highly skilled and experienced Claims Compliance Analyst to join a growing team. This role is integral to ensuring compliance with claims regulations across all 50 states and federal jurisdictions. You will work closely with internal claims teams, legal departments, and third-party administrators to maintain best-in-class claims practices and regulatory compliance. 

Compensation Package

• Salary Range: $90,000 - $130,000 per year (based on experience)
• Benefits Include:
  • Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

As a Claims Compliance Analyst, your key responsibilities will include:

• Maintaining a centralized 50-state claims compliance library.
• Assisting with internal audits and regulatory reviews.
• Ensuring adherence to claims best practices.
• Analyzing data and file trends to identify potential compliance issues and developing solutions.
• Providing compliance support to internal teams and external vendors.

Qualifications/Requirements

The ideal candidate will possess the following qualifications:

• A minimum of 10 years of experience in claims compliance, insurance regulation, or legal operations.
• A Juris Doctor (J.D.) degree is strongly preferred; advanced insurance compliance certification is a plus.
• Experience with multiple lines of business in a 50-state claims environment.
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
• Strong research and policy writing skills.
• Excellent collaboration, project management, and problem-solving abilities.

#LI-TS1

Technical Claims Director, Property & Casualty

Job Summary

Seeking a highly skilled and experienced Technical Claims Director, Property & Casualty to join a growing Claims Compliance and Quality Assurance team. This is a critical role for an accomplished insurance claims compliance professional or attorney with deep knowledge of insurance claims regulations, processes, and technology. You will play a pivotal role in safeguarding the organization from regulatory risks, ensuring compliance, and driving continuous improvement in claims handling practices.

Compensation Package

• Salary Range: $130,000 - $180,000 per year (based on experience and qualifications).
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

As the Technical Claims Director, you will:

• Manage and maintain a 50-state claims database.
• Monitor legislation, DOI bulletins, court decisions, and statutory changes; manage backlog and implement targeted compliance training.
• Develop and oversee controls related to Medicare, OFAC, Child Support Lien Network, and other federal protocols.
• Collaborate with Claims Technical, Legal, and IT teams to design controls and workflows aligned with regulatory requirements.
• Lead responses to regulatory inquiries and complaints.
• Deliver training and provide legal support to internal teams and vendors.
• Develop audit programs and dashboards to monitor compliance effectiveness.
• Oversee and support technology-related compliance integrations.
• Provide executive reporting, trends analysis, and regulatory insights.

Qualifications/Requirements

• 10+ years of experience in claims compliance, insurance regulation, or legal operations.
• A degree in law, risk management, or a related field is required; J.D. is highly preferred.
• Advanced insurance compliance certifications (e.g., CPCU, CIPP, CAMS, CRCM) are a plus.
• Strong understanding of claims handling regulations, Medicare protocols, and market conduct standards.
• Experience managing compliance in a 50-state claims environment across multiple lines of business.
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting.
• Strong research and policy writing skills.
• Excellent collaboration, project management, and problem-solving abilities.
• Experience with regulatory audit preparation and response.

#LI-BC1